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 |
|---|---|---|---|---|
| Incision of tongue fold CPT 41010 | not published | not published | $323.33 – $1,004.50 | 4 |
| Incision of tongue nerve CPT 64740 | not published | not published | $692.04 – $1,246.50 | 4 |
| Incision of urethra CPT 53000 | not published | not published | $814.38 – $1,004.50 | 4 |
| Incision of urethra CPT 53010 | not published | not published | $814.38 – $1,004.50 | 4 |
| Incision of urethra CPT 53020 | not published | not published | $814.38 – $1,004.50 | 4 |
| Incision of urethra CPT 53025 | not published | not published | $32.47 – $2,225.50 | 6 |
| Incision of windpipe CPT 31601 | not published | not published | $973.10 – $2,225.50 | 4 |
| Incision of windpipe CPT 31610 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Incision of wrist capsule CPT 25085 | not published | not published | $830.42 – $1,543.50 | 4 |
| Incision secondary cataract CPT 66820 | not published | not published | $157.21 – $1,004.50 | 4 |
| Incision tendon sheath CPT 26055 | not published | not published | $614.17 – $1,246.50 | 4 |
| Incisn of toe tndn CPT 28010 | not published | not published | $871.76 – $2,225.50 | 4 |
| Incisn windpipe CPT 31600 | not published | not published | $973.10 – $1,246.50 | 4 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Induced abortion d&c CPT 59840 | not published | not published | $923.10 – $2,298.50 | 4 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $923.10 – $2,298.50 | 4 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $63.18 – $148.12 | 23 |
| Infect ag drug suscept pheno predict CPT 87900 | $443.01 | $1,476.70 | $91.39 – $504.57 | 36 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $8.42 – $47.40 | 36 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $6.43 – $46.28 | 36 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $1,483.20 | $4,944.00 | $175.17 – $996.71 | 36 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $175.17 – $996.71 | 36 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $63.78 | $212.60 | $90.25 – $497.78 | 36 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $603.83 | $2,012.75 | $180.50 – $996.71 | 36 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $16.23 – $102.73 | 36 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $8.42 – $110.63 | 36 |
| Infect ag ia optc obs influenza CPT 87804 | not published | not published | $8.42 – $51.92 | 36 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $6.43 – $46.28 | 36 |
| Infect ag if hep delta agent CPT 87380 | $349.55 | $1,165.15 | $11.51 – $63.20 | 36 |
| Infect ag if influenza a CPT 87276 | not published | not published | $8.42 – $50.81 | 36 |
| Infect ag if influenza b CPT 87275 | not published | not published | $8.42 – $46.28 | 36 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $8.42 – $48.55 | 36 |
| Infect ag if nos ea CPT 87299 | not published | not published | $8.42 – $50.81 | 36 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $8.42 – $46.28 | 36 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $8.42 – $46.28 | 36 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $24.51 – $168.19 | 36 |
| Infect ag na hep b amp CPT 87516 | $252.87 | $842.90 | $24.61 – $135.44 | 36 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $30.04 – $165.93 | 36 |
| Infect ag na hpv high-risk types CPT 87624 | $116.97 | $389.90 | $23.64 – $135.44 | 36 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $222.98 | $743.25 | $59.66 – $329.59 | 36 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $35.98 – $198.67 | 36 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $141.99 | $473.30 | $46.05 – $96.98 | 28 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $463.55 | $1,545.15 | $283.60 – $1,613.01 | 36 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $1,675.79 | $5,585.95 | $342.59 – $1,891.80 | 36 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $18.28 – $100.47 | 36 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $37.24 – $87.31 | 30 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $28.64 | $95.45 | $8.42 – $46.28 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $8.42 – $46.28 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $91.10 | $303.65 | $8.42 – $46.28 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $80.21 | $267.35 | $8.42 – $46.28 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $157.94 | $526.45 | $10.09 – $55.30 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $55.35 | $184.50 | $7.25 – $39.50 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $7.25 – $39.50 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $111.00 | $370.00 | $16.89 – $93.68 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $375.06 | $1,250.20 | $8.42 – $46.28 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $162.41 | $541.35 | $8.42 – $46.28 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $10.10 | $33.65 | $8.42 – $46.28 | 36 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $787.80 | $2,626.00 | $24.61 – $135.44 | 36 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $33.48 | $111.60 | $24.61 – $135.44 | 36 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $197.91 | $659.70 | $24.61 – $135.44 | 36 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $441.47 | $1,471.55 | $375.10 – $1,613.01 | 36 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $185.78 | $619.25 | $24.61 – $135.44 | 36 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $159.98 | $533.25 | $24.61 – $135.44 | 36 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $161.00 | $536.65 | $24.61 – $135.44 | 36 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $33.48 | $111.60 | $24.61 – $135.44 | 36 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $73.83 | $246.10 | $46.18 – $71.83 | 32 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $128.34 – $300.95 | 30 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $105.90 | $353.00 | $128.34 – $300.95 | 30 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $32.58 | $108.60 | $24.61 – $135.44 | 36 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $178.68 | $595.60 | $23.70 – $135.44 | 36 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $69.09 – $161.98 | 23 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $281.19 | $937.30 | $280.75 – $1,613.01 | 36 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $86.42 – $496.67 | 36 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $143.78 – $826.26 | 36 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $320.00 | $1,066.65 | $30.04 – $165.93 | 36 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $471.11 | $1,570.35 | $30.04 – $165.93 | 36 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $280.20 | $934.00 | $30.04 – $165.93 | 36 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $295.05 | $983.50 | $59.66 – $329.59 | 36 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $87.29 – $496.67 | 36 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $14.56 – $91.42 | 36 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $18.24 – $126.53 | 4 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $11.16 – $43.89 | 6 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Infuse radioactive materials CPT 77750 | not published | not published | $37.69 – $347.52 | 33 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $68.04 – $90.56 | 3 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $95.55 – $701.16 | 21 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $41.14 – $268.77 | 27 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | not published | 0 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $119.74 – $119.74 | 1 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $152.16 – $152.16 | 1 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $84.02 – $84.02 | 1 |
| Initiation & management bipap/cpap initial day CPT 94660 | $240.77 | $802.55 | $48.41 – $268.77 | 27 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $2,836.95 | $9,456.50 | $1,059.74 – $2,301.87 | 13 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $45.00 – $2,225.50 | 22 |
| Inj dx for sinogram CPT 20501 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $588.30 – $1,004.50 | 21 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | not published | not published | $2,118.00 – $2,225.50 | 3 |
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.