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 |
|---|---|---|---|---|
| Exploration of frontal sinus CPT 31075 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Exploration of knee joint CPT 27310 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Exploration of middle ear CPT 69440 | not published | not published | $1,468.50 – $1,865.02 | 4 |
| Exploration of sinuses CPT 31090 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Exploration of spinal fusion CPT 22830 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Exploration of toe joint CPT 28024 | not published | not published | $871.76 – $1,246.50 | 4 |
| Exploration/repair of rectum 45563 CPT 45563 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Exploration retroperitoneal area 49010 CPT 49010 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Exploratory heart surgery 33310 CPT 33310 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Exploratory heart surgery 33315 CPT 33315 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Explore adrenal gland w or without biopsy 60540 CPT 60540 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Explore/biopsy eye socket CPT 67400 | not published | not published | $1,334.00 – $1,543.50 | 4 |
| Explore/biopsy eye socket CPT 67450 | not published | not published | $1,334.00 – $2,298.50 | 4 |
| Explore chest vessels 35820 CPT 35820 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Explore deep node(s) neck CPT 38542 | not published | not published | $1,185.00 – $2,119.81 | 4 |
| Explore/drain eye socket CPT 67405 | not published | not published | $767.34 – $1,985.50 | 4 |
| Explore/drain eye socket CPT 67440 | not published | not published | $1,334.00 – $2,298.50 | 4 |
| Explore epididymis CPT 54865 | not published | not published | $906.09 – $1,004.50 | 4 |
| Explore inner ear CPT 69805 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Explore inner ear CPT 69806 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Explore/irrigate tear ducts CPT 68840 | not published | not published | $45.00 – $2,225.50 | 22 |
| Explore limb vessels 35860 CPT 35860 | not published | not published | $1,250.59 – $2,225.50 | 4 |
| Explore neck vessels 35800 CPT 35800 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Explore parathyroid glands CPT 60500 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | not published | not published | $432.98 – $1,004.50 | 4 |
| Explore/repair chest 32110 CPT 32110 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Explore scrotum CPT 55110 | not published | not published | $906.09 – $1,246.50 | 4 |
| Explore small intestine 44020 CPT 44020 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Explore/treat ankle joint CPT 27620 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Explore/treat eye socket CPT 67412 | not published | not published | $767.34 – $2,298.50 | 4 |
| Explore/treat eye socket CPT 67420 | not published | not published | $1,334.00 – $2,298.50 | 4 |
| Explore/treat eye socket CPT 67430 | not published | not published | $1,334.00 – $2,298.50 | 4 |
| Explore/treat eye socket 67413 CPT 67413 | not published | not published | $767.34 – $2,298.50 | 4 |
| Explore/treat finger joint CPT 26075 | not published | not published | $614.17 – $1,985.50 | 4 |
| Explore/treat finger joint CPT 26080 | not published | not published | $614.17 – $1,985.50 | 4 |
| Explore/treat knee joint CPT 27331 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Explore/treat wrist joint CPT 25101 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Explore wound abdomen 20102 CPT 20102 | not published | not published | $703.71 – $2,225.50 | 4 |
| Explore woundchest 20101 CPT 20101 | not published | not published | $75.77 – $2,225.50 | 6 |
| Explore wound neck 20100 CPT 20100 | not published | not published | $323.33 – $1,004.50 | 22 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $1,334.00 – $2,225.50 | 4 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $1,334.00 – $2,298.50 | 4 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $830.42 – $1,246.50 | 4 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $45.00 – $2,225.50 | 4 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $413.29 – $1,246.50 | 4 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $102.41 – $170.34 | 23 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $109.50 – $257.49 | 23 |
| Extended culture of oocytes CPT 89272 | not published | not published | $28.54 – $1,882.54 | 32 |
| Extended visual field xm CPT 92083 | not published | not published | $8.61 – $170.34 | 27 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $973.10 – $1,543.50 | 4 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Extensive hand surgery CPT 26250 | not published | not published | $614.17 – $1,543.50 | 4 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Extensive surgery of throat CPT 42842 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Extensive surgery of throat CPT 42844 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Extensive testis surgery CPT 54535 | not published | not published | $1,117.60 – $2,225.50 | 4 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Extensive vulva surgery CPT 56632 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| External cannula declotting CPT 36860 | not published | not published | $97.60 – $1,246.50 | 4 |
| External chromosome analysis 20-25 cells CPT 88264 | $657.29 | $2,190.95 | $87.39 – $481.98 | 36 |
| External ocular photography CPT 92285 | not published | not published | $3.33 – $51.87 | 27 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $49.31 | $164.35 | $7.40 – $116.27 | 33 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $1,690.84 – $12,143.22 | 18 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $471.15 | $1,570.50 | $88.56 – $488.77 | 36 |
| Extnd color vision xm CPT 92283 | not published | not published | $3.63 – $94.39 | 27 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $109.17 | $363.90 | $12.57 – $69.98 | 36 |
| Extraction of lens CPT 66930 | not published | not published | $876.31 – $2,298.50 | 4 |
| Extraction of lens CPT 66940 | not published | not published | $376.09 – $2,298.50 | 4 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $876.31 – $1,985.50 | 4 |
| Eye allergy tests CPT 95060 | not published | not published | $10.26 – $170.34 | 21 |
| F9 full gene sequence CPT 81238 | not published | not published | $487.46 – $1,881.64 | 36 |
| Face bone graft CPT 21210 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Facial bones <3 CPT 70140 | $110.36 | $367.85 | $17.71 – $127.70 | 34 |
| Facial nerve function test CPT 92516 | not published | not published | $27.04 – $411.50 | 27 |
| Factor ix CPT 85250 | $165.96 | $553.20 | $13.36 – $73.36 | 36 |
| Factor viii CPT 85240 | $165.96 | $553.20 | $12.55 – $68.87 | 36 |
| Fallopian tube recnl CPT 58345 | not published | not published | $923.10 – $2,225.50 | 4 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $63.62 – $212.32 | 22 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $63.62 – $212.32 | 22 |
| Fancc gene CPT 81242 | not published | not published | $32.96 – $261.99 | 36 |
| Fat/lipids feces qualitative CPT 82705 | $71.66 | $238.85 | $3.57 – $19.17 | 36 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $9.34 – $58.71 | 36 |
| Fecal bilirubin test CPT 82252 | not published | not published | $3.20 – $18.06 | 36 |
| #fecal-sodium CPT 84302 | $70.52 | $235.05 | $3.42 – $19.17 | 36 |
| Feeding tube reposition CPT 74355 | not published | not published | $74.39 – $201.34 | 10 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $49.70 – $453.70 | 28 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $15.14 – $54.30 | 34 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $2,118.00 – $4,813.93 | 4 |
| Feno poc CPT 95012 | not published | not published | $14.17 – $51.87 | 27 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $6.12 | $20.40 | $1.02 – $3.77 | 9 |
| Ferritin CPT 82728 | $44.07 | $146.90 | $9.55 – $53.04 | 36 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $323.75 | $1,079.15 | $45.83 – $183.88 | 34 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $616.68 – $2,379.42 | 36 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $17.58 – $2,225.50 | 24 |
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.