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 |
|---|---|---|---|---|
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | not published | not published | $20.30 – $2,225.50 | 25 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $20.30 – $1,004.50 | 25 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | not published | not published | $45.00 – $2,225.50 | 23 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | not published | not published | $40.59 – $2,225.50 | 25 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | not published | not published | $45.00 – $2,225.50 | 25 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | not published | not published | $36.53 – $2,225.50 | 25 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | not published | not published | $43.30 – $2,225.50 | 25 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,150.77 – $1,246.50 | 4 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $37.61 – $47.82 | 2 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $190.42 – $1,004.50 | 28 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $843.44 | $2,811.45 | $244.68 – $1,004.50 | 4 |
| PSA (Prostate) Test CPT 84153 | $65.19 | $217.30 | $12.90 – $71.10 | 36 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $1.77 – $32.37 | 20 |
| Psychoanalysis CPT 90845 | not published | not published | $55.00 – $212.32 | 22 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $28.30 – $122.23 | 23 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $41.43 – $212.32 | 21 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $55.08 – $212.32 | 21 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $55.08 – $212.32 | 21 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $105.89 – $411.50 | 20 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $80.73 – $80.73 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $34.11 – $527.31 | 20 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $23.72 – $170.34 | 20 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $18.77 – $18.77 | 1 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $34.11 – $34.11 | 1 |
| Psytx complex interactive CPT 90785 | not published | not published | $3.25 – $3.25 | 1 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $45.00 – $45.00 | 1 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $78.00 – $78.00 | 1 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $89.70 – $89.70 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $60.20 | $200.65 | $12.13 – $41.75 | 29 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $10.21 – $26.30 | 8 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $61.77 | $205.90 | $15.81 – $69.21 | 29 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $46.82 | $156.05 | $11.75 – $28.08 | 29 |
| Pt application of modality traction mechanical CPT 97012 | $65.00 | $216.65 | $12.13 – $35.10 | 29 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $43.36 – $940.26 | 36 |
| Pten gene full sequence CPT 81321 | not published | not published | $149.31 – $1,881.64 | 36 |
| Pten gene known fam variant CPT 81322 | not published | not published | $28.91 – $189.87 | 36 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $973.10 – $2,225.50 | 4 |
| Pt evaluation high complexity patient/family CPT 97163 | $123.42 | $411.40 | $83.29 – $176.18 | 29 |
| Pt evaluation low complexity patient/family CPT 97161 | $123.42 | $411.40 | $83.29 – $176.18 | 29 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $123.42 | $411.40 | $83.29 – $176.18 | 29 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $11.92 – $56.60 | 27 |
| Pt re-evaluation patient/family CPT 97164 | $45.95 | $153.15 | $57.22 – $119.16 | 29 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $18.89 – $95.77 | 29 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $45.41 | $151.35 | $11.13 – $30.06 | 10 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $46.82 | $156.05 | $19.78 – $62.24 | 29 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $47.09 | $156.95 | $18.81 – $57.39 | 29 |
| Pt wheelchair management each 15 minutes CPT 97542 | $46.82 | $156.05 | $20.41 – $67.11 | 29 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $1,173.23 – $16,047.00 | 9 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $455.06 – $16,047.00 | 5 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $100.20 – $589.01 | 34 |
| Pulse ox continuous overnight monitoring CPT 94762 | $207.80 | $692.65 | $32.70 – $206.75 | 28 |
| Pulse ox multiple CPT 94761 | not published | not published | $8.04 – $39.50 | 8 |
| Pulse ox single CPT 94760 | $78.99 | $263.30 | $5.08 – $14.88 | 8 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $244.03 – $1,004.50 | 23 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $72.66 | $242.20 | $28.70 – $2,225.50 | 25 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $458.54 | $1,528.45 | $25.71 – $2,225.50 | 25 |
| Puncture/clear windpipe 31612 CPT 31612 | $4,473.50 | $14,911.65 | $954.50 – $1,865.02 | 4 |
| Puncture spinal lumbar diagnostic CPT 62270 | $696.02 | $2,320.05 | $29.77 – $1,004.50 | 25 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $45.00 – $2,225.50 | 23 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $45.00 – $2,225.50 | 23 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pyruvate CPT 84210 | not published | not published | $7.61 – $45.14 | 36 |
| Pyruvate kinase CPT 84220 | not published | not published | $6.61 – $36.12 | 36 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $109.50 – $170.34 | 19 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $156.59 – $755.17 | 34 |
| Quant diff pulm perf w/imaging CPT 78597 | $657.60 | $2,192.00 | $100.20 – $589.01 | 34 |
| Quest t3 uptake CPT 84479 | $60.08 | $200.25 | $4.54 – $24.85 | 36 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $88.15 – $780.60 | 32 |
| Rabies ig ht&sol human im/sc CPT 90377 | $801.24 | $2,670.80 | $217.03 – $615.01 | 29 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $801.24 | $2,670.80 | $92.19 – $578.19 | 32 |
| Rabies vaccine id CPT 90676 | not published | not published | $73.27 – $370.26 | 22 |
| Radiation handling CPT 77790 | not published | not published | $13.91 – $79.82 | 10 |
| Radiation physics consult CPT 77336 | not published | not published | $53.24 – $336.54 | 33 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $37.04 – $175.45 | 33 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $40.59 – $175.45 | 33 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $9.71 – $215.61 | 33 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $91.32 – $483.74 | 33 |
| Radiation treatment delivery CPT 77401 | not published | not published | $21.10 – $144.70 | 33 |
| Radiation treatment delivery CPT 77402 | not published | not published | $49.21 – $334.90 | 33 |
| Radiation treatment delivery CPT 77412 | not published | not published | $83.60 – $599.11 | 33 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,118.00 – $4,813.00 | 4 |
| Radical resection of elbow CPT 24149 | not published | not published | $1,301.07 – $2,225.50 | 4 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $670.71 – $2,981.50 | 4 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $912.16 – $3,160.00 | 4 |
| Radiology port images(s) CPT 77417 | not published | not published | $14.64 – $32.05 | 10 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $472.00 – $4,177.58 | 14 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $234.07 – $2,035.50 | 15 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $183.31 – $2,035.50 | 15 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $680.75 – $2,035.50 | 14 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | not published | not published | $243.77 – $2,035.50 | 15 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $138.67 – $589.01 | 34 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $88.08 – $163.84 | 10 |
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.