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 |
|---|---|---|---|---|
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $1,075.79 – $1,543.50 | 4 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $1,075.79 – $1,543.50 | 4 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $1,075.79 – $1,985.50 | 4 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $1,075.79 – $1,985.50 | 4 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,075.79 – $1,543.50 | 4 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $1,075.79 – $1,985.50 | 4 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $1,075.79 – $1,543.50 | 4 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $1,075.79 – $1,543.50 | 4 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $1,075.79 – $1,543.50 | 4 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $1,075.79 – $1,543.50 | 4 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $1,075.79 – $1,543.50 | 4 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,468.50 – $3,161.40 | 4 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,468.50 – $3,161.40 | 4 |
| Knee MRI (with and without contrast) CPT 73723 | $1,021.52 | $3,405.05 | $264.35 – $1,350.03 | 34 |
| Knee MRI (with contrast) CPT 73722 | $1,207.62 | $4,025.40 | $215.74 – $1,118.25 | 34 |
| Knee MRI (without contrast) CPT 73721 | $974.03 | $3,246.75 | $167.52 – $629.71 | 34 |
| Knee X-ray CPT 73564 | $153.44 | $511.45 | $17.71 – $179.33 | 34 |
| Kras gene addl variants CPT 81276 | not published | not published | $97.61 – $606.15 | 36 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $97.75 – $606.15 | 36 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $0.44 | $1.45 | $0.17 – $0.45 | 11 |
| Labioplasty 56800 CPT 56800 | not published | not published | $923.10 – $1,543.50 | 4 |
| Lactate dehydrogenase (ldh) CPT 83615 | $34.23 | $114.10 | $4.24 – $23.70 | 36 |
| Lactated ringers intravenous solution HCPCS J7120 | $46.35 | $154.50 | $2.99 – $22.49 | 9 |
| Lactic acid CPT 83605 | $68.00 | $226.65 | $7.49 – $41.76 | 36 |
| Lactoferrin fecal qualitative CPT 83630 | not published | not published | $13.01 – $75.62 | 36 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $13.76 – $75.62 | 36 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $2,056.59 – $6,089.00 | 2 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $2,056.59 – $6,089.00 | 2 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $2,056.59 – $3,160.00 | 4 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Laminotomy single cervical CPT 63040 | not published | not published | $2,056.59 – $3,160.00 | 4 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $2,056.59 – $3,160.00 | 4 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $2,118.00 – $4,034.96 | 4 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $1,508.47 – $2,298.50 | 4 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $2,118.00 – $4,034.96 | 4 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $2,739.57 – $3,160.00 | 4 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $1,889.70 – $3,160.00 | 4 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $1,889.70 – $3,160.00 | 4 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $1,508.47 – $1,985.50 | 4 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $1,889.70 – $3,160.00 | 4 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $1,889.70 – $3,160.00 | 4 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $1,889.70 – $3,160.00 | 4 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $1,889.70 – $3,160.00 | 4 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $1,889.70 – $2,225.50 | 4 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laparoscope proc rectum CPT 45499 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $1,508.47 – $3,160.00 | 4 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laparoscopic proc CPT 45400 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $1,889.70 – $2,298.50 | 4 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $1,508.47 – $1,985.50 | 4 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $1,508.47 – $1,985.50 | 4 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $1,889.70 – $2,298.50 | 4 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $2,187.00 – $2,739.57 | 4 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $1,889.70 – $3,160.00 | 4 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $2,739.57 – $3,160.00 | 4 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $1,889.70 – $3,160.00 | 4 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $1,889.70 – $3,160.00 | 4 |
| Laparoscopy lysis CPT 58660 | not published | not published | $1,889.70 – $2,298.50 | 4 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $1,889.70 – $3,160.00 | 4 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $2,187.00 – $2,739.57 | 4 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $1,889.70 – $2,298.50 | 4 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $1,889.70 – $2,298.50 | 4 |
| Laparoscopy splenectomy CPT 38120 | not published | not published | $1,889.70 – $2,298.50 | 4 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $1,889.70 – $2,225.50 | 4 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $1,468.50 – $1,889.70 | 4 |
| Laparoscopy ureterolithotomy CPT 50945 | not published | not published | $1,889.70 – $2,298.50 | 4 |
| Laparoscopy vagus nerve CPT 43651 | not published | not published | $2,187.00 – $2,739.57 | 4 |
| Laparoscopy vagus nerve CPT 43652 | not published | not published | $2,187.00 – $2,739.57 | 4 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $1,889.70 – $2,298.50 | 4 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laparo total proctocolectomy CPT 44212 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laparo urethral suspension CPT 51990 | not published | not published | $1,889.70 – $2,298.50 | 4 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $1,889.70 – $2,298.50 | 4 |
| Laparo-vag hyst w/t/o compl CPT 58554 | not published | not published | $1,889.70 – $2,298.50 | 4 |
| Laparscpy ablat 1>lvr tum cryo CPT 47371 | not published | not published | $2,118.00 – $4,034.96 | 4 |
| Lap close enterostomy with resect 44227 CPT 44227 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap colectomy part w/ileum 44205 CPT 44205 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap colectomy w/proctectomy 44211 CPT 44211 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap colostomy 44188 CPT 44188 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap enterectomy 44202 CPT 44202 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap enterolysis CPT 44180 | not published | not published | $1,889.70 – $2,298.50 | 4 |
| Lap esophageal lengthening addl 43283 CPT 43283 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap fimbrioplasty 58672 CPT 58672 | not published | not published | $1,889.70 – $2,298.50 | 4 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap impl electrode antrum CPT 43647 | not published | not published | $2,645.33 – $3,160.00 | 4 |
| Lap inc hernia repair 49654 CPT 49654 | not published | not published | $2,118.00 – $2,739.57 | 4 |
| Lap inc hernia repair recurr 49656 CPT 49656 | not published | not published | $2,118.00 – $2,739.57 | 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.