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 |
|---|---|---|---|---|
| X-ray knee 3 views (both sides) CPT 73562 | $90.93 | $303.10 | $16.30 – $127.70 | 38 |
| X-ray knee ap standing bilateral CPT 73565 | $128.24 | $427.45 | $14.21 – $127.70 | 38 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $64.49 | $214.95 | $14.21 – $127.70 | 38 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $139.19 | $463.95 | $25.31 – $179.33 | 38 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $180.05 | $600.15 | $25.87 – $179.33 | 38 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $244.16 | $813.85 | $33.33 – $179.33 | 38 |
| X-ray male genital tract CPT 74440 | not published | not published | $31.93 – $372.86 | 38 |
| X-ray mandible complete > 4 views CPT 70110 | $149.40 | $498.00 | $17.71 – $179.33 | 38 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $15.04 – $127.70 | 38 |
| X-ray nasal bones complete > 3 views CPT 70160 | $91.26 | $304.20 | $15.04 – $127.70 | 38 |
| X-ray neck soft tissue CPT 70360 | $94.07 | $313.55 | $11.95 – $127.70 | 38 |
| X-ray nose to rectum for foreign body child CPT 76010 | not published | not published | $15.04 – $127.70 | 38 |
| X-ray of mammary ducts CPT 77054 | $186.77 | $622.55 | $61.34 – $372.86 | 38 |
| X-ray optic foramina CPT 70190 | not published | not published | $17.71 – $127.70 | 38 |
| X-ray pelvis 1-2 views CPT 72170 | $90.57 | $301.90 | $15.04 – $179.33 | 38 |
| X-ray pelvis complete > 3 views CPT 72190 | $69.08 | $230.25 | $19.13 – $179.33 | 38 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $383.01 | $1,276.70 | $74.39 – $610.96 | 38 |
| X-ray ribs 2 views left CPT 71100 | $109.59 | $365.30 | $16.30 – $127.70 | 38 |
| X-ray ribs 3 views bilateral CPT 71110 | $134.61 | $448.70 | $22.35 – $179.33 | 38 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $111.00 | $370.00 | $19.13 – $179.33 | 38 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $150.80 | $502.65 | $25.31 – $179.33 | 38 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $131.09 | $436.95 | $17.71 – $179.33 | 38 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $125.45 | $418.15 | $16.30 – $127.70 | 38 |
| X-ray scapula complete (both sides) CPT 73010 | $85.62 | $285.40 | $15.04 – $179.33 | 38 |
| X-ray sella turcica CPT 70240 | not published | not published | $11.95 – $127.70 | 38 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $63.08 | $210.25 | $13.64 – $127.70 | 38 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $130.37 | $434.55 | $22.35 – $127.70 | 38 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $174.78 | $582.60 | $29.66 – $770.53 | 38 |
| X-ray skull < 4 views CPT 70250 | $95.84 | $319.45 | $17.71 – $179.33 | 38 |
| X-ray skull > 4 views complete CPT 70260 | $135.30 | $451.00 | $25.31 – $179.33 | 38 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $35.44 – $179.33 | 38 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $257.81 | $859.35 | $36.83 – $291.55 | 38 |
| X-ray small intestine follow-through study CPT 74248 | $96.08 | $320.25 | $34.99 – $101.83 | 12 |
| X-ray spine single view CPT 72020 | $96.96 | $323.20 | $11.95 – $127.70 | 38 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $82.44 | $274.80 | $19.96 – $127.70 | 38 |
| X-ray sternum > 2 views CPT 71120 | $106.43 | $354.75 | $18.57 – $127.70 | 38 |
| X-ray surgical specimen CPT 76098 | $142.64 | $475.45 | $11.61 – $770.53 | 38 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $167.01 | $556.70 | $36.83 – $291.55 | 38 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $118.41 | $394.70 | $23.76 – $127.70 | 38 |
| X-ray thoracic spine 2 views CPT 72070 | $108.20 | $360.65 | $18.57 – $179.33 | 38 |
| X-ray thoracic spine 3 views CPT 72072 | $140.25 | $467.50 | $20.94 – $179.33 | 38 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | not published | not published | $19.13 – $127.70 | 38 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $131.79 | $439.30 | $18.44 – $127.70 | 38 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $133.65 | $445.50 | $33.59 – $179.33 | 38 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $88.44 | $294.80 | $15.04 – $127.70 | 38 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $82.13 | $273.75 | $11.95 – $127.70 | 38 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $202.23 | $674.10 | $46.68 – $291.55 | 38 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $217.79 | $725.95 | $41.49 – $291.55 | 38 |
| X-ray wrist 2 views (both sides) CPT 73100 | $61.31 | $204.35 | $14.21 – $127.70 | 38 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $33.33 – $291.55 | 38 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $11.62 – $46.28 | 41 |
| Yersinia antibody CPT 86793 | $109.40 | $364.65 | $11.87 – $57.95 | 41 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $3.14 | $10.45 | $1.79 – $3.29 | 10 |
| Zika virus dna/rna amp probe CPT 87662 | $129.60 | $432.00 | $46.18 – $198.67 | 41 |
| Zika virus igm antibody CPT 86794 | not published | not published | $15.17 – $65.46 | 41 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $50.51 | $168.35 | $9.86 – $17.61 | 9 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $23.64 | $78.80 | $6.99 – $30.75 | 11 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $166.91 – $366.81 | 6 |
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.