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 |
|---|---|---|---|---|
| Lap inc hern recur comp 49657 CPT 49657 | not published | not published | $2,118.00 – $2,739.57 | 4 |
| Lap inc hern repair comp 49655 CPT 49655 | not published | not published | $2,118.00 – $2,739.57 | 4 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $1,889.50 – $1,985.50 | 4 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $1,889.70 – $2,981.50 | 4 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $1,508.47 – $3,160.00 | 4 |
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $1,889.70 – $2,298.50 | 4 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap myotomy heller CPT 43279 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $2,118.00 – $2,739.57 | 4 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap place gastr adj device CPT 43770 | not published | not published | $2,739.57 – $10,906.00 | 3 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap radical hyst CPT 58548 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $5,004.00 – $10,906.00 | 2 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $1,508.47 – $3,160.00 | 4 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $1,508.47 – $3,160.00 | 4 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $5,004.00 – $10,906.00 | 2 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $5,004.00 – $10,906.00 | 2 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lap vent/abd hernia repair 49652 CPT 49652 | not published | not published | $2,118.00 – $2,739.57 | 4 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | not published | not published | $2,118.00 – $2,739.57 | 4 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $629.78 – $1,246.50 | 4 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $193.20 – $1,246.50 | 22 |
| Largsc w/ther injection CPT 31573 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Laryngeal function studies CPT 92520 | not published | not published | $42.85 – $170.34 | 27 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $629.78 – $1,246.50 | 4 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $34.04 – $321.49 | 28 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $1,535.38 – $2,298.50 | 4 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $1,005.13 – $1,246.50 | 4 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $1,005.13 – $1,246.50 | 4 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $1,005.13 – $1,246.50 | 4 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | $629.78 – $1,004.50 | 4 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $954.50 – $1,005.13 | 4 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $193.20 – $1,004.50 | 22 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $1,005.13 – $1,246.50 | 4 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $1,005.13 – $1,543.50 | 4 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $1,005.13 – $1,543.50 | 4 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $629.78 – $1,543.50 | 4 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $629.78 – $1,246.50 | 4 |
| Laryngoscopy with biopsy CPT 31576 | $1,404.29 | $4,680.95 | $629.78 – $1,246.50 | 4 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $41.94 – $1,246.50 | 6 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $329.88 – $1,004.50 | 22 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $1,005.13 – $2,298.50 | 4 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $1,005.13 – $1,985.50 | 4 |
| Laser surgery eye strands CPT 67031 | not published | not published | $221.82 – $1,246.50 | 22 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $923.10 – $1,246.50 | 4 |
| Laser surgery of prostate CPT 52647 | not published | not published | $1,556.88 – $3,160.00 | 4 |
| Laser surgery of prostate CPT 52648 | not published | not published | $1,556.88 – $3,160.00 | 4 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $643.86 – $1,004.50 | 4 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,561.28 – $2,981.50 | 4 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,561.28 – $2,981.50 | 4 |
| Lateral canthopexy CPT 21282 | not published | not published | $633.43 – $2,298.50 | 4 |
| Lat retinacular release open CPT 27425 | not published | not published | $1,301.07 – $2,981.50 | 4 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $45.00 – $2,225.50 | 22 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $1,889.70 – $2,298.50 | 4 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $670.71 – $1,543.50 | 4 |
| Lead capillary CPT 83655 | $66.32 | $221.05 | $8.49 – $47.40 | 36 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $1,610.43 – $2,225.50 | 4 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $634.37 | $2,114.55 | $76.07 – $433.25 | 31 |
| Leishmania antibody CPT 86717 | not published | not published | $8.59 – $50.71 | 36 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $614.17 – $1,004.50 | 4 |
| Lengthening of palate CPT 42227 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $1,105.06 – $1,543.50 | 4 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $1,881.50 – $1,985.50 | 4 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $1,881.50 – $1,985.50 | 4 |
| Leukacyte transfusion CPT 86950 | not published | not published | $7.40 – $251.71 | 35 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $5.60 – $32.75 | 36 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $0.18 | $0.60 | $0.07 – $0.13 | 7 |
| Levetiracetam therapeutic drug level CPT 80177 | $148.74 | $495.80 | $8.96 – $50.81 | 36 |
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.