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 |
|---|---|---|---|---|
| Intermediate visual field xm CPT 92082 | not published | not published | $5.89 – $78.50 | 27 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Interrogate subq defib CPT 93261 | not published | not published | $17.50 – $49.28 | 27 |
| Interrogation vad in person CPT 93750 | not published | not published | $42.46 – $121.30 | 27 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $8.02 – $49.28 | 27 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $12.87 – $32.37 | 27 |
| Interrog device eval heart CPT 93289 | not published | not published | $17.24 – $49.28 | 27 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $14.45 – $49.28 | 27 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $77.98 – $180.80 | 23 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $77.98 – $121.30 | 23 |
| Interstitial brachy inter CPT 77799 | not published | not published | $93.02 – $334.90 | 23 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $62.24 – $2,225.50 | 6 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $954.50 – $1,004.50 | 4 |
| Intra-atrial pacing CPT 93610 | not published | not published | $41.29 – $12,715.00 | 11 |
| Intra-atrial recording CPT 93602 | not published | not published | $33.76 – $12,715.00 | 11 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $118.52 – $157.75 | 2 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Intracranial angioplasty CPT 61630 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Intracranial complete study CPT 93886 | not published | not published | $76.07 – $644.87 | 31 |
| Intracranial limited study CPT 93888 | not published | not published | $31.46 – $370.37 | 31 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $323.33 – $1,004.50 | 4 |
| Intranasal reconstruction CPT 30620 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $191.65 – $12,715.00 | 10 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $33.83 – $1,004.50 | 24 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $14.86 – $268.77 | 27 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $148.65 – $1,004.50 | 28 |
| Intraventricular pacing CPT 93612 | not published | not published | $49.44 – $12,715.00 | 11 |
| Intrinsic factor antibody CPT 86340 | $74.40 | $248.00 | $10.57 – $58.71 | 36 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $36.06 – $185.36 | 27 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $45.00 – $2,225.50 | 3 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Intro catheter aorta CPT 36200 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Intro long gi tube CPT 44500 | not published | not published | $244.03 – $1,238.94 | 22 |
| Intro long gi tube w/mult fluo CPT 74340 | $215.79 | $719.30 | $74.39 – $200.62 | 10 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $193.20 – $1,004.50 | 4 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Intubation endotracheal emergency procedure CPT 31500 | $432.89 | $1,442.95 | $64.86 – $1,004.50 | 22 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $21.95 – $78.50 | 27 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $31.68 – $116.68 | 27 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $26.50 – $71.44 | 8 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $2.99 | $9.95 | $0.17 – $1.79 | 6 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $521.48 – $20,312.88 | 11 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $738.99 – $20,312.88 | 11 |
| Ipratropium bromide non-comp HCPCS J7644 | $0.29 | $0.95 | $0.26 – $0.81 | 7 |
| Iron CPT 83540 | $449.37 | $1,497.90 | $4.54 – $24.85 | 36 |
| Iron binding capacity CPT 83550 | $49.31 | $164.35 | $6.13 – $33.86 | 36 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $38.16 | $127.20 | $5.92 – $39.20 | 14 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $4.54 – $24.85 | 36 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $1.37 | $4.55 | $0.16 – $0.50 | 10 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $7.40 – $97.06 | 35 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $46.80 | $156.00 | $21.33 – $78.50 | 27 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $323.33 – $1,004.50 | 4 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $45.00 – $2,225.50 | 22 |
| Island pedicle flap graft CPT 15740 | not published | not published | $703.71 – $1,246.50 | 4 |
| Ivc venogram s&i CPT 75825 | not published | not published | $96.64 – $4,434.05 | 16 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $155.85 | $519.50 | $17.41 – $94.05 | 22 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $36.90 | $123.00 | $16.16 – $87.00 | 3 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $36.93 | $123.10 | $17.31 – $87.00 | 22 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $148.43 | $494.75 | $53.47 – $278.42 | 22 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $32.29 – $938.21 | 34 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $60.04 – $294.89 | 34 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $328.65 | $1,095.50 | $47.67 – $291.55 | 34 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $150.47 – $543.74 | 34 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,075.79 – $1,543.50 | 4 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $1,075.79 – $1,543.50 | 4 |
| Jejunstmy tube plcmt CPT 44372 | $1,261.31 | $4,204.35 | $624.70 – $1,246.50 | 4 |
| John cunningham antibody CPT 86711 | not published | not published | $9.80 – $55.30 | 36 |
| J-tube placement CPT 44015 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Keratoprosthesis CPT 65770 | not published | not published | $2,118.00 – $4,224.93 | 4 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $0.02 – $0.02 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $9.94 – $55.30 | 36 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $44.42 | $148.05 | $5.73 – $31.60 | 36 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $7.02 | $23.40 | $0.84 – $1.81 | 7 |
| Kidney endoscopy CPT 50551 | not published | not published | $274.47 – $1,004.50 | 4 |
| Kidney endoscopy CPT 50553 | not published | not published | $954.50 – $1,042.43 | 4 |
| Kidney endoscopy CPT 50570 | not published | not published | $274.47 – $1,004.50 | 4 |
| Kidney endoscopy CPT 50575 | not published | not published | $1,556.88 – $2,225.50 | 4 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $274.47 – $1,004.50 | 4 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $274.47 – $1,004.50 | 4 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $954.50 – $1,042.43 | 4 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $954.50 – $1,042.43 | 4 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $613.48 – $2,225.50 | 4 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $613.48 – $2,225.50 | 4 |
| Kidney function study CPT 78725 | not published | not published | $50.48 – $589.01 | 34 |
| Kidney imaging morphology CPT 78700 | not published | not published | $86.07 – $589.01 | 34 |
| Kidney imag w/bld flow multi CPT 78709 | $607.47 | $2,024.90 | $125.12 – $823.33 | 34 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $567.90 | $1,893.00 | $126.70 – $755.17 | 34 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $239.15 | $797.15 | $47.68 – $203.95 | 34 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $61.82 – $391.67 | 36 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $1,075.79 – $1,985.50 | 4 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $1,075.79 – $1,543.50 | 4 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $1,075.79 – $1,543.50 | 4 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $1,075.79 – $1,985.50 | 4 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,075.79 – $1,985.50 | 4 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,889.50 – $2,172.78 | 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.