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 |
|---|---|---|---|---|
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $1,989.59 – $2,225.50 | 4 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $7.20 | $24.00 | $1.58 – $3.81 | 7 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $254.59 – $958.95 | 36 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $271.22 – $644.44 | 36 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $31.95 | $106.50 | $3.28 – $31.15 | 15 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $373.65 – $3,140.28 | 32 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $58.04 | $193.45 | $14.24 – $25.43 | 7 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $10.61 | $35.35 | $4.55 – $21.03 | 9 |
| Parathormone (pth) intact CPT 83970 | $138.12 | $460.40 | $28.94 – $160.29 | 36 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $91.27 – $931.13 | 34 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Parathyroid planar imaging CPT 78070 | $579.72 | $1,932.40 | $76.68 – $719.70 | 34 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $159.41 – $824.28 | 34 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $1,989.59 – $2,225.50 | 4 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $2,075.23 – $2,981.50 | 4 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $45.00 – $2,225.50 | 23 |
| Parotid duct diversion CPT 42507 | not published | not published | $1,468.50 – $1,865.02 | 4 |
| Parotid duct diversion CPT 42509 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Parotid duct diversion CPT 42510 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $2,056.59 – $3,160.00 | 4 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $923.10 – $1,004.50 | 4 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial exc bone humerus CPT 24140 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $871.76 – $1,543.50 | 4 |
| Partial excision of lip CPT 40500 | not published | not published | $633.43 – $1,246.50 | 4 |
| Partial hip replacement CPT 27125 | not published | not published | $2,118.00 – $28,151.00 | 11 |
| Partial hysterectomy CPT 58180 | not published | not published | $2,118.00 – $4,813.00 | 4 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial removal finger bone CPT 26235 | not published | not published | $614.17 – $1,543.50 | 4 |
| Partial removal finger bone CPT 26236 | not published | not published | $614.17 – $1,543.50 | 4 |
| Partial removal foot fascia CPT 28060 | not published | not published | $871.76 – $1,246.50 | 4 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $1,301.07 – $2,298.50 | 4 |
| Partial removal of bladder CPT 51550 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $876.31 – $1,985.50 | 4 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $876.31 – $1,985.50 | 4 |
| Partial removal of fibula CPT 27641 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Partial removal of foot bone CPT 28288 | not published | not published | $871.76 – $1,543.50 | 4 |
| Partial removal of hand bone CPT 26230 | not published | not published | $614.17 – $2,981.50 | 4 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial removal of lip CPT 40530 | not published | not published | $973.10 – $1,246.50 | 4 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial removal of nose CPT 30150 | not published | not published | $1,468.50 – $1,865.02 | 4 |
| Partial removal of penis CPT 54120 | not published | not published | $1,117.60 – $1,246.50 | 4 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Partial removal of radius CPT 25151 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Partial removal of radius CPT 25230 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Partial removal of rib CPT 21600 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Partial removal of sternum CPT 21620 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Partial removal of thyroid CPT 60220 | not published | not published | $1,185.00 – $2,119.81 | 4 |
| Partial removal of thyroid CPT 60225 | not published | not published | $1,468.50 – $2,119.81 | 4 |
| Partial removal of tibia CPT 27640 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Partial removal of toe CPT 28160 | not published | not published | $871.76 – $1,543.50 | 4 |
| Partial removal of tongue CPT 41120 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Partial removal of ulna CPT 25119 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Partial removal of ulna CPT 25150 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Partial removal of ulna CPT 25240 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $923.10 – $2,225.50 | 4 |
| Partial removal tear gland CPT 68505 | not published | not published | $767.34 – $1,543.50 | 4 |
| Partial thyroid excision CPT 60210 | not published | not published | $2,118.00 – $2,225.50 | 4 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $2,118.00 – $2,225.50 | 4 |
| Part removal of metatarsal CPT 28110 | not published | not published | $871.76 – $1,543.50 | 4 |
| Part removal of metatarsal CPT 28113 | not published | not published | $871.76 – $1,543.50 | 4 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $871.76 – $1,543.50 | 4 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $121.73 – $226.45 | 28 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $64.68 – $226.45 | 28 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $30.32 – $70.60 | 28 |
| Patient recorded spirometry CPT 94014 | not published | not published | $25.88 – $527.31 | 26 |
| Patient recorded spirometry CPT 94015 | not published | not published | $25.88 – $411.50 | 26 |
| Pdgfra gene CPT 81314 | not published | not published | $163.11 – $1,032.83 | 36 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $168.80 – $402.66 | 25 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $703.71 – $1,543.50 | 4 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $32.70 – $206.75 | 25 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $32.70 – $452.39 | 25 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $703.71 – $1,543.50 | 4 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $926.10 | $3,087.00 | $151.23 – $739.53 | 34 |
| Pelvic CT scan (with contrast) CPT 72193 | $838.05 | $2,793.50 | $148.75 – $622.36 | 34 |
| Pelvic CT scan (without contrast) CPT 72192 | $817.49 | $2,724.95 | $90.33 – $562.76 | 34 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,270.25 | $4,234.15 | $264.35 – $1,339.04 | 34 |
| Pelvic MRI (with contrast) CPT 72196 | $930.30 | $3,101.00 | $215.74 – $970.79 | 34 |
| Pelvic MRI (without contrast) CPT 72195 | $840.23 | $2,800.75 | $167.52 – $906.80 | 34 |
| Pelvic Ultrasound (complete) CPT 76856 | $353.40 | $1,178.00 | $47.68 – $202.10 | 34 |
| Pelvic Ultrasound (limited) CPT 76857 | not published | not published | $31.15 – $179.33 | 34 |
| Peng benzathine/procaine inj HCPCS J0558 | $43.55 | $145.15 | $12.85 – $41.48 | 9 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $63.08 | $210.25 | $16.13 – $50.94 | 14 |
| Penile injection CPT 54235 | not published | not published | $45.00 – $2,225.50 | 23 |
| Penile vascular study CPT 93980 | not published | not published | $76.07 – $205.87 | 31 |
| Penile vascular study CPT 93981 | not published | not published | $76.07 – $189.87 | 31 |
| Penile venous occlusion CPT 37790 | not published | not published | $1,117.60 – $1,543.50 | 4 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,468.50 – $1,708.17 | 4 |
| Penis study CPT 54240 | not published | not published | $45.00 – $2,225.50 | 23 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $2,047.95 – $3,160.00 | 4 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $954.50 – $2,047.95 | 4 |
| Percut ablate liver rf CPT 47382 | not published | not published | $2,047.95 – $2,225.50 | 4 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $182.99 | $609.95 | $50.98 – $64.08 | 5 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | 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.