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 |
|---|---|---|---|---|
| Hymenotomy CPT 56442 | not published | not published | $923.10 – $1,004.50 | 4 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $954.50 – $1,004.50 | 4 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $7.14 – $39.50 | 36 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $195.28 – $2,117.72 | 33 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $195.28 – $967.72 | 33 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $86.07 – $1,310.59 | 33 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $195.28 – $1,864.76 | 33 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $195.28 – $2,526.11 | 33 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $2,118.00 – $4,813.00 | 4 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $2,118.00 – $4,693.00 | 4 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Hysterosalpingography s&i CPT 74740 | $267.26 | $890.85 | $36.83 – $372.86 | 34 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $1,989.59 – $3,160.00 | 4 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $923.10 – $1,543.50 | 4 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $923.10 – $1,004.50 | 4 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $1,185.00 – $1,989.59 | 4 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $923.10 – $1,543.50 | 4 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $1,468.50 – $1,989.59 | 4 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $1,468.50 – $1,989.59 | 4 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $923.10 – $1,543.50 | 4 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $341.34 – $341.34 | 3 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $251.54 | $838.45 | $140.10 – $188.13 | 6 |
| I131 iodide cap, rx HCPCS A9517 | $54.02 | $180.05 | $8.54 – $102.90 | 6 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $8.42 – $46.28 | 36 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $24.61 – $135.44 | 36 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $9.08 – $56.45 | 36 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $40.75 – $63.39 | 32 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,203.70 – $5,166.46 | 10 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $70.97 – $411.50 | 27 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $6.79 – $51.87 | 21 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $4.37 – $78.50 | 21 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $4.37 – $32.37 | 21 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $633.43 – $1,004.50 | 4 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $432.98 – $2,225.50 | 4 |
| Identify sperm tissue CPT 89264 | not published | not published | $28.54 – $453.35 | 32 |
| Idet 1 or more levels CPT 22527 | not published | not published | $78.66 – $3,160.00 | 4 |
| Idet single level CPT 22526 | not published | not published | $173.23 – $3,160.00 | 4 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $830.42 – $1,004.50 | 4 |
| Idh1 common variants CPT 81120 | not published | not published | $157.01 – $606.15 | 36 |
| Idh2 common variants CPT 81121 | $502.88 | $1,676.25 | $240.31 – $927.84 | 36 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $970.72 – $1,246.50 | 4 |
| I&d lacrimal gland CPT 68400 | not published | not published | $350.83 – $1,279.88 | 22 |
| I&d lacrimal sac CPT 68420 | not published | not published | $350.83 – $2,298.50 | 4 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $817.89 – $1,004.50 | 4 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $817.89 – $1,004.50 | 4 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $432.98 – $2,225.50 | 4 |
| Ifnl3 gene CPT 81283 | not published | not published | $61.29 – $237.02 | 36 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $168.43 – $608.25 | 34 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $29.48 – $214.47 | 36 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $133.71 – $766.44 | 36 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $99.93 – $1,140.05 | 36 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $99.93 – $577.92 | 36 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $79.29 | $264.30 | $22.51 – $203.16 | 17 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | not published | not published | $38.11 – $475.36 | 35 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $174.12 | $580.40 | $9.00 – $232.05 | 35 |
| Ikbkap gene CPT 81260 | not published | not published | $35.38 – $298.20 | 36 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $9.32 – $78.50 | 19 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $9.32 – $51.87 | 19 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $50.46 – $148.72 | 26 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $24.69 | $82.30 | $72.18 – $72.18 | 1 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,185.00 – $2,075.23 | 4 |
| Immune complex assay CPT 86332 | $86.81 | $289.35 | $17.09 – $94.83 | 36 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $14.61 – $163.99 | 8 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $69.66 | $232.20 | $14.59 – $80.14 | 36 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $83.06 | $276.85 | $14.59 – $80.14 | 36 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $13.76 – $80.14 | 36 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $14.96 | $49.85 | $8.41 – $46.28 | 36 |
| Immunodiffusion nes CPT 86329 | not published | not published | $9.85 – $54.18 | 36 |
| Immunofixation electrophoresis serum CPT 86334 | $18.81 | $62.70 | $15.66 – $86.93 | 36 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $21.64 – $136.59 | 17 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $243.92 | $813.05 | $7.87 – $255.07 | 35 |
| Immunoglobulin assay CPT 86023 | $94.38 | $314.60 | $8.73 – $48.55 | 36 |
| Immunology procedure CPT 86849 | not published | not published | $28.15 – $50.00 | 6 |
| Impedence cardiogram CPT 93701 | not published | not published | $13.38 – $170.34 | 27 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Implant cochlear device CPT 69930 | not published | not published | $2,836.50 – $14,859.24 | 4 |
| Implant eye drug system CPT 67027 | not published | not published | $1,561.28 – $1,985.50 | 4 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $45.00 – $2,225.50 | 22 |
| Implant neuroelectrode CPT 61863 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $3,006.00 – $8,553.02 | 4 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $954.50 – $2,645.33 | 4 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $2,118.00 – $2,645.33 | 4 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $1,468.50 – $2,645.33 | 4 |
| Implant neurostim arrays CPT 61886 | not published | not published | $1,468.50 – $13,081.20 | 4 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Implant spinal canal cath CPT 62351 | not published | not published | $2,056.59 – $3,160.00 | 4 |
| Implant spine infusion pump CPT 62361 | not published | not published | $1,185.00 – $7,786.22 | 4 |
| Implant spine infusion pump CPT 62362 | not published | not published | $1,185.00 – $7,786.22 | 4 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $2,645.33 – $3,160.00 | 4 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $368.55 – $2,225.50 | 9 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $1,185.00 – $1,831.27 | 4 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $2,118.00 – $5,112.00 | 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.