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 |
|---|---|---|---|---|
| Perq transcath cls aortic CPT 93591 | not published | not published | $817.53 – $16,047.00 | 11 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $985.14 – $16,047.00 | 11 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $614.85 – $16,047.00 | 5 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | not published | 0 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $1,021.33 – $1,246.50 | 4 |
| Perq tx malar fracture CPT 21355 | not published | not published | $1,468.50 – $1,865.02 | 4 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $633.43 – $1,246.50 | 4 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Pertussis ag if CPT 87265 | not published | not published | $8.42 – $46.28 | 36 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $513.30 – $4,303.60 | 16 |
| Pet CT whole body initial CPT 78816 | not published | not published | $513.30 – $4,303.60 | 16 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $513.30 – $3,581.20 | 16 |
| Pet image full body CPT 78813 | not published | not published | $513.30 – $3,581.20 | 16 |
| Pet image ltd area CPT 78811 | not published | not published | $513.30 – $3,581.20 | 16 |
| Pet image skull-thigh CPT 78812 | not published | not published | $513.30 – $3,581.20 | 16 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $513.30 – $3,581.20 | 16 |
| Pet scan brain perf study CPT 78609 | not published | not published | $37.23 – $3,581.20 | 12 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $871.76 – $1,543.50 | 4 |
| Ph body fluid CPT 83986 | $56.21 | $187.35 | $2.51 – $13.54 | 36 |
| Phencyclