Ascension Saint Thomas River Park
1559 Sparta Rd, McMinnville, TN · Ascension · · NPI 1518346469
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $47.68 – $179.33 | 34 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $43.82 – $179.33 | 34 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | not published | 0 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | not published | 0 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $2,118.00 – $13,081.20 | 4 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $954.50 – $8,553.02 | 4 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $954.50 – $2,645.33 | 4 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $1,468.50 – $2,645.33 | 4 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $973.10 – $1,543.50 | 4 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $1,865.02 – $3,160.00 | 4 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $50.46 – $78.50 | 19 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $50.46 – $78.50 | 19 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $1,889.50 – $2,114.20 | 4 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $1,468.50 – $2,114.20 | 4 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $1,468.50 – $2,114.20 | 4 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $1,468.50 – $2,114.20 | 4 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $1,468.50 – $2,784.74 | 4 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $1,468.50 – $2,114.20 | 4 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $2,187.00 – $2,784.74 | 4 |
| Optx lunate dislocation CPT 25695 | not published | not published | $1,021.33 – $1,246.50 | 4 |
| Optx medial ankle fx CPT 27766 | not published | not published | $1,468.50 – $2,114.20 | 4 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $2,187.00 – $2,784.74 | 4 |
| Optx post ankle fx CPT 27769 | not published | not published | $2,114.20 – $3,160.00 | 4 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $1,889.50 – $2,784.74 | 4 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $1,889.50 – $2,784.74 | 4 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $1,468.50 – $2,114.20 | 4 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $1,021.33 – $1,246.50 | 4 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $1,021.33 – $1,543.50 | 4 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $1,889.50 – $2,114.20 | 4 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $2,114.20 – $2,298.50 | 4 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $1,468.50 – $2,784.74 | 4 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $1,468.50 – $2,784.74 | 4 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $1,468.50 – $2,784.74 | 4 |
| Optx sho dislc fx CPT 23670 | not published | not published | $1,468.50 – $2,784.74 | 4 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $1,468.50 – $2,114.20 | 4 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $1,021.33 – $1,985.50 | 4 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $1,468.50 – $2,114.20 | 4 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $1,468.50 – $1,865.02 | 4 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $1,021.33 – $1,543.50 | 4 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $1,468.50 – $2,114.20 | 4 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $1,468.50 – $2,114.20 | 4 |
| Orchiectomy partial CPT 54522 | not published | not published | $906.09 – $1,543.50 | 4 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $1,337.72 – $2,225.50 | 4 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $1,337.72 – $1,985.50 | 4 |
| Organic acids total quant ea spec CPT 83918 | $259.52 | $865.05 | $11.54 – $74.51 | 36 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $323.33 – $2,225.50 | 4 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $33.53 | $111.75 | $3.06 – $21.54 | 9 |
| Orthopantogram CPT 70355 | not published | not published | $10.47 – $127.70 | 34 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $50.46 – $78.50 | 19 |
| Oscillation chest wall mechanical per session CPT 94669 | $229.95 | $766.50 | $19.68 – $268.77 | 28 |
| Osmolality blood CPT 83930 | $48.57 | $161.90 | $4.63 – $25.96 | 36 |
| Osmolality urine CPT 83935 | $43.53 | $145.10 | $4.78 – $25.96 | 36 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $871.76 – $1,543.50 | 4 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $2,118.00 – $5,112.00 | 4 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $1,881.50 – $3,160.00 | 4 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $2,609.58 – $3,160.00 | 4 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $12.55 – $77.31 | 22 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $12.55 – $89.81 | 22 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $12.55 – $97.77 | 22 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $1,881.50 – $1,985.50 | 4 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $1,468.50 – $2,609.58 | 4 |
| Ot evaluation high complexity patient/family CPT 97167 | $123.42 | $411.40 | $83.87 – $170.98 | 29 |
| Ot evaluation low complexity patient/family CPT 97165 | $123.42 | $411.40 | $83.87 – $170.98 | 29 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $123.42 | $411.40 | $83.87 – $170.98 | 29 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $15.68 – $86.93 | 36 |
| Oth resp proc, group HCPCS G0239 | $102.12 | $340.40 | $14.86 – $26.34 | 9 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $50.48 | $168.25 | $41.78 – $104.56 | 29 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $51.95 | $173.15 | $37.89 – $82.75 | 29 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $52.62 | $175.40 | $23.11 – $65.46 | 29 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $20.96 – $64.10 | 8 |
| Otoplasty 69300 CPT 69300 | not published | not published | $973.10 – $1,543.50 | 4 |
| Ot re-evaluation patient/family CPT 97168 | $45.95 | $153.15 | $56.26 – $112.79 | 29 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $55.44 | $184.80 | $29.14 – $75.90 | 29 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $28.16 | $93.85 | $18.05 – $51.29 | 29 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $42.78 | $142.60 | $18.89 – $53.68 | 29 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $51.00 | $170.00 | $24.47 – $70.06 | 29 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $46.95 | $156.50 | $22.58 – $73.03 | 29 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $42.78 | $142.60 | $24.34 – $75.99 | 29 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $2,118.00 – $2,225.50 | 3 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.