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 |
|---|---|---|---|---|
| Part removal of metatarsal CPT 28110 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Part removal of metatarsal CPT 28113 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $121.73 – $229.75 | 32 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $64.68 – $229.75 | 32 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $30.32 – $71.64 | 32 |
| Patient recorded spirometry CPT 94014 | not published | not published | $89.42 – $535.02 | 27 |
| Patient recorded spirometry CPT 94015 | not published | not published | $44.14 – $417.52 | 27 |
| Pdgfra gene CPT 81314 | not published | not published | $267.71 – $1,032.83 | 41 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $171.26 – $424.89 | 28 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,468.50 – $1,636.56 | 4 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $76.58 – $209.78 | 26 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $134.86 – $452.39 | 26 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Pegaspargase injection HCPCS J9266 | $24,400.02 | $81,333.40 | $1,719.41 – $57,406.58 | 16 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $1,149.47 | $3,831.55 | $30.77 – $117.15 | 14 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $3,551.93 | $11,839.75 | $3,268.45 – $7,325.00 | 16 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $926.10 | $3,087.00 | $153.44 – $765.03 | 38 |
| Pelvic CT scan (with contrast) CPT 72193 | $818.49 | $2,728.30 | $153.44 – $643.81 | 38 |
| Pelvic CT scan (without contrast) CPT 72192 | $625.58 | $2,085.25 | $91.66 – $551.54 | 38 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,090.56 | $3,635.20 | $307.82 – $1,216.74 | 38 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $307.82 – $1,004.26 | 38 |
| Pelvic MRI (without contrast) CPT 72195 | $824.63 | $2,748.75 | $208.35 – $938.08 | 38 |
| Pelvic ring fracture uni/bil HCPCS G0413 | $3,023.64 | $10,078.80 | $1,636.56 – $3,160.00 | 4 |
| Pelvic Ultrasound (complete) CPT 76856 | $286.94 | $956.45 | $43.30 – $202.10 | 38 |
| Pelvic Ultrasound (limited) CPT 76857 | $156.05 | $520.15 | $29.66 – $179.33 | 38 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $82.91 | $276.35 | $54.81 – $120.40 | 16 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $173.78 | $579.25 | $4.27 – $97.37 | 16 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $63.08 | $210.25 | $16.13 – $50.94 | 16 |
| Penile injection CPT 54235 | not published | not published | $45.00 – $2,225.50 | 25 |
| Penile vascular study CPT 93980 | not published | not published | $91.66 – $171.14 | 32 |
| Penile vascular study CPT 93981 | not published | not published | $86.76 – $146.79 | 32 |
| Penile venous occlusion CPT 37790 | not published | not published | $1,468.50 – $1,636.56 | 4 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Penis study CPT 54240 | not published | not published | $45.00 – $2,225.50 | 24 |
| Pentamidine non-comp unit HCPCS J2545 | $314.07 | $1,046.90 | $104.69 – $186.98 | 11 |
| Pentobarbital sodium inj HCPCS J2515 | $150.45 | $501.50 | $1.66 – $82.98 | 7 |
| Perc cryo ablate renal tum CPT 50593 | $3,958.92 | $13,196.40 | $1,636.56 – $3,160.00 | 4 |
| Perc d-e cor revasc chro add HCPCS C9608 | $23,357.04 | $77,856.80 | $310.76 – $14,749.00 | 4 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $20,854.53 | $69,515.10 | $1,003.50 – $32,142.53 | 11 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $20,854.53 | $69,515.10 | $310.76 – $14,749.00 | 4 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $20,854.53 | $69,515.10 | $1,003.50 – $20,299.62 | 11 |
| Perc d-e cor stent ather br HCPCS C9603 | $20,854.53 | $69,515.10 | $310.76 – $14,749.00 | 4 |
| Perc d-e cor stent ather s HCPCS C9602 | $20,854.53 | $69,515.10 | $1,003.50 – $32,142.53 | 11 |
| Perc drug-el cor stent bran HCPCS C9601 | $13,239.59 | $44,131.95 | $310.76 – $14,749.00 | 4 |
| Perc drug-el cor stent sing HCPCS C9600 | $13,239.59 | $44,131.95 | $1,003.50 – $20,299.62 | 11 |
| Perc rf ablate renal tumor CPT 50592 | $4,372.26 | $14,574.20 | $954.50 – $1,636.56 | 4 |
