Ascension Saint Thomas DeKalb
520 W Main St, Smithville, TN · Ascension · · NPI 1649659582
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 |
|---|---|---|---|---|
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $394.93 – $1,985.50 | 4 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $923.10 – $1,246.50 | 4 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $1,989.59 – $2,225.50 | 4 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $1,989.59 – $2,225.50 | 4 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $1,989.59 – $2,225.50 | 4 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | not published | not published | $923.10 – $1,004.50 | 4 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $243.63 – $1,150.65 | 22 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $923.10 – $1,246.50 | 4 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $27.06 – $1,004.50 | 24 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $45.00 – $2,225.50 | 22 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $113.08 – $1,004.50 | 22 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $113.08 – $1,004.50 | 22 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $923.10 – $1,246.50 | 4 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $923.10 – $1,004.50 | 4 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $68.00 | $226.65 | $12.32 – $226.45 | 35 |
| Compatibility test each unit electronic CPT 86923 | $102.11 | $340.35 | $7.40 – $226.45 | 35 |
| Compatibility test each unit immediate spin technique CPT 86920 | $102.11 | $340.35 | $7.40 – $226.45 | 35 |
| Compatibility test incubate CPT 86921 | not published | not published | $7.40 – $226.45 | 35 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | not published | not published | $45.00 – $2,225.50 | 22 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $45.00 – $2,225.50 | 22 |
| Complement antigen each component c3 CPT 86160 | $93.26 | $310.85 | $8.42 – $46.28 | 36 |
| Complement fixation each CPT 86171 | not published | not published | $7.03 – $38.38 | 36 |
| Complete removal of vulva CPT 56625 | not published | not published | $923.10 – $2,981.50 | 4 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $15.81 – $1,004.50 | 24 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | not published | not published | $109.97 – $1,246.50 | 22 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | not published | not published | $215.06 – $1,543.50 | 22 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $6.63 – $2,225.50 | 24 |
| Compl oph exam general anes CPT 92018 | not published | not published | $65.93 – $767.34 | 9 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | not published | not published | $113.65 – $1,543.50 | 24 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | not published | not published | $215.06 – $1,543.50 | 22 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Complx repair fccmnaxghf 13131 CPT 13131 | not published | not published | $94.71 – $1,246.50 | 24 |
| Complx repair fccmnaxghf 13132 CPT 13132 | not published | not published | $215.06 – $1,543.50 | 22 |
| Complx repair fccmnaxghf 13133 CPT 13133 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $70.36 – $1,246.50 | 24 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $703.71 – $1,246.50 | 4 |
| Comprehensive hearing test CPT 92557 | not published | not published | $36.57 – $206.75 | 27 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $36.06 – $269.28 | 27 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $47.56 – $324.14 | 27 |
| Concentration infection agents any type CPT 87015 | $27.60 | $92.00 | $4.68 – $25.96 | 36 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $22.44 – $206.75 | 27 |
| Condylomata destruction 56420 CPT 56420 | not published | not published | $65.49 – $1,004.50 | 22 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $923.10 – $1,246.50 | 4 |
| Conization of cervix CPT 57520 | not published | not published | $923.10 – $1,246.50 | 4 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $973.10 – $1,543.50 | 4 |
| Construction of vagina CPT 57291 | not published | not published | $923.10 – $2,298.50 | 4 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,105.06 – $1,246.50 | 4 |
| Construct vagina with graft CPT 57292 | not published | not published | $1,989.59 – $2,225.50 | 4 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $8.45 – $86.30 | 29 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $19.76 | $65.85 | $8.45 – $1,079.50 | 35 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $31.71 | $105.70 | $5.52 – $67.27 | 17 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $75.50 | $251.65 | $16.30 – $226.45 | 35 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $29.60 | $98.65 | $9.57 – $113.47 | 35 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $8.45 – $199.51 | 29 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $28.54 – $423.32 | 35 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $37.03 – $527.31 | 24 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $22.47 – $250.24 | 24 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $77.54 – $96.92 | 6 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Contour of face bone lesion CPT 21029 | not published | not published | $973.10 – $1,246.50 | 4 |
| Contrast baths charges CPT 97034 | $42.54 | $141.80 | $10.09 – $39.19 | 28 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | not published | not published | $101.95 – $4,434.05 | 16 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $198.75 – $4,434.05 | 16 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | not published | not published | $102.71 – $7,353.90 | 16 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $20.94 – $291.55 | 34 |
| Contrast x-ray of ankle CPT 73615 | not published | not published | $59.47 – $610.96 | 34 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $71.66 – $610.96 | 34 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $38.37 – $1,089.31 | 34 |
| Contrast x-ray of elbow CPT 73085 | not published | not published | $59.47 – $610.96 | 34 |
| Contrast x-ray of hip CPT 73525 | $267.26 | $890.85 | $59.47 – $610.96 | 34 |
| Contrast x-ray of knee joint CPT 73580 | $247.65 | $825.50 | $74.39 – $610.96 | 34 |
| Contrast x-ray of wrist CPT 73115 | $303.77 | $1,012.55 | $44.71 – $610.96 | 34 |
| Control nosebleed pack+caut 30905 CPT 30905 | not published | not published | $64.86 – $1,004.50 | 22 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $633.43 – $1,543.50 | 4 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $45.00 – $2,225.50 | 24 |
| Control of nosebleed ant comp 30903 CPT 30903 | not published | not published | $64.86 – $1,004.50 | 22 |
| Control of nosebleedantersmpl 30901 CPT 30901 | not published | not published | $29.77 – $2,225.50 | 24 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $64.86 – $1,004.50 | 22 |
| Control throat bleeding CPT 42961 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Control throat bleeding CPT 42962 | not published | not published | $973.10 – $1,246.50 | 4 |
| Conversion ext bil drg cath CPT 47535 | not published | not published | $1,088.56 – $3,160.00 | 4 |
| Convert nephrostomy catheter CPT 50434 | not published | not published | $262.24 – $1,543.50 | 4 |
| Conv gtube to jtube CPT 44373 | $1,261.31 | $4,204.35 | $624.70 – $1,246.50 | 4 |
| Coombs direct CPT 86880 | $56.69 | $188.95 | $3.81 – $78.50 | 35 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $102.11 | $340.35 | $3.81 – $226.45 | 35 |
| Coombs indirect titer reference CPT 86886 | $156.71 | $522.35 | $3.81 – $226.45 | 35 |
| Cor artery disease mrna CPT 81493 | not published | not published | $846.85 – $3,292.60 | 18 |
| Core ndl bx lng/med perq CPT 32408 | $2,200.35 | $7,334.50 | $2,836.50 – $2,981.50 | 3 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $1,338.23 – $2,298.50 | 4 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $1,338.23 – $1,543.50 | 4 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $1,338.23 – $1,543.50 | 4 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $26.02 – $78.50 | 19 |
| Corneal smear CPT 65430 | not published | not published | $45.00 – $2,225.50 | 22 |
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.