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 |
|---|---|---|---|---|
| Small bowel endoscopy CPT 44366 | not published | not published | $624.70 – $1,246.50 | 4 |
| Small bowel endoscopy CPT 44369 | not published | not published | $624.70 – $1,246.50 | 4 |
| Small bowel endoscopy CPT 44376 | not published | not published | $426.22 – $1,246.50 | 4 |
| Small bowel endoscopy CPT 44378 | not published | not published | $624.70 – $1,246.50 | 4 |
| Small bowel endoscopy CPT 44382 | $1,261.31 | $4,204.35 | $426.22 – $1,238.94 | 23 |
| Small bowel endoscopy CPT 44384 | not published | not published | $426.22 – $1,985.50 | 4 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $426.22 – $1,246.50 | 4 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $624.70 – $1,246.50 | 4 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $426.22 – $1,246.50 | 4 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $624.70 – $1,246.50 | 4 |
| Small bowel endoscopy br/wa CPT 44380 | $1,261.31 | $4,204.35 | $426.22 – $1,238.94 | 23 |
| Small bowel endoscopy br/wa CPT 44381 | $1,201.23 | $4,004.10 | $426.22 – $1,985.50 | 4 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $1,587.54 – $3,160.00 | 4 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $465.70 | 24 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $46.43 | $154.75 | $3.77 – $20.32 | 36 |
| Smear gram stain CPT 87205 | $41.24 | $137.45 | $3.00 – $16.95 | 36 |
| Smear nasal eosinophil CPT 89190 | not published | not published | $3.34 – $18.06 | 36 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $58.32 | $194.40 | $4.21 – $23.70 | 36 |
| Smear wet mount CPT 87210 | $42.57 | $141.90 | $3.00 – $18.06 | 36 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $271.22 – $944.68 | 36 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $42.30 – $261.99 | 36 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $45.96 – $160.29 | 36 |
| Sodium 24 hour urine CPT 84300 | $40.10 | $133.65 | $3.42 – $19.17 | 36 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $46.35 | $154.50 | $3.28 – $13.76 | 9 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $46.35 | $154.50 | $1.65 – $14.33 | 9 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $46.35 | $154.50 | $0.82 – $13.04 | 9 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $13.67 | $45.55 | $2.61 – $4.66 | 7 |
| Sodium serum/plasma/whole blood CPT 84295 | $64.82 | $216.05 | $3.38 – $19.17 | 36 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $50.00 – $2,838.60 | 7 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $50.00 – $2,523.20 | 7 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $50.00 – $6,938.76 | 7 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $50.00 – $2,207.80 | 7 |
| Somatosensory testing CPT 95927 | not published | not published | $92.56 – $411.50 | 28 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $50.00 – $6,307.95 | 7 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $50.00 – $1,892.40 | 26 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Special physics consult CPT 77370 | not published | not published | $53.24 – $336.54 | 33 |
| Special radiation dosimetry CPT 77331 | not published | not published | $19.58 – $175.45 | 33 |
| Special radiation treatment CPT 77470 | not published | not published | $49.19 – $764.43 | 33 |
| Special teletx port plan CPT 77321 | not published | not published | $45.02 – $483.74 | 33 |
| Specific gravity body fluid CPT 84315 | $29.67 | $98.90 | $1.76 – $10.16 | 36 |
| Specimen fat stain CPT 89125 | not published | not published | $3.03 – $18.06 | 36 |
| Speech audiometry complete CPT 92556 | not published | not published | $17.18 – $78.50 | 28 |
| Speech evaluation complex CPT 70371 | not published | not published | $43.63 – $372.86 | 34 |
| Speech recep thresh CPT 92555 | not published | not published | $17.09 – $78.50 | 28 |
| Sperm antibody test CPT 89325 | not published | not published | $7.48 – $41.76 | 36 |
| Sperm identification CPT 89257 | not published | not published | $18.23 – $382.08 | 32 |
| Sperm isolation complex CPT 89261 | not published | not published | $18.23 – $155.56 | 32 |
| Sperm isolation simple CPT 89260 | not published | not published | $18.23 – $155.56 | 32 |
| Sperm washing 58323 CPT 58323 | not published | not published | $19.58 – $1,004.50 | 25 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,300.53 – $1,543.50 | 4 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $869.79 | $2,899.30 | $588.30 – $1,004.50 | 22 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $25.88 – $411.50 | 28 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $536.34 | $1,787.80 | $42.36 – $411.50 | 28 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $25.88 – $227.38 | 28 |
| Spleen imaging CPT 78185 | not published | not published | $99.79 – $589.01 | 34 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $1,150.77 – $1,246.50 | 4 |
| Split blood or products CPT 86985 | not published | not published | $7.40 – $226.45 | 35 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $281.77 – $438.31 | 19 |
| Sputum specimen collection CPT 89220 | $101.01 | $336.70 | $8.45 – $226.45 | 35 |
| Srs linear based CPT 77372 | not published | not published | $933.04 – $2,906.24 | 11 |
| Srs multisource CPT 77371 | not published | not published | $1,868.66 – $3,688.73 | 14 |
| Staggered spondaic word test CPT 92572 | not published | not published | $3.82 – $206.75 | 28 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| St analysis behavior qualitative voice/resonance CPT 92524 | not published | not published | $91.38 – $209.92 | 29 |
| Staph a dna amp probe CPT 87640 | $94.53 | $315.10 | $24.61 – $135.44 | 36 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $49.53 – $143.15 | 23 |
| Stem cells total count CPT 86367 | not published | not published | $26.45 – $243.81 | 36 |
| Stenger test pure tone CPT 92565 | not published | not published | $17.18 – $78.50 | 28 |
| Stenger test speech CPT 92577 | not published | not published | $31.72 – $701.16 | 28 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $2,118.00 – $7,423.23 | 4 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $2,118.00 – $4,813.93 | 4 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $2,118.00 – $7,423.23 | 4 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Sternal debridement CPT 21627 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| St evaluate speech sound production CPT 92522 | not published | not published | $92.84 – $203.32 | 29 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $141.20 | $470.65 | $190.85 – $421.11 | 29 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $154.22 | $514.05 | $49.19 – $198.95 | 29 |
| St evaluation swallow function CPT 92610 | $146.93 | $489.75 | $33.53 – $186.35 | 29 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $692.04 – $1,543.50 | 4 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $28.54 – $449.55 | 32 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $28.54 – $749.70 | 32 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $28.54 – $449.55 | 32 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $28.54 – $449.55 | 32 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $13.53 – $2,225.50 | 31 |
| Strapping of chest CPT 29200 | not published | not published | $45.00 – $2,225.50 | 29 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $13.53 – $2,225.50 | 31 |
| Strapping of hand or finger CPT 29280 | not published | not published | $13.53 – $2,225.50 | 31 |
| Strapping of hip CPT 29520 | not published | not published | $26.19 – $2,225.50 | 29 |
| Strapping of knee CPT 29530 | not published | not published | $16.24 – $2,225.50 | 31 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $13.53 – $2,225.50 | 31 |
| Strep a ag ia CPT 87430 | not published | not published | $8.42 – $53.04 | 36 |
| Strep a dna dir probe CPT 87650 | not published | not published | $14.06 – $77.88 | 36 |
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.