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 |
|---|---|---|---|---|
| Urinalysis (with microscopy) CPT 81001 | $48.14 | $160.45 | $2.22 – $12.42 | 36 |
| Urinalysis (without microscopy) CPT 81003 | $34.80 | $116.00 | $1.57 – $9.01 | 36 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $53.91 – $192.70 | 14 |
| Urinary reflex study CPT 51792 | not published | not published | $45.00 – $2,225.50 | 25 |
| Urine Culture Test CPT 87086 | $36.56 | $121.85 | $5.66 – $31.60 | 36 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $6.98 – $2,225.50 | 25 |
| Urine pregnancy test CPT 81025 | $52.53 | $175.10 | $4.44 – $27.07 | 36 |
| Urography, antegrade CPT 74425 | not published | not published | $55.03 – $610.96 | 34 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $82.35 – $291.55 | 34 |
| Use 1st target lesion CPT 76982 | $369.77 | $1,232.55 | $71.50 – $179.33 | 33 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $275.10 | $917.00 | $178.02 – $244.58 | 5 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $275.10 | $917.00 | $178.02 – $222.50 | 5 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $247.16 | $823.85 | $159.94 – $235.87 | 5 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $165.50 | $551.65 | $107.09 – $132.81 | 5 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $370.74 | $1,235.80 | $79.97 – $99.18 | 5 |
| Vaccine dtap < 7 years im CPT 90700 | $61.08 | $203.60 | $32.47 – $49.68 | 7 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $42.06 – $168.98 | 6 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $105.35 – $180.21 | 5 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $270.13 – $439.49 | 5 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $160.64 – $207.08 | 5 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $43.31 – $58.56 | 7 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $18.64 – $20.79 | 7 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $81.13 – $140.26 | 7 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $156.35 – $217.66 | 7 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $40.58 – $65.56 | 7 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $36.55 – $36.55 | 2 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $12.11 – $118.69 | 8 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $29.86 – $118.69 | 8 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $317.28 | $1,057.60 | $48.84 – $254.64 | 6 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $59.81 | $199.35 | $12.11 – $48.14 | 8 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $98.24 – $530.56 | 6 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $131.98 – $276.26 | 5 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $157.41 | $524.70 | $15.46 – $126.53 | 8 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $51.80 – $127.99 | 7 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $6.92 – $33.29 | 8 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $44.18 | $147.25 | $6.19 – $34.03 | 8 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $8.42 – $31.80 | 8 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $94.38 – $117.26 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $11.62 – $45.43 | 7 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $9.71 – $34.03 | 8 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $4.57 – $15.91 | 8 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $12.30 – $42.26 | 6 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $50.56 – $111.27 | 8 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $10.33 – $55.96 | 4 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $3.33 – $16.65 | 8 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $96.38 – $385.92 | 8 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $69.38 – $328.16 | 8 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $244.28 – $296.62 | 5 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $337.91 | $1,126.35 | $46.04 – $271.39 | 6 |
| Vaccine mmr live subcutaneous CPT 90707 | $203.79 | $679.30 | $54.12 – $159.53 | 7 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $131.24 – $479.77 | 7 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $251.64 | $838.80 | $20.30 – $201.94 | 8 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $64.64 – $390.54 | 8 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $309.34 – $395.32 | 5 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $363.61 – $451.14 | 5 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $56.83 – $77.15 | 7 |
| Vaccine rabies im CPT 90675 | $889.58 | $2,965.25 | $98.42 – $713.91 | 32 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $431.88 – $508.82 | 5 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $896.46 – $1,521.83 | 5 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $760.91 – $896.46 | 5 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $409.92 – $507.09 | 5 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $53.30 – $239.30 | 6 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $140.30 – $170.45 | 5 |
| Vaccine tdap >=7 years im CPT 90715 | $101.06 | $336.85 | $46.71 – $81.74 | 7 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $79.20 | $264.00 | $24.14 – $69.53 | 7 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $109.59 – $252.81 | 7 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $77.12 – $315.64 | 7 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $51.85 – $386.31 | 7 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 24 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,989.59 – $4,813.00 | 6 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $1,989.59 – $4,813.00 | 6 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,989.59 – $4,813.00 | 6 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $1,989.59 – $4,813.00 | 6 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $1,989.59 – $4,813.00 | 6 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $1,989.59 – $4,813.00 | 6 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $2,118.00 – $4,813.00 | 5 |
| Vaginal bx CPT 58999 | not published | not published | $65.49 – $2,225.50 | 23 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $923.10 – $2,225.50 | 4 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,989.59 – $4,813.00 | 6 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $923.10 – $2,225.50 | 4 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Valproic acid total therapeutic drug level CPT 80164 | $82.74 | $275.80 | $9.50 – $51.92 | 36 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $1,628.55 – $16,047.00 | 11 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $1,681.46 – $16,047.00 | 9 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $1,271.37 – $16,047.00 | 9 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Vancomycin peak therapeutic drug level CPT 80202 | $85.62 | $285.40 | $9.50 – $51.92 | 36 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $24.61 – $135.44 | 36 |
| Varicella zoster antibody igg CPT 86787 | $75.56 | $251.85 | $9.04 – $55.61 | 36 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $47.01 – $3,764.50 | 6 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Vasectomy CPT 55250 | not published | not published | $96.06 – $1,246.50 | 6 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $8.70 | $29.00 | $1.65 – $4.10 | 12 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $450.75 – $1,116.90 | 27 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $864.28 – $2,090.59 | 27 |
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.