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 |
|---|---|---|---|---|
| Strep b assay w/optic CPT 87802 | not published | not published | $8.42 – $46.28 | 36 |
| Strep b dna amp probe CPT 87653 | not published | not published | $24.61 – $135.44 | 36 |
| Streptokinase antibody CPT 86590 | not published | not published | $7.74 – $42.91 | 36 |
| Stress test pulmonary CPT 94618 | $118.40 | $394.65 | $13.33 – $170.34 | 27 |
| Stress tte complete CPT 93351 | not published | not published | $289.67 – $724.56 | 28 |
| Str markers spec anal addl CPT 81266 | not published | not published | $149.31 – $956.06 | 36 |
| Str markers specimen anal CPT 81265 | not published | not published | $145.22 – $831.89 | 36 |
| St treatment speech individual CPT 92507 | $73.11 | $243.70 | $41.91 – $175.24 | 29 |
| St treatment swallow dysfunction/oral CPT 92526 | $107.12 | $357.05 | $41.53 – $190.37 | 29 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $336.03 – $1,004.50 | 23 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $476.50 – $605.95 | 2 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $45.00 – $2,225.50 | 23 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $45.00 – $2,225.50 | 23 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $151.58 – $192.75 | 2 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $145.75 – $185.34 | 2 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $1,075.79 – $3,160.00 | 4 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $1,075.79 – $3,160.00 | 4 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $1,075.79 – $3,160.00 | 4 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $2,172.78 – $3,160.00 | 4 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $5.33 | $17.75 | $1.09 – $3.63 | 7 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $1,150.77 – $1,543.50 | 4 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $1,150.77 – $1,543.50 | 4 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $1,150.77 – $1,543.50 | 4 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,150.77 – $1,543.50 | 4 |
| Sugars multiple quant CPT 84379 | not published | not published | $8.08 – $45.14 | 36 |
| Sugars single quant CPT 84378 | not published | not published | $8.08 – $45.14 | 36 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $0.02 – $0.02 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $23.64 | $78.80 | $36.89 – $76.97 | 6 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $17.41 – $60.97 | 25 |
| Surg dx exam anorectal CPT 45990 | $2,363.76 | $7,879.20 | $727.58 – $1,246.50 | 4 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $1,185.00 – $1,254.79 | 4 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $1,301.07 – $2,225.50 | 4 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $1,301.07 – $2,225.50 | 4 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $687.88 – $2,225.50 | 4 |
| Surgical opening of stomach CPT 43510 | not published | not published | $372.80 – $2,225.50 | 23 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surgical opening of throat CPT 42955 | not published | not published | $973.10 – $1,246.50 | 4 |
| Surgical pathology level 1 gross examination only CPT 88300 | $30.20 | $100.65 | $4.21 – $37.90 | 35 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $65.42 | $218.05 | $8.45 – $75.17 | 35 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $104.06 | $346.85 | $14.30 – $92.08 | 35 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $112.20 | $374.00 | $18.23 – $94.34 | 35 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $161.76 | $539.20 | $28.54 – $570.20 | 35 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $368.46 | $1,228.20 | $28.54 – $1,079.50 | 35 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $954.50 – $1,004.50 | 4 |
| Susceptibility agar dilution per agent CPT 87181 | not published | not published | $3.34 – $18.06 | 36 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $46.89 | $156.30 | $3.34 – $18.06 | 36 |
| Susceptibility mic per plate CPT 87186 | $107.91 | $359.70 | $6.07 – $33.86 | 36 |
| Suscept studies macrobroth dilution ea CPT 87188 | $67.58 | $225.25 | $4.65 – $25.96 | 36 |
| Suspension of testis CPT 54620 | not published | not published | $906.09 – $1,543.50 | 4 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Svc venogram s&i CPT 75827 | not published | not published | $99.30 – $1,008.82 | 15 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $2.89 – $70.60 | 35 |
| Sympathectomy cervical CPT 64802 | not published | not published | $692.04 – $1,246.50 | 4 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $692.04 – $2,225.50 | 4 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,105.06 – $1,246.50 | 4 |
| Synthetic sentence id test CPT 92576 | not published | not published | $17.18 – $71.46 | 28 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $118.29 | $394.30 | $3.09 – $16.95 | 36 |
| T3 (triiodothyronine) free CPT 84481 | $82.88 | $276.25 | $11.88 – $65.46 | 36 |
| T3 (triiodothyronine) total CPT 84480 | $52.46 | $174.85 | $9.94 – $55.30 | 36 |
| T4 (thyroxine) free CPT 84439 | $161.18 | $537.25 | $6.33 – $35.01 | 36 |
| T4 (thyroxine) total CPT 84436 | $44.97 | $149.90 | $4.82 – $27.07 | 36 |
| Tacrolimus therapeutic drug level CPT 80197 | $173.70 | $579.00 | $9.63 – $53.04 | 36 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $2,118.00 – $4,813.00 | 5 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Target gsa panel hmtlmph neop CPT 81450 | $4,117.83 | $13,726.10 | $44.47 – $2,381.68 | 36 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,627.64 – $9,154.24 | 17 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $44.47 – $1,874.88 | 36 |
| Tas congenital car anomal CPT 33741 | not published | not published | $14,312.00 – $14,312.00 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $45.00 – $2,225.50 | 23 |
| Tavr perq femoral CPT 33361 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1.79 | $5.95 | $0.39 – $1.03 | 15 |
| Tbs techl calculation only CPT 77091 | $129.47 | $431.55 | $30.07 – $132.18 | 27 |
| Tbs techl prep&transmis data CPT 77090 | $129.47 | $431.55 | $2.38 – $132.18 | 27 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $52.53 – $313.79 | 36 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $166.46 | $554.85 | $43.46 – $240.43 | 36 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $3,612.03 | $12,040.10 | $194.68 – $3,180.11 | 6 |
| Tc-99m labeled rbc HCPCS A9560 | $298.40 | $994.65 | $114.88 – $487.38 | 8 |
| Tc-99m maa HCPCS A9540 | $267.74 | $892.45 | $36.90 – $437.30 | 8 |
| Tc-99m mebrofenin HCPCS A9537 | $99.54 | $331.80 | $68.04 – $162.58 | 8 |
| Tc-99m medronate HCPCS A9503 | $39.08 | $130.25 | $20.42 – $63.82 | 8 |
| Tc-99m mertiatide HCPCS A9562 | $554.84 | $1,849.45 | $573.79 – $1,560.79 | 3 |
| Tc-99m pentetate dtpa HCPCS A9539 | $161.51 | $538.35 | $36.95 – $263.79 | 8 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $181.37 | $604.55 | $25.58 – $296.23 | 6 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $49.20 | $164.00 | $1.97 – $80.36 | 8 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $77.01 | $256.70 | $54.83 – $125.78 | 8 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $251.54 | $838.45 | $70.00 – $549.71 | 12 |
| Tc-99m sulfur colloid HCPCS A9541 | $229.62 | $765.40 | $65.77 – $479.20 | 8 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,108.52 | $3,695.05 | $120.00 – $1,810.57 | 7 |
| Tca peel dermal 15789 CPT 15789 | 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.