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 |
|---|---|---|---|---|
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laps px renal CPT 50549 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laps px testis CPT 54699 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $64.86 – $2,225.50 | 23 |
| Unlisted misc path test CPT 89240 | not published | not published | $5.52 – $155.56 | 25 |
| Unlisted mr procedure CPT 76498 | $736.64 | $2,455.45 | $74.80 – $296.80 | 26 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $122.24 – $938.21 | 24 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $64.86 – $2,225.50 | 23 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $22.09 – $206.75 | 20 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $119.13 – $938.21 | 24 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $20.81 – $32.37 | 20 |
| Unlisted orl service/px CPT 92700 | not published | not published | $17.18 – $32.37 | 20 |
| Unlisted procedure colon CPT 45399 | not published | not published | $394.93 – $2,298.50 | 23 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $372.80 – $2,225.50 | 23 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $149.18 – $2,225.50 | 23 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $64.86 – $2,225.50 | 23 |
| Unlisted procedure liver CPT 47399 | not published | not published | $243.67 – $2,225.50 | 23 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $33.83 – $143.83 | 7 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $149.18 – $2,225.50 | 23 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $243.67 – $2,225.50 | 23 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $221.26 – $2,225.50 | 23 |
| Unlisted procedure spine CPT 22899 | not published | not published | $203.78 – $2,225.50 | 23 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $25.31 – $39.85 | 20 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $203.78 – $2,225.50 | 23 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $64.86 – $2,225.50 | 23 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $376.09 – $2,225.50 | 4 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $203.78 – $2,225.50 | 23 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $796.46 – $2,225.50 | 23 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $45.00 – $2,225.50 | 23 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $149.18 – $2,225.50 | 23 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $189.28 – $2,225.50 | 23 |
| Unlisted px external ear CPT 69399 | not published | not published | $45.00 – $2,225.50 | 23 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $253.94 – $2,225.50 | 23 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $84.55 – $2,225.50 | 23 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $84.55 – $2,225.50 | 23 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $84.55 – $2,225.50 | 23 |
| Unlisted px inner ear CPT 69949 | not published | not published | $64.86 – $2,225.50 | 23 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $149.18 – $2,225.50 | 23 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $84.55 – $2,225.50 | 23 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $56.62 – $2,225.50 | 23 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $53.24 – $336.54 | 23 |
| Unlisted px middle ear CPT 69799 | not published | not published | $64.86 – $2,225.50 | 23 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $64.86 – $2,225.50 | 23 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $64.86 – $2,225.50 | 23 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $84.55 – $2,225.50 | 23 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $376.09 – $2,225.50 | 4 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $64.86 – $2,225.50 | 23 |
| Unlisted px small intestine CPT 44799 | not published | not published | $796.46 – $2,225.50 | 23 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $64.86 – $2,225.50 | 23 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $53.24 – $336.54 | 23 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $64.86 – $2,225.50 | 23 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $64.86 – $2,225.50 | 23 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $5.52 – $70.60 | 22 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $100.20 – $938.21 | 24 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $13.56 – $262.57 | 20 |
| Unlisted surgical path px CPT 88399 | not published | not published | $5.52 – $155.56 | 25 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $7.40 – $60.80 | 25 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $31.15 – $166.77 | 24 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $525.22 – $2,225.50 | 23 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $126.65 – $938.21 | 24 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Upgrade pm system CPT 33214 | not published | not published | $4,746.73 – $6,935.50 | 4 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,318.01 | $4,393.35 | $264.35 – $1,339.35 | 34 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,152.21 | $3,840.70 | $215.74 – $873.31 | 34 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $930.30 | $3,101.00 | $167.52 – $669.56 | 34 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,093.16 | $3,643.85 | $372.80 – $1,238.94 | 23 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,093.16 | $3,643.85 | $372.80 – $1,246.50 | 23 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Uppr gi scope w/submuc inj CPT 43236 | $1,093.16 | $3,643.85 | $372.80 – $1,246.50 | 23 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $1,337.72 – $1,985.50 | 4 |
| Urea nitrogen CPT 84520 | $37.37 | $124.55 | $2.77 – $15.80 | 36 |
| Urea nitrogen 24 hour urine CPT 84540 | $32.96 | $109.85 | $3.34 – $18.06 | 36 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $4.63 – $25.96 | 36 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ureteral reflux study CPT 78740 | not published | not published | $89.71 – $589.01 | 34 |
| Ureter endoscopy CPT 50970 | not published | not published | $274.47 – $1,004.50 | 4 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $954.50 – $1,042.43 | 4 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $613.48 – $1,004.50 | 4 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $274.47 – $1,004.50 | 4 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $954.50 – $1,042.43 | 4 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $954.50 – $1,042.43 | 4 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $613.48 – $1,004.50 | 4 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $954.50 – $1,042.43 | 4 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $61.99 – $456.86 | 34 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $1,254.79 – $2,225.50 | 4 |
| Urethrocystography void s&i CPT 74455 | $242.43 | $808.10 | $66.80 – $372.86 | 34 |
| Uric acid blood CPT 84550 | $42.81 | $142.70 | $3.17 – $18.06 | 36 |
| Uric acid urine CPT 84560 | $57.39 | $191.30 | $3.34 – $18.06 | 36 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $2.14 – $11.28 | 36 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.52 – $8.00 | 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.