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 |
|---|---|---|---|---|
| Revision of iris CPT 66761 | not published | not published | $221.82 – $1,004.50 | 23 |
| Revision of iris CPT 66762 | not published | not published | $221.82 – $1,004.50 | 23 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $323.33 – $1,004.50 | 4 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $954.50 – $1,004.50 | 4 |
| Revision of knee joint CPT 27440 | not published | not published | $2,187.00 – $5,112.00 | 4 |
| Revision of knee joint CPT 27441 | not published | not published | $1,682.15 – $2,298.50 | 4 |
| Revision of knee joint CPT 27442 | not published | not published | $2,187.00 – $5,112.00 | 4 |
| Revision of knee joint CPT 27443 | not published | not published | $2,187.00 – $5,112.00 | 4 |
| Revision of knee joint CPT 27446 | not published | not published | $2,118.00 – $28,151.00 | 11 |
| Revision of larynx CPT 31400 | not published | not published | $1,185.00 – $1,865.02 | 4 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $1,085.86 – $1,543.50 | 4 |
| Revision of neck muscle CPT 21700 | not published | not published | $830.42 – $1,246.50 | 4 |
| Revision of neck muscle CPT 21720 | not published | not published | $830.42 – $1,543.50 | 4 |
| Revision of neck muscle CPT 21725 | not published | not published | $80.98 – $1,543.50 | 23 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Revision of nose CPT 30120 | not published | not published | $954.50 – $1,004.50 | 4 |
| Revision of nose CPT 30430 | not published | not published | $973.10 – $1,543.50 | 4 |
| Revision of nose CPT 30435 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Revision of nose CPT 30450 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Revision of nose CPT 30460 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Revision of nose CPT 30462 | not published | not published | $1,865.02 – $3,160.00 | 4 |
| Revision of penis CPT 54300 | not published | not published | $1,468.50 – $1,708.17 | 4 |
| Revision of penis CPT 54304 | not published | not published | $1,468.50 – $1,708.17 | 4 |
| Revision of penis CPT 54420 | not published | not published | $1,117.60 – $1,985.50 | 4 |
| Revision of penis CPT 54430 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Revision of penis CPT 54435 | not published | not published | $1,117.60 – $1,985.50 | 4 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Revision of radius CPT 25350 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Revision of radius CPT 25355 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $692.04 – $1,246.50 | 4 |
| Revision of scrotum CPT 55175 | not published | not published | $954.50 – $1,708.17 | 4 |
| Revision of scrotum CPT 55180 | not published | not published | $906.09 – $1,246.50 | 4 |
| Revision of spinal shunt CPT 63744 | not published | not published | $1,468.50 – $1,543.50 | 4 |
| Revision of testis CPT 54660 | not published | not published | $906.09 – $1,246.50 | 4 |
| Revision of thigh muscles CPT 27430 | not published | not published | $1,881.50 – $1,985.50 | 4 |
| Revision of toe CPT 28312 | not published | not published | $871.76 – $1,543.50 | 4 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Revision of ulna CPT 25360 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $1,881.50 – $2,981.50 | 4 |
| Revision of urethra CPT 53450 | not published | not published | $954.50 – $1,254.79 | 4 |
| Revision of urethra CPT 53460 | not published | not published | $814.38 – $1,004.50 | 4 |
| Revision of urethra CPT 57220 | not published | not published | $1,468.50 – $1,989.59 | 4 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $1,610.43 – $1,985.50 | 4 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Revision tips CPT 37183 | not published | not published | $2,118.00 – $2,269.61 | 4 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,682.15 – $23,491.00 | 5 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $2,118.00 – $23,491.00 | 4 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,610.43 – $3,160.00 | 4 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,610.43 – $3,160.00 | 4 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,468.50 – $1,708.17 | 4 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $954.50 – $1,064.41 | 4 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $48.71 – $1,064.41 | 6 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $954.50 – $1,064.41 | 4 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $3.98 – $21.44 | 36 |
| Rheumatoid factor quantitative CPT 86431 | $44.87 | $149.55 | $3.98 – $21.44 | 36 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $973.10 – $1,985.50 | 4 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $104.46 | $348.20 | $2.55 – $11.95 | 10 |
| Rho d immune globulin inj HCPCS J2790 | $111.15 | $370.50 | $40.32 – $168.48 | 10 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $40.68 – $146.16 | 8 |
| Rib cartilage graft CPT 21230 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Right ventric recording CPT 93603 | not published | not published | $76.57 – $12,715.00 | 11 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $26.42 | $88.05 | $2.59 – $25.84 | 15 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $75.77 – $1,004.50 | 25 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $830.42 – $1,004.50 | 4 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $670.71 – $1,246.50 | 4 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $47.36 – $1,004.50 | 6 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $413.29 – $1,004.50 | 4 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $1,173.62 – $14,894.00 | 6 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $6,190.50 – $22,196.00 | 8 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $6,190.50 – $15,409.22 | 4 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $6,190.50 – $11,458.30 | 4 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $1,173.62 – $6,935.50 | 4 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $45.00 – $2,225.50 | 23 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $3,272.67 – $6,935.50 | 4 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $6,190.50 – $8,203.70 | 4 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $3,272.67 – $6,935.50 | 4 |
| Rmvl pq iabp CPT 33968 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $1,173.62 – $14,894.00 | 6 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $597.71 – $1,246.50 | 22 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $912.16 – $1,004.50 | 4 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $29.77 – $2,225.50 | 25 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $1,173.62 – $6,935.50 | 4 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $1,173.62 – $6,935.50 | 4 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $2,789.50 – $2,932.00 | 3 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $2,789.50 – $2,932.00 | 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.