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 |
|---|---|---|---|---|
| Mecp2 gene full seq CPT 81302 | not published | not published | $99.93 – $1,654.77 | 36 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $99.93 – $375.87 | 36 |
| Medial canthopexy CPT 21280 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $1,576.46 – $2,225.50 | 4 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $1,576.46 – $2,225.50 | 4 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $202.99 – $1,667.10 | 31 |
| Meg evoked single CPT 95966 | not published | not published | $104.54 – $3,950.94 | 27 |
| Meg spontaneous CPT 95965 | not published | not published | $86.36 – $6,544.44 | 27 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $2,118.00 – $2,225.50 | 4 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $4.46 | $14.85 | $0.39 – $0.70 | 7 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Metabolic Blood Panel (Basic) CPT 80048 | $75.09 | $250.30 | $5.93 – $32.75 | 36 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $179.18 | $597.25 | $7.42 – $40.65 | 36 |
| Metabolic panel ionized ca CPT 80047 | $144.95 | $483.15 | $5.93 – $42.91 | 36 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $4.86 | $16.20 | $0.23 – $0.51 | 7 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $31.33 – $113.67 | 33 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $42.47 | $141.55 | $4.07 – $45.30 | 9 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $2.88 | $9.60 | $0.19 – $3.01 | 6 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.68 | $5.60 | $0.26 – $0.51 | 7 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $0.62 | $2.05 | $0.12 – $0.31 | 11 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $1.74 | $5.80 | $0.30 – $0.65 | 11 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $4.64 | $15.45 | $1.13 – $2.69 | 9 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $0.09 | $0.30 | $0.02 – $0.07 | 11 |
| Mgmt promoter methylation analysis CPT 81287 | $1,005.75 | $3,352.50 | $41.09 – $176.98 | 32 |
| Microalbumin urine screen CPT 82044 | not published | not published | $3.21 – $29.71 | 36 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $7.27 – $126.43 | 36 |
| Microdissection laser CPT 88380 | not published | not published | $54.62 – $257.55 | 11 |
| Microdissection manual CPT 88381 | not published | not published | $52.31 – $308.33 | 17 |
| Microfluid analy tears CPT 83861 | not published | not published | $4.71 – $69.98 | 36 |
| Microsatellite instability CPT 81301 | not published | not published | $190.92 – $1,120.87 | 36 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $89.11 – $276.00 | 27 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $3.06 | $10.20 | $0.17 – $2.87 | 9 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $31.15 – $179.33 | 34 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Mlh1 gene CPT 81288 | not published | not published | $94.10 – $602.77 | 36 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $94.39 – $634.37 | 36 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $319.89 – $2,117.55 | 36 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $40.62 – $1,037.32 | 36 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,881.50 – $1,985.50 | 4 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $21.48 – $166.77 | 34 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $575.34 – $1,004.50 | 4 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $575.34 – $1,985.50 | 4 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $45.00 – $2,225.50 | 4 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Modification of contact lens CPT 92325 | not published | not published | $11.63 – $170.34 | 24 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $6,190.50 – $14,894.00 | 4 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $6,190.50 – $14,894.00 | 5 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $10.85 – $52.82 | 28 |
| Mopath procedure level 1 CPT 81400 | $483.35 | $1,611.15 | $57.56 – $261.99 | 36 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $135.30 – $471.82 | 36 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $247.35 – $861.23 | 36 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $271.22 – $958.50 | 36 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $254.59 – $1,384.50 | 36 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $761.64 – $2,653.71 | 36 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $1,800.00 – $6,271.38 | 18 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $6.12 | $20.40 | $0.96 – $7.06 | 9 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $577.49 | $1,924.95 | $90.89 – $956.72 | 35 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $45.72 | $152.40 | $28.54 – $475.36 | 35 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $224.63 | $748.75 | $18.23 – $280.59 | 35 |
| Motion analysis video/3d CPT 96000 | not published | not published | $76.17 – $701.16 | 27 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $90.91 – $1,344.43 | 27 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $22.09 – $527.31 | 27 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $973.10 – $1,246.50 | 4 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $19.31 – $161.40 | 17 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $600.21 | $2,000.70 | $90.89 – $1,098.46 | 35 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $24.11 – $243.36 | 17 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $18.23 – $226.45 | 35 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $122.14 – $441.35 | 34 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $313.29 – $1,168.31 | 15 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $313.29 – $1,153.81 | 15 |
| MRA chest w IV cont HCPCS C8909 | $1,166.79 | $3,889.30 | $217.92 – $953.29 | 14 |
| MRA chest wwo IV cont HCPCS C8911 | $1,138.37 | $3,794.55 | $267.02 – $1,721.36 | 14 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $313.29 – $1,157.75 | 15 |
| MRA pelvis CPT 72198 | not published | not published | $313.29 – $1,160.39 | 15 |
| MRA pelvis w IV cont HCPCS C8918 | $607.89 | $2,026.30 | $217.92 – $953.29 | 16 |
| MRA spinal canal CPT 72159 | not published | not published | $345.22 – $1,186.74 | 15 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $313.29 – $1,199.89 | 15 |
| MRA w/cont, abd HCPCS C8900 | $810.53 | $2,701.75 | $217.92 – $953.29 | 14 |
| MRA w/cont, lwr ext HCPCS C8912 | $861.33 | $2,871.10 | $217.92 – $1,721.36 | 14 |
| MRA without cont, abd HCPCS C8901 | $704.76 | $2,349.20 | $169.21 – $876.23 | 14 |
| MRA without cont, lwr ext HCPCS C8913 | $749.00 | $2,496.65 | $169.21 – $876.23 | 14 |
| MRA without fol w/cont, abd HCPCS C8902 | $887.69 | $2,958.95 | $267.02 – $1,721.36 | 14 |
| Mr elastography CPT 76391 | not published | not published | $133.91 – $669.17 | 32 |
| MRI brain w/dye CPT 70558 | not published | not published | $151.23 – $5,122.91 | 34 |
| MRI brain without dye CPT 70557 | not published | not published | $167.52 – $4,653.98 | 34 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $151.23 – $4,830.55 | 34 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $130.74 – $653.32 | 32 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $215.31 – $1,075.98 | 14 |
| MRI breast without cont bi CPT 77047 | not published | not published | $129.95 – $649.41 | 32 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $214.26 – $1,070.72 | 14 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $167.52 – $794.87 | 34 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $264.35 – $1,139.32 | 34 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $264.35 – $1,375.04 | 34 |
| MRI chest without contrast CPT 71550 | $755.40 | $2,518.00 | $167.52 – $1,273.66 | 34 |
| MRI chest without & w/contrast CPT 71552 | $1,245.62 | $4,152.05 | $264.35 – $1,736.67 | 34 |
| MRI chest w IV cont CPT 71551 | not published | not published | $215.74 – $1,380.32 | 34 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $103.59 – $539.37 | 14 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $135.40 – $1,273.66 | 34 |
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.