healthcosts.net

Ascension Saint Thomas DeKalb

520 W Main St, Smithville, TN · Ascension · · NPI 1649659582

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

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
Csf shunt reprogram 62252 CPT 62252 not published not published $64.12 – $1,004.50 22
Csf ventriculography CPT 78635 not published not published $71.99 – $847.73 34
CT 3d report other modality w/workstation CPT 76377 $277.94 $926.45 $46.53 – $551.54 10
Cta abdomen without & /or w/contrast CPT 74175 $1,479.80 $4,932.65 $151.23 – $804.85 34
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 $1,211.16 $4,037.20 $151.23 – $1,198.02 34
Cta lower extremity without & w/contrast (both sides) CPT 73706 $768.05 $2,560.15 $151.23 – $968.92 34
Cta neck without &/or w/contrast CPT 70498 $1,097.79 $3,659.30 $151.23 – $760.07 34
CT Angiogram of Abdomen and Pelvis CPT 74174 $1,707.77 $5,692.55 $287.37 – $1,036.60 34
CT Angiogram of the Chest (for blood clot) CPT 71275 $1,211.85 $4,039.50 $151.23 – $775.87 34
CT Angiogram of the Head CPT 70496 $1,097.79 $3,659.30 $151.23 – $762.71 34
CT angio hrt w/3d image CPT 75574 not published not published $129.54 – $1,137.45 34
CT angio pelvis CPT 72191 not published not published $151.23 – $800.88 34
Cta upper extremity w &/or without contrast left CPT 73206 $988.25 $3,294.15 $151.23 – $885.16 34
CT bone density axial CPT 77078 not published not published $35.38 – $562.76 34
CT colonography dx CPT 74261 not published not published $90.33 – $1,360.55 34
CT colonography dx w/dye CPT 74262 not published not published $148.75 – $1,559.41 34
CT colonography screening CPT 74263 not published not published $205.34 – $2,414.08 34
CT guidance for needle placement CPT 77012 $567.44 $1,891.45 $75.76 – $551.54 10
CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 $618.00 $2,060.00 $71.59 – $551.54 10
CT guid cryo ablat intramuscular CPT 20999 not published not published $203.78 – $2,225.50 22
CT guid parench tis ablat CPT 77013 not published not published $67.43 – $765.04 10
CT heart w/evaluation of calcium without contrast CPT 75571 $101.15 $337.15 $22.59 – $551.54 34
CT hrt c+ strux cgen hrt ds CPT 75573 not published not published $129.54 – $978.66 34
CT hrt w/3d image CPT 75572 not published not published $128.41 – $737.66 34
CT limited or localized follow-up study CPT 76380 $247.43 $824.75 $52.81 – $551.54 34
CT lower extremity w/contrast (both sides) CPT 73701 $732.74 $2,442.45 $148.75 – $622.36 34
CT lower extremity without contrast (both sides) CPT 73700 $701.21 $2,337.35 $90.33 – $562.76 34
CT lwr extremity w/o&w/dye CPT 73702 $753.93 $2,513.10 $151.23 – $793.53 34
CT neck soft tissue w/contrast CPT 70491 $1,120.97 $3,736.55 $148.75 – $562.76 34
CT neck soft tissue without contrast CPT 70490 $764.10 $2,547.00 $90.33 – $562.76 34
CT neck soft tissue without & w/contrast CPT 70492 $1,185.41 $3,951.35 $151.23 – $607.86 34
CT orbit/sella/fossa w/wo contrast CPT 70482 $740.12 $2,467.05 $151.23 – $847.00 34
CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 $699.03 $2,330.10 $148.75 – $767.18 34
CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 $643.59 $2,145.30 $90.33 – $627.59 34
Ctrl nosebld postir subsq 30906 CPT 30906 not published not published $64.86 – $1,004.50 22
CT scan for therapy guide CPT 77014 not published not published $84.49 – $562.76 10
CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 $2,001.08 $6,670.25 $255.01 – $939.16 34
CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 $1,810.25 $6,034.15 $192.93 – $818.54 34
CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 $1,721.63 $5,738.75 $101.11 – $562.76 34
CT thoracic spine w/contrast CPT 72129 $783.14 $2,610.45 $148.75 – $623.66 34
CT thoracic spine without contrast CPT 72128 $859.25 $2,864.15 $90.33 – $562.76 34
CT thorax low dose for lung screening without contrast CPT 71271 not published not published $90.33 – $562.76 29
CT t-spine w /wo contrast CPT 72130 not published not published $151.23 – $773.80 34
CT upper extremity w/contrast (both sides) CPT 73201 $668.72 $2,229.05 $148.75 – $610.96 34
CT upper extremity without contrast (both sides) CPT 73200 $725.55 $2,418.50 $90.33 – $562.76 34
CT uppr extremity w/o&w/dye CPT 73202 not published not published $151.23 – $805.38 34
Cultr oocyte/embryo <4 days CPT 89250 not published not published $28.54 – $3,008.15 33
Cultr oocyte/embryo <4 days CPT 89251 not published not published $28.54 – $3,128.94 33
