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 |
|---|---|---|---|---|
| Drainage of eye CPT 65815 | not published | not published | $876.31 – $1,246.50 | 4 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $830.42 – $1,246.50 | 4 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $526.32 – $1,004.50 | 22 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $29.77 – $1,004.50 | 24 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $954.50 – $1,004.50 | 4 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $94.71 – $1,004.50 | 6 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $70.36 – $1,004.50 | 6 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $109.59 – $1,004.50 | 24 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $77.12 – $1,004.50 | 24 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $121.77 – $1,004.50 | 6 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $85.24 – $1,004.50 | 6 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $143.42 – $1,004.50 | 6 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $32.47 – $2,225.50 | 24 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $45.00 – $2,225.50 | 22 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $830.42 – $1,004.50 | 4 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $830.42 – $1,004.50 | 4 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $1,042.43 – $1,246.50 | 4 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $954.50 – $1,042.43 | 4 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $1,042.43 – $1,246.50 | 4 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $727.58 – $1,246.50 | 4 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $727.58 – $1,246.50 | 4 |
| Drainage of salivary gland CPT 42305 | not published | not published | $973.10 – $1,246.50 | 4 |
| Drainage of salivary gland CPT 42320 | not published | not published | $181.65 – $1,004.50 | 22 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,185.00 – $1,865.02 | 4 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $814.38 – $1,246.50 | 4 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $51.41 – $2,225.50 | 6 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $567.02 – $1,543.50 | 22 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $814.38 – $2,225.50 | 4 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $45.00 – $2,225.50 | 22 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $12.18 – $2,225.50 | 24 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $526.32 – $1,543.50 | 4 |
| Drain cath image guided visceral pq CPT 49405 | not published | not published | $526.32 – $3,160.00 | 4 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $186.38 – $1,004.50 | 22 |
| Drain chest lesion CPT 21502 | not published | not published | $830.42 – $1,246.50 | 4 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $32.47 – $2,225.50 | 24 |
| Drain lower leg bursa CPT 27604 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $817.89 – $1,246.50 | 4 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $817.89 – $1,246.50 | 4 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $923.10 – $2,225.50 | 4 |
| Drain ovary abscess open CPT 58820 | not published | not published | $923.10 – $1,543.50 | 4 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $315.25 – $2,225.50 | 5 |
| Drain penis lesion CPT 54015 | not published | not published | $817.89 – $1,985.50 | 4 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $830.42 – $1,543.50 | 4 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $817.89 – $1,543.50 | 4 |
| Drain shoulder lesion CPT 23030 | not published | not published | $817.89 – $1,004.50 | 4 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $817.89 – $1,543.50 | 4 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $323.33 – $1,004.50 | 4 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | not published | not published | $41.62 – $1,246.50 | 24 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | not published | not published | $18.94 – $1,004.50 | 24 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $141.57 – $1,246.50 | 22 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $45.00 – $2,225.50 | 22 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $614.17 – $1,246.50 | 4 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $149.18 – $1,004.50 | 22 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $432.98 – $1,004.50 | 4 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $31.12 – $2,225.50 | 24 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $323.33 – $1,246.50 | 22 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $923.10 – $1,543.50 | 4 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $614.17 – $1,246.50 | 4 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $614.17 – $1,004.50 | 4 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $954.50 – $1,004.50 | 4 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $973.10 – $1,543.50 | 4 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $44.65 – $1,004.50 | 6 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $323.33 – $1,004.50 | 4 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $181.65 – $1,004.50 | 22 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $22.86 | $76.20 | $4.75 – $19.26 | 7 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $3,163.50 | $10,545.00 | $101.13 – $316.78 | 4 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $84.08 – $111.91 | 2 |
| Drug assay caffeine CPT 80155 | not published | not published | $9.55 – $120.79 | 36 |
| Drug assay posaconazole CPT 80187 | not published | not published | $22.03 – $57.96 | 35 |
| Drug assay rufinamide CPT 80210 | not published | not published | $22.03 – $79.88 | 34 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $31.33 – $82.50 | 35 |
| Drug assay voriconazole CPT 80285 | $466.46 | $1,554.85 | $22.03 – $57.96 | 35 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $16.78 – $39.33 | 28 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $11.34 – $31.86 | 36 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $12.20 – $84.67 | 36 |
| Drug test def 1-7 classes HCPCS G0480 | $416.19 | $1,387.30 | $39.97 – $358.96 | 18 |
| Drug test def 8-14 classes HCPCS G0481 | $48.93 | $163.10 | $61.50 – $142.63 | 5 |
| Drug test prsmv instrmnt CPT 80306 | $58.79 | $195.95 | $15.43 – $42.49 | 36 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $495.35 | $1,651.15 | $55.93 – $170.00 | 36 |
| Drvvt confirm - quest CPT 85597 | $101.66 | $338.85 | $12.60 – $69.98 | 36 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $954.50 – $1,334.00 | 4 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $954.50 – $1,004.50 | 3 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $141.57 – $1,004.50 | 22 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $45.00 – $2,225.50 | 22 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $141.57 – $1,004.50 | 22 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ductogram sgl duct CPT 77053 | not published | not published | $44.64 – $372.86 | 34 |
| Duodenal motility study CPT 91022 | not published | not published | $114.44 – $701.16 | 27 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $180.98 – $600.34 | 29 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $90.33 – $341.59 | 29 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $48.16 – $377.78 | 31 |
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.