| Percut ablate liver rf CPT 47382 | $3,958.92 | $13,196.40 | $1,636.56 – $2,225.50 | 4 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $145.95 | $486.50 | $50.98 – $68.08 | 6 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $1,889.50 – $2,306.90 | 4 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $2,187.00 – $2,629.32 | 4 |
| Peripheral vascular rehab CPT 93668 | $151.17 | $503.90 | $0.19 – $79.65 | 28 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $10.54 – $26.34 | 7 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $9.32 – $24.10 | 7 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $954.50 – $1,636.56 | 4 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $36.29 – $958.33 | 38 |
| Perit-vens shunt pat tst CPT 78291 | $243.59 | $811.95 | $86.64 – $589.38 | 38 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Perq clsr tcat l atr apndge CPT 33340 | $28,242.06 | $94,140.20 | $2,118.00 – $24,570.59 | 4 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $394.86 – $1,004.50 | 25 |
| Perq dev breast 1st strtctc CPT 19283 | $1,803.36 | $6,011.20 | $394.86 – $1,004.50 | 25 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,869.19 – $2,225.50 | 4 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $1,869.19 – $2,225.50 | 4 |
| Perq plmt bile duct stent CPT 47538 | $4,291.16 | $14,303.85 | $3,006.00 – $3,160.00 | 3 |
| Perq plmt bile duct stent CPT 47539 | $3,039.27 | $10,130.90 | $3,006.00 – $3,160.00 | 3 |
| Perq plmt bile duct stent CPT 47540 | $6,309.62 | $21,032.05 | $3,006.00 – $3,160.00 | 3 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $509.13 | $1,697.10 | $209.63 – $1,004.50 | 24 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $954.50 – $1,217.22 | 4 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $1,468.50 – $1,636.56 | 4 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $1,217.22 – $2,225.50 | 4 |
| Perq transcath closure each CPT 93592 | not published | not published | $360.20 – $16,047.00 | 10 |
| Perq transcath closure pda CPT 93582 | not published | not published | $545.55 – $16,047.00 | 4 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $817.53 – $16,047.00 | 10 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $985.14 – $16,047.00 | 10 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $614.85 – $16,047.00 | 4 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | not published | 0 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $1,185.00 – $1,636.56 | 4 |
| Perq tx malar fracture CPT 21355 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $1,185.00 – $1,636.56 | 4 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $1,889.50 – $2,306.90 | 4 |
| Pertussis ag if CPT 87265 | not published | not published | $10.78 – $46.28 | 41 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $22.29 | $74.30 | $15.05 – $33.89 | 16 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $756.31 – $3,752.90 | 17 |
| Pet CT whole body initial CPT 78816 | not published | not published | $756.31 – $3,752.90 | 17 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $927.33 – $3,581.20 | 17 |
| Pet image full body CPT 78813 | not published | not published | $756.31 – $3,581.20 | 17 |
| Pet image ltd area CPT 78811 | not published | not published | $756.31 – $3,581.20 | 17 |
| Pet image skull-thigh CPT 78812 | not published | not published | $756.31 – $3,581.20 | 17 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $756.31 – $3,581.20 | 17 |
| Pet scan brain perf study CPT 78609 | not published | not published | $50.00 – $3,581.20 | 13 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $1,468.50 – $1,869.19 | 4 |
| Ph body fluid CPT 83986 | $56.21 | $187.35 | $3.22 – $13.54 | 41 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $0.02 – $135.44 | 17 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $56.63 | $188.75 | $3.70 – $71.41 | 11 |
| Phenobarbital therapeutic drug level CPT 80184 | $82.74 | $275.80 | $13.77 – $48.55 | 41 |
| Phentolaine mesylate inj HCPCS J2760 | $958.16 | $3,193.85 | $39.12 – $848.58 | 16 |
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.