Cult skin graft fnhfg 15155 CPT 15155 not published not published $1,150.77 – $1,246.50 4
Cult skin grft t/arm/leg CPT 15150 not published not published $703.71 – $1,246.50 4
Culture aerobic additional method definitive id each CPT 87077 $27.60 $92.00 $5.67 – $31.60 36
Culture afb any source CPT 87116 $77.37 $257.90 $7.57 – $41.76 36
Culture anaerobic additional method definitive id each CPT 87076 $54.47 $181.55 $5.67 – $33.65 36
Culture anaerobic except blood CPT 87075 $254.52 $848.40 $6.63 – $36.12 36
Culture bact stool aero addl path ea CPT 87046 $105.90 $353.00 $2.65 – $36.12 36
Culture body fluid CPT 87070 $79.47 $264.90 $6.04 – $33.86 36
Culture fungi definitive id mold CPT 87107 $83.42 $278.05 $7.24 – $39.50 36
Culture fungi definitive id yeast CPT 87106 $34.70 $115.65 $7.24 – $39.50 36
Culture fungi other (except blood) CPT 87102 $77.37 $257.90 $5.89 – $32.75 36
Culture fungi skin/hair/nail CPT 87101 $77.37 $257.90 $5.42 – $29.34 36
Culture mycobacteria definitive id each isolate CPT 87118 not published not published $7.67 – $46.28 36
Culture mycoplasma any source CPT 87109 $122.48 $408.25 $10.79 – $59.82 36
Culture quantitative aerobic other source CPT 87071 $10.49 $34.95 $5.30 – $36.12 36
Culture screening strep group a CPT 87081 $120.29 $400.95 $4.65 – $25.96 36
Culture typing added method CPT 87158 not published not published $3.66 – $24.85 36
Culture typing immunologic CPT 87147 not published not published $3.63 – $20.32 36
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 not published not published $196.25 – $460.11 28
Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 $1,093.32 $3,644.40 $24.61 – $135.44 36
Culture urine each isolate CPT 87088 not published not published $5.68 – $31.60 36
Culture virus isolation CPT 87250 not published not published $13.71 – $75.62 36
Curette/treat cornea CPT 65435 not published not published $350.83 – $1,279.88 22
Curette/treat cornea CPT 65436 not published not published $45.00 – $2,225.50 4
Cv line/pic reposition CPT 36597 not published not published $421.75 – $1,004.50 4
Cv stress test i&r only 93018 CPT 93018 not published not published $26.04 – $52.93 8
Cv stress test/supervision only 93016 CPT 93016 not published not published $26.93 – $49.36 8
Cyanocobalamin unsat binding capacity CPT 82608 not published not published $10.04 – $55.30 36
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 $14.87 $49.55 $0.30 – $2.42 9
Cyclic citrullinated peptide antibody CPT 86200 $99.14 $330.45 $9.08 – $49.66 36
Cyclosporine 2 hour CPT 80158 not published not published $12.66 – $69.98 36
Cyp2c19 gene com variants CPT 81225 not published not published $144.44 – $913.15 36
Cyp2c9 gene com variants CPT 81227 not published not published $40.62 – $548.59 36
Cyp2d6 gene com variants CPT 81226 not published not published $40.62 – $1,414.34 36
Cyp3a4 gene common variants CPT 81230 not published not published $142.02 – $548.59 36
Cyp3a5 gene common variants CPT 81231 not published not published $142.02 – $548.59 36
Cystatin c CPT 82610 $175.49 $584.95 $9.53 – $57.56 36
Cystic fibrosis cftr CPT 81223 not published not published $449.10 – $2,556.00 36
Cystine urine quantitative CPT 82131 not published not published $11.83 – $72.24 36
Cysto cgen post urtl valves CPT 52400 not published not published $1,042.43 – $1,543.50 4
Cystogram >= 3 views supervision & interpretation CPT 74430 $497.66 $1,658.85 $27.55 – $610.96 34
Cystometrogram w/up 51727 CPT 51727 not published not published $45.00 – $2,225.50 22
Cystorrhaphy wound comp 51865 CPT 51865 not published not published $2,118.00 – $2,225.50 3
Cystorrhaphy wound simple 51860 CPT 51860 not published not published $1,042.43 – $2,225.50 4
Cystoscopy and biopsy CPT 52007 not published not published $1,042.43 – $1,246.50 4
Cystoscopy and radiotracer CPT 52250 not published not published $1,042.43 – $1,985.50 4
Cystoscopy and treatment CPT 52214 not published not published $1,042.43 – $1,246.50 4
Cystoscopy and treatment CPT 52224 not published not published $1,042.43 – $1,246.50 4
Cystoscopy and treatment CPT 52234 not published not published $1,042.43 – $1,246.50 4
Cystoscopy and treatment CPT 52235 not published not published $1,042.43 – $1,543.50 4
Cystoscopy and treatment CPT 52240 not published not published $1,042.43 – $1,543.50 4
Cystoscopy and treatment CPT 52260 not published not published $613.48 – $1,246.50 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.