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 |
|---|---|---|---|---|
| Pretreat rbc absorption reference CPT 86978 | $275.48 | $918.25 | $12.32 – $116.27 | 35 |
| Pretreat rbc density gradient separation reference CPT 86972 | $298.16 | $993.85 | $7.40 – $226.45 | 35 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $91.73 | $305.75 | $1.34 – $97.06 | 35 |
| Pretreat rbc w enzyme reference CPT 86971 | $168.21 | $560.70 | $7.40 – $255.07 | 35 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $55.08 – $212.32 | 21 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $25.71 – $1,004.50 | 6 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $58.18 – $1,004.50 | 6 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $62.24 – $1,004.50 | 25 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $17.57 – $49.28 | 28 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $17.24 – $49.28 | 28 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $17.24 – $49.28 | 28 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $17.24 – $49.28 | 28 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $17.24 – $49.28 | 28 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $17.24 – $55.18 | 28 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $396.22 – $12,715.00 | 10 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $184.22 – $234.27 | 3 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $124.98 – $181.93 | 3 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $86.63 – $110.16 | 3 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $92.56 – $117.70 | 3 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $65.71 – $85.84 | 3 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $35.71 – $57.99 | 3 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $1,610.43 – $3,160.00 | 4 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | not published | not published | $80.98 – $1,004.50 | 23 |
| Pr incision & drainage abscess simple/single CPT 10060 | not published | not published | $25.71 – $2,225.50 | 25 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $113.08 – $1,246.50 | 23 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | not published | not published | $45.00 – $2,225.50 | 23 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $48.48 – $170.30 | 20 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $36.84 – $170.30 | 20 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $692.04 – $1,246.50 | 4 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $149.18 – $1,004.50 | 23 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $767.34 – $1,246.50 | 4 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $767.34 – $1,246.50 | 4 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $767.34 – $2,298.50 | 4 |
| Procalcitonin CPT 84145 | $91.44 | $304.80 | $18.78 – $103.84 | 36 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $12.03 | $40.10 | $3.34 – $7.93 | 9 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $828.84 – $1,004.50 | 4 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $413.71 – $1,004.50 | 4 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $413.71 – $1,004.50 | 4 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $20.30 – $1,204.78 | 25 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $50.06 – $1,004.50 | 6 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $50.06 – $1,004.50 | 6 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $52.77 – $1,004.50 | 6 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $828.84 – $1,004.50 | 4 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $31.12 – $1,004.50 | 6 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $50.06 – $1,004.50 | 6 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $954.50 – $1,587.54 | 4 |
| Progesterone CPT 84144 | $69.86 | $232.85 | $14.63 – $81.26 | 36 |
| Prolactin CPT 84146 | $136.59 | $455.30 | $13.59 – $74.51 | 36 |
| Promethazine hcl injection HCPCS J2550 | $4.64 | $15.45 | $1.52 – $7.78 | 9 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $149.18 – $1,246.50 | 23 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $221.82 – $1,004.50 | 23 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $1,468.50 – $5,112.00 | 4 |
| Prophylactic tx radius CPT 25490 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $0.65 | $2.15 | $0.11 – $0.20 | 7 |
| _propoxygc/msur CPT 80367 | not published | not published | $0.02 – $0.02 | 2 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $24.66 | $82.20 | $7.42 – $15.31 | 7 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $1,556.88 – $1,985.50 | 4 |
| Prostate laser enucleation CPT 52649 | not published | not published | $1,556.88 – $3,160.00 | 4 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $272.79 – $2,225.50 | 6 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $1,556.88 – $2,225.50 | 4 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $6.65 | $22.15 | $1.07 – $1.94 | 9 |
| Protein c activity CPT 85303 | $99.09 | $330.30 | $9.70 – $53.04 | 36 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $95.66 | $318.85 | $7.53 – $41.76 | 36 |
| Protein s total CPT 85305 | $78.77 | $262.55 | $8.14 – $45.14 | 36 |
| Protein total 24 hour urine CPT 84156 | $42.81 | $142.70 | $2.57 – $14.69 | 36 |
| Protein total body fluid CPT 84157 | $54.47 | $181.55 | $2.57 – $14.69 | 36 |
| Protein total serum plasma whole blood CPT 84155 | $42.81 | $142.70 | $2.57 – $19.30 | 36 |
| Prothrombin complex kcentra HCPCS J7168 | $5.63 | $18.75 | $2.77 – $4.68 | 10 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $72.89 | $242.95 | $2.76 – $28.77 | 36 |
| Proton treatment complex CPT 77525 | not published | not published | $723.40 – $2,828.55 | 14 |
| Proton trmt intermediate CPT 77523 | not published | not published | $604.81 – $2,828.55 | 14 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $486.22 – $2,828.55 | 14 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $367.63 – $2,010.20 | 33 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $6.04 – $33.86 | 36 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $1,337.72 – $3,160.00 | 4 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $78.58 – $122.23 | 19 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $10,199.00 – $16,047.00 | 6 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $9,720.00 – $16,047.00 | 6 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $822.77 – $16,047.00 | 12 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $9,720.00 – $16,047.00 | 6 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $731.63 – $16,047.00 | 12 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $9,720.00 – $16,047.00 | 6 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $1,021.33 – $1,246.50 | 4 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,021.33 – $1,246.50 | 4 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $1,021.33 – $1,246.50 | 4 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $1,021.33 – $1,246.50 | 4 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $1,021.33 – $1,246.50 | 4 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $732.09 – $16,047.00 | 12 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $821.17 – $16,047.00 | 10 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $658.06 – $16,047.00 | 11 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $784.97 – $16,047.00 | 11 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $822.29 – $16,047.00 | 12 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $45.00 – $2,225.50 | 23 |
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.