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 |
|---|---|---|---|---|
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $10.66 – $58.78 | 36 |
| Ghs dislocation elbow closed treatment CPT 24600 | not published | not published | $106.92 – $1,004.50 | 22 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $244.68 – $1,238.94 | 22 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $20.30 – $2,225.50 | 30 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $796.05 | $2,653.50 | $588.30 – $1,004.50 | 21 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $132.91 – $582.13 | 26 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $6.60 – $206.75 | 27 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $7.22 – $206.75 | 27 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $9.81 – $23.24 | 8 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $43.30 – $2,225.50 | 24 |
| Ghs excision ingrown nail CPT 11765 | not published | not published | $18.94 – $2,225.50 | 24 |
| Ghs eye exam CPT 92002 | not published | not published | $47.56 – $176.89 | 27 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ghs fat & muscle CPT 89160 | not published | not published | $2.58 – $14.69 | 36 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $670.71 – $1,246.50 | 4 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $912.16 – $1,543.50 | 4 |
| Ghs fb removal - incisional CPT 10121 | not published | not published | $670.71 – $1,246.50 | 4 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $41.94 – $1,004.50 | 6 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $81.45 | $271.50 | $4.90 – $27.07 | 36 |
| Ghs fish cytogen CPT 88271 | not published | not published | $15.02 – $82.41 | 36 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | not published | not published | $28.16 – $160.29 | 36 |
| Ghs flow volume loop CPT 94375 | $324.14 | $1,080.45 | $14.92 – $411.50 | 27 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $65.88 – $1,004.50 | 22 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $24.61 – $135.44 | 36 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $12.07 – $72.24 | 36 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $10.86 – $59.82 | 36 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $4.00 – $32.75 | 36 |
| Ghs histoplasma antigen CPT 87385 | $265.31 | $884.35 | $8.42 – $46.28 | 36 |
| Ghs HIV antibody CPT 86703 | $90.14 | $300.45 | $9.62 – $53.04 | 36 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $45.14 – $333.00 | 36 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $906.09 – $1,246.50 | 4 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | not published | not published | $727.58 – $1,543.50 | 4 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ghs i and d pilonidal cyst simple CPT 10080 | not published | not published | $35.18 – $2,225.50 | 24 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $15.72 – $93.68 | 36 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $542.18 | $1,807.25 | $32.47 – $1,004.50 | 24 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $51.41 – $1,246.50 | 24 |
| Ghs inf midline insertion CPT 36140 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ghs inhibitor screen CPT 85335 | not published | not published | $4.80 – $49.66 | 36 |
| Ghs init tx 1st degree burn CPT 16000 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $735.02 – $1,176.48 | 22 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $69.00 – $1,176.48 | 24 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $105.61 – $1,004.50 | 22 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $336.03 – $1,176.48 | 22 |
| Ghs insertion of needle - bone CPT 36680 | $315.50 | $1,051.65 | $45.00 – $2,225.50 | 22 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | not published | not published | $215.06 – $1,246.50 | 22 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $215.06 – $1,246.50 | 22 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $215.06 – $1,246.50 | 4 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $28.34 – $2,225.50 | 5 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $106.89 – $1,004.50 | 22 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $35.22 – $60.97 | 24 |
| Ghs IV thrombolytics - cerebral CPT 37195 | not published | not published | $97.60 – $1,004.50 | 22 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $64.86 – $1,246.50 | 22 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | not published | not published | $45.00 – $2,225.50 | 24 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $45.00 – $2,225.50 | 24 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $45.00 – $2,225.50 | 24 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $109.97 – $1,246.50 | 22 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $109.97 – $1,246.50 | 22 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $109.97 – $1,246.50 | 22 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $109.97 – $1,246.50 | 22 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $109.97 – $1,246.50 | 22 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $109.97 – $1,246.50 | 22 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $109.97 – $1,246.50 | 22 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $215.06 – $1,246.50 | 4 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $109.97 – $1,246.50 | 22 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $114.66 | $382.20 | $6.04 – $33.86 | 36 |
| Ghs mbp CPT 83873 | $117.84 | $392.80 | $12.07 – $66.61 | 36 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $31.31 – $92.92 | 9 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $29.72 – $81.81 | 9 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $22.09 – $99.57 | 9 |
| Ghs myocardial strain img spckl track CPT 93356 | not published | not published | $32.30 – $85.26 | 8 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $48.71 – $1,176.48 | 24 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $35.18 – $1,004.50 | 24 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $186.38 – $1,176.48 | 22 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $186.38 – $1,176.48 | 22 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $336.03 – $1,176.48 | 22 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $336.03 – $1,176.48 | 22 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $336.03 – $1,176.48 | 22 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $336.03 – $1,004.50 | 22 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $186.38 – $1,004.50 | 22 |
| Ghs ng placement w fluoro guidance CPT 43752 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ghs o2 saturation CPT 82810 | $76.52 | $255.05 | $6.12 – $33.86 | 36 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $16.38 – $206.75 | 27 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $16.58 – $92.92 | 27 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $12.41 – $60.97 | 19 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $244.03 – $1,246.50 | 22 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $421.75 – $1,246.50 | 4 |
| Ghs optokenetic CPT 92544 | not published | not published | $6.32 – $206.75 | 27 |
| Ghs oscillating trac CPT 92545 | not published | not published | $6.32 – $411.50 | 27 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $12.55 – $33.43 | 21 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $12.55 – $45.37 | 21 |
| Ghs ot dds rom CPT 95851 | $14.28 | $47.60 | $3.75 – $38.04 | 28 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $18.33 – $46.74 | 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.