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 |
|---|---|---|---|---|
| Lateral canthopexy CPT 21282 | not published | not published | $2,187.00 – $2,629.32 | 4 |
| Lat retinacular release open CPT 27425 | not published | not published | $2,836.50 – $3,648.60 | 4 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $45.00 – $2,225.50 | 25 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $2,187.00 – $9,354.00 | 5 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $1,468.50 – $3,059.89 | 4 |
| Lead capillary CPT 83655 | $66.27 | $220.90 | $10.90 – $47.40 | 41 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $2,118.00 – $2,306.90 | 4 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $2,118.00 – $2,306.90 | 4 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $2,118.00 – $2,306.90 | 4 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $2,118.00 – $2,629.32 | 4 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $556.46 | $1,854.85 | $108.35 – $433.25 | 32 |
| Leishmania antibody CPT 86717 | not published | not published | $11.03 – $47.40 | 41 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $954.50 – $1,217.22 | 4 |
| Lengthening of palate CPT 42227 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $1,869.19 – $2,298.50 | 4 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $1,185.00 – $1,636.56 | 4 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $2,118.00 – $2,306.90 | 4 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $1,889.50 – $2,306.90 | 4 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $1,889.50 – $2,306.90 | 4 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $21.50 | $71.65 | $5.40 – $26.12 | 10 |
| Leukacyte transfusion CPT 86950 | not published | not published | $20.19 – $251.71 | 39 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $9.35 – $32.75 | 41 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $970.77 | $3,235.90 | $165.86 – $728.64 | 16 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $0.57 | $1.90 | $0.07 – $0.15 | 10 |
| Levetiracetam therapeutic drug level CPT 80177 | $148.74 | $495.80 | $11.93 – $50.81 | 41 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $14.63 | $48.75 | $0.84 – $2.91 | 10 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $22.70 | $75.65 | $8.30 – $26.47 | 9 |
| Lidocaine therapeutic drug level CPT 80176 | $77.45 | $258.15 | $13.22 – $56.45 | 41 |
| Ligate leg veins open CPT 37761 | not published | not published | $1,185.00 – $1,869.19 | 4 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $2,118.00 – $2,306.90 | 4 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $2,187.00 – $2,306.90 | 4 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,185.00 – $1,636.56 | 4 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $1,185.00 – $1,636.56 | 4 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $1,636.56 – $2,225.50 | 4 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $1,869.19 – $2,225.50 | 4 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $1,869.19 – $2,225.50 | 4 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $1,636.56 – $2,225.50 | 4 |
| Ligation major artery neck CPT 37615 | not published | not published | $1,636.56 – $2,225.50 | 4 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $1,185.00 – $1,636.56 | 4 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,869.19 – $2,225.50 | 4 |
| Ligation of femoral vein CPT 37650 | not published | not published | $1,185.00 – $1,869.19 | 4 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,869.19 – $2,225.50 | 4 |
| Ligation of neck artery CPT 37606 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ligation of salivary duct CPT 42665 | not published | not published | $1,217.22 – $2,981.50 | 4 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Lig/band angioaccess av fistula CPT 37607 | $4,686.93 | $15,623.10 | $1,468.50 – $1,636.56 | 4 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Limb exercise test CPT 95875 | not published | not published | $12.62 – $209.78 | 28 |
| Limited visual field xm CPT 92081 | not published | not published | $4.54 – $79.65 | 28 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $46.65 | $155.50 | $3.20 – $19.42 | 10 |
| Lipase CPT 83690 | $41.90 | $139.65 | $6.20 – $27.07 | 41 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $1,185.00 – $1,636.56 | 4 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $28.18 – $106.11 | 41 |
| Lipoprotein blood quant CPT 83704 | $28.82 | $96.05 | $30.77 – $121.90 | 41 |
| Lipoprotein direct measurement hdl CPT 83718 | $53.36 | $177.85 | $7.37 – $31.60 | 41 |
| Lipoprotein direct measurement ldl CPT 83721 | $81.65 | $272.15 | $9.45 – $37.24 | 41 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $28.49 – $109.63 | 40 |
| Lip surgery procedure CPT 40799 | not published | not published | $200.16 – $2,225.50 | 24 |
| Listeria monocytogenes CPT 86723 | not published | not published | $11.87 – $50.81 | 41 |
| Lithium therapeutic drug level CPT 80178 | $50.33 | $167.75 | $5.95 – $25.96 | 41 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | not published | not published | $10,471.00 – $16,047.00 | 7 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,636.56 – $2,225.50 | 4 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $158.57 – $361.19 | 33 |
| Liver elastography 91200 CPT 91200 | not published | not published | $16.67 – $209.78 | 28 |
| Liver Function Test CPT 80076 | $105.26 | $350.85 | $7.35 – $31.60 | 41 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $2,118.00 – $2,306.90 | 4 |
| Liver imaging CPT 78201 | not published | not published | $66.79 – $2,035.50 | 38 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $81.71 – $2,035.50 | 38 |
| Liver/spleen imag static only CPT 78215 | $540.83 | $1,802.75 | $83.11 – $589.01 | 38 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $98.57 – $589.01 | 38 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $59.06 – $159.78 | 7 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $3.24 | $10.80 | $1.34 – $5.29 | 7 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $6.12 | $20.40 | $0.90 – $14.01 | 11 |
| Loudness balance test CPT 92562 | not published | not published | $12.66 – $417.52 | 28 |
| Low back disk surgery CPT 63030 | not published | not published | $6,089.00 – $7,457.39 | 3 |
| Low cost skin substitute app HCPCS C5271 | $879.60 | $2,932.00 | $954.50 – $1,004.50 | 3 |
| Low cost skin substitute app HCPCS C5273 | $1,678.95 | $5,596.50 | $3,006.00 – $3,160.00 | 3 |
| Low cost skin substitute app HCPCS C5275 | $879.60 | $2,932.00 | $954.50 – $1,004.50 | 3 |
| Low cost skin substitute app HCPCS C5277 | $1,678.95 | $5,596.50 | $954.50 – $1,004.50 | 3 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $861.47 | $2,871.55 | $153.44 – $790.94 | 38 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $812.40 | $2,708.00 | $189.26 – $641.09 | 38 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $746.63 | $2,488.75 | $91.66 – $562.76 | 38 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,324.91 | $4,416.35 | $295.54 – $1,019.22 | 38 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | not published | not published | $256.45 – $895.27 | 38 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,001.88 | $3,339.60 | $179.77 – $578.43 | 38 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $122.97 | $409.90 | $19.13 – $179.33 | 38 |
| Lower jaw bone graft CPT 21215 | not published | not published | $2,836.50 – $3,648.60 | 4 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $171.26 – $266.41 | 27 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $2,629.32 – $3,160.00 | 4 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $2,629.32 – $3,160.00 | 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.