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 |
|---|---|---|---|---|
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $758.24 | $2,527.45 | $1,217.22 – $2,225.50 | 4 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $21.56 – $74.92 | 17 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $200.16 – $1,217.22 | 25 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $4.95 – $21.44 | 41 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $954.50 – $1,217.22 | 4 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $45.00 – $2,225.50 | 25 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.88 – $16.95 | 41 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $715.80 – $1,840.46 | 28 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $7.97 – $172.83 | 28 |
| Ghs ppd (tb intradermal) CPT 86580 | $23.06 | $76.85 | $7.03 – $32.83 | 39 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $8.69 – $37.24 | 41 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.05 – $20.32 | 41 |
| Ghs protoporphyrins fract CPT 84202 | $60.74 | $202.45 | $12.91 – $55.30 | 41 |
| Ghs pr without cont pulse ox CPT 94625 | $105.44 | $351.45 | $51.20 – $137.10 | 26 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $11.03 – $47.40 | 41 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $120.63 | $402.10 | $226.32 – $282.90 | 6 |
| Ghs quinidine CPT 80194 | not published | not published | $13.14 – $56.45 | 41 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $43.93 – $444.72 | 28 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $24.35 – $2,225.50 | 26 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $343.94 – $1,636.56 | 25 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,889.50 – $2,306.90 | 4 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $9.93 – $49.66 | 41 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $3.88 – $16.95 | 41 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $12.52 – $46.28 | 41 |
| Ghs sedimentation rate CPT 85651 | $48.89 | $162.95 | $3.84 – $13.54 | 41 |
| Ghs semen analysis fert CPT 89320 | $62.78 | $209.25 | $11.08 – $46.28 | 41 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $8.86 – $35.01 | 41 |
| Ghs sensitivity (per antimicro) CPT 87184 | $49.55 | $165.15 | $6.73 – $27.07 | 41 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $344.37 – $1,636.56 | 25 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $344.37 – $1,636.56 | 25 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $344.37 – $1,636.56 | 25 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $344.37 – $1,636.56 | 25 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $45.00 – $2,225.50 | 25 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $45.00 – $2,225.50 | 25 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $45.00 – $2,225.50 | 25 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $171.26 – $1,636.56 | 25 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $171.26 – $1,636.56 | 25 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $121.30 – $261.60 | 28 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $65.37 – $417.52 | 28 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $197.00 – $711.42 | 28 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $16.63 – $115.64 | 30 |
| Ghs sphenopalatine ganglion block CPT 64505 | $1,384.34 | $4,614.45 | $254.43 – $1,217.22 | 25 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $6.93 – $172.83 | 28 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $46.15 – $242.77 | 30 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $16.54 – $52.63 | 28 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $45.00 – $2,225.50 | 30 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $60.79 – $160.10 | 30 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $36.90 | $123.00 | $12.56 – $87.00 | 23 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $148.44 | $494.80 | $87.00 – $282.49 | 23 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $62.24 – $1,217.22 | 26 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $40.59 – $1,217.22 | 26 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $954.50 – $1,636.56 | 4 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $6.57 – $28.22 | 41 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $45.00 – $2,225.50 | 25 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $45.00 – $2,225.50 | 25 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $21.87 – $93.68 | 41 |
| Ghs urine, porphyrins quant CPT 84120 | $100.26 | $334.20 | $13.24 – $56.45 | 41 |
| Ghs vaginal delivery only CPT 59409 | $1,479.59 | $4,931.95 | $2,118.00 – $2,306.90 | 4 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $423.09 – $1,116.90 | 28 |
| Ghs windowing of cast CPT 29730 | not published | not published | $36.57 – $2,225.50 | 31 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $13.25 – $56.45 | 41 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $42.74 – $456.86 | 38 |
| Gi inhouse confirmation CPT 87045 | $98.39 | $327.95 | $8.50 – $36.12 | 41 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $1,636.56 – $2,225.50 | 4 |
| Gi protein loss CPT 78282 | not published | not published | $91.83 – $748.47 | 38 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,261.31 | $4,204.35 | $808.11 – $1,453.55 | 27 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $785.83 – $1,741.26 | 26 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $529.54 – $1,409.16 | 28 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $808.11 – $2,001.83 | 28 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $91.01 – $317.17 | 41 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $55.37 – $261.99 | 41 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $31.50 – $261.99 | 41 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,889.50 – $2,306.90 | 4 |
| Glaucoma surgery CPT 66155 | not published | not published | $1,889.50 – $2,306.90 | 4 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,185.00 – $1,636.56 | 4 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,889.50 – $2,306.90 | 4 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $601.79 | $2,005.95 | $43.54 – $402.60 | 16 |
| Glucagon plasma - sendout CPT 82943 | $95.67 | $318.90 | $12.86 – $55.30 | 41 |
| Glucose 1 hr post dose CPT 82950 | $50.82 | $169.40 | $4.28 – $18.06 | 41 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.45 – $23.70 | 41 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $2.95 – $10.16 | 41 |
| Glucose blood quantitative CPT 82947 | $29.42 | $98.05 | $3.54 – $14.69 | 41 |
| Glucose body fluid CPT 82945 | $50.82 | $169.40 | $3.54 – $14.69 | 41 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $51.20 – $115.44 | 27 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $48.56 | $161.85 | $11.58 – $49.66 | 41 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $29.42 | $98.05 | $3.53 – $14.69 | 41 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $85.94 | $286.45 | $11.31 – $44.73 | 16 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $62.25 | $207.50 | $16.72 – $72.24 | 41 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $62.01 | $206.70 | $16.67 – $72.24 | 41 |
| Gonioscopy CPT 92020 | not published | not published | $21.01 – $172.83 | 28 |
| Goniotomy CPT 65820 | not published | not published | $954.50 – $1,869.19 | 4 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $65.51 | $218.35 | $37.37 – $65.49 | 6 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $152.31 | $507.70 | $82.17 – $426.80 | 6 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $71.10 | $237.00 | $47.91 – $131.30 | 4 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $343.64 | $1,145.45 | $126.58 – $223.06 | 6 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,869.19 – $2,225.50 | 4 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $635.07 | $2,116.90 | $172.83 – $290.74 | 7 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $357.21 | $1,190.70 | $56.47 – $93.42 | 5 |
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.