Ascension Saint Thomas Rutherford
1700 Medical Center Pkwy Murfreesboro TN 37129|5127 Veterans Pkwy, Murfreesboro, TN · Ascension · · NPI 1164590386
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 |
|---|---|---|---|---|
| Adenovirus assay w/optic CPT 87809 | not published | not published | $13.01 – $67.72 | 41 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $2,118.00 – $2,306.90 | 4 |
| Adh-sendout CPT 84588 | $109.16 | $363.85 | $30.55 – $130.95 | 41 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $808.11 – $2,225.50 | 24 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $1,217.22 – $1,543.50 | 4 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $56.70 | $189.00 | $0.35 – $1.26 | 7 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $63.68 | $212.25 | $30.07 – $95.42 | 29 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $286.37 | $954.55 | $61.34 – $134.44 | 29 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $378.63 | $1,262.10 | $132.81 – $444.72 | 29 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $190.89 | $636.30 | $94.21 – $444.72 | 29 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $81.69 | $272.30 | $35.79 – $95.42 | 29 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $92.25 | $307.50 | $41.09 – $155.42 | 29 |
| Administration immunization 1 vaccine CPT 90471 | $43.88 | $146.25 | $4.06 – $95.42 | 28 |
| Administration immunization each additional component CPT 90461 | not published | not published | $9.64 – $26.84 | 7 |
| Administration immunization each additional vaccine CPT 90472 | $43.89 | $146.30 | $4.57 – $26.84 | 7 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $19.18 – $52.92 | 7 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $3.13 – $95.42 | 28 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $3.13 – $26.84 | 7 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $38.00 – $47.49 | 5 |
| Administration vaccine influenza virus HCPCS G0008 | $43.88 | $146.25 | $4.06 – $52.92 | 7 |
| Administration vaccine pneumococcal HCPCS G0009 | $43.88 | $146.25 | $4.06 – $52.92 | 7 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $32.70 – $40.87 | 5 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $84.48 | $281.60 | $37.67 – $85.08 | 16 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $153.69 – $2,035.50 | 17 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $155.70 – $417.52 | 26 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $149.74 – $417.52 | 26 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $204.52 – $417.52 | 26 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $18.05 – $77.88 | 41 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $1.22 – $22.59 | 41 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $103.82 – $447.01 | 41 |
| After cataract laser surgery CPT 66821 | not published | not published | $472.85 – $1,636.56 | 25 |
| Air conduction bilat CPT 92552 | not published | not published | $13.55 – $172.83 | 28 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $1,217.22 – $2,225.50 | 4 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $23.32 – $209.78 | 28 |
| Albumin body fluid quantitative each specimen CPT 82042 | $42.81 | $142.70 | $3.86 – $24.85 | 41 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $123.36 | $411.20 | $46.01 – $227.80 | 12 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $123.36 | $411.20 | $46.01 – $227.80 | 12 |
| Albumin ischemia modified CPT 82045 | not published | not published | $30.55 – $130.95 | 41 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $71.75 | $239.15 | $4.80 – $36.68 | 41 |
| Albumin serum plasma or whole blood CPT 82040 | $27.45 | $91.50 | $4.46 – $19.17 | 41 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $14.03 – $50.19 | 38 |
| Aldesleukin injection HCPCS J9015 | $11,931.21 | $39,770.70 | $568.13 – $22,032.97 | 12 |
| Alkaline phosphatase CPT 84075 | $27.60 | $92.00 | $4.66 – $20.32 | 41 |
| Allergen alpha lactalbumin ige CPT 86008 | $152.36 | $507.85 | $16.14 – $69.98 | 41 |
| Allergen egg white ige CPT 86003 | $127.83 | $426.10 | $4.70 – $21.57 | 41 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $10.88 | $36.25 | $7.17 – $30.48 | 41 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $16.93 – $61.87 | 28 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $13.58 – $61.87 | 28 |
| Allergy Skin Testing CPT 95004 | not published | not published | $2.85 – $1,364.09 | 22 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $5.89 – $1,364.09 | 22 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $1,869.19 – $2,225.50 | 4 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $474.06 | $1,580.20 | $96.38 – $875.43 | 6 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $55.92 | $186.40 | $37.66 – $66.37 | 6 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $386.03 | $1,286.75 | $118.53 – $332.54 | 6 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $136.82 | $456.05 | $103.66 – $293.41 | 6 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $963.90 | $3,213.00 | $298.28 – $525.65 | 5 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $17.35 – $52.63 | 22 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $7.02 – $32.83 | 22 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $57.97 – $249.45 | 41 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $15.30 – $65.46 | 41 |
| Alpha-fetoprotein tumor marker CPT 82105 | $80.12 | $267.05 | $15.09 – $65.46 | 41 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $189.51 | $631.70 | $89.15 – $194.10 | 16 |
| Alt/sgpt CPT 84460 | $71.16 | $237.20 | $4.77 – $20.32 | 41 |
| Aluminum - quest CPT 82108 | $75.56 | $251.85 | $22.93 – $98.21 | 41 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $1,636.56 – $2,225.50 | 4 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $63.18 – $235.75 | 28 |
| Amantadine (symmetrel)-sendout CPT 80375 | $315.47 | $1,051.55 | $0.02 – $44.72 | 5 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $8.63 – $172.83 | 28 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $3.08 | $10.25 | $0.83 – $1.72 | 9 |
| Amino acid screen, urine CPT 82128 | not published | not published | $12.48 – $54.18 | 41 |
| Amino acid single qual CPT 82127 | not published | not published | $12.76 – $54.18 | 41 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $10.23 – $65.46 | 41 |
| Aminolevulinic acid delta CPT 82135 | $129.15 | $430.50 | $14.80 – $63.20 | 41 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $23.91 | $79.70 | $1.42 – $28.72 | 10 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $14.91 | $49.70 | $0.79 – $27.53 | 6 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $0.02 – $44.72 | 5 |
| Ammonia CPT 82140 | $48.83 | $162.75 | $13.11 – $56.45 | 41 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $509.51 | $1,698.35 | $750.52 – $2,225.50 | 25 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $262.19 – $2,225.50 | 25 |
| Amniotic fluid scan CPT 82143 | $181.43 | $604.75 | $8.41 – $29.34 | 41 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $1,889.50 – $2,306.90 | 4 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $0.02 – $44.72 | 5 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $0.02 – $19.03 | 5 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $107.46 | $358.20 | $57.22 – $119.97 | 10 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $132.84 | $442.80 | $22.04 – $60.79 | 16 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $7.35 | $24.50 | $1.07 – $2.48 | 11 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $9.24 | $30.80 | $2.37 – $8.79 | 11 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $236.69 – $539.13 | 26 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $1,185.00 – $1,636.56 | 4 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $2,118.00 – $2,629.32 | 4 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $2,118.00 – $3,648.60 | 4 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $1,636.56 – $2,225.50 | 4 |
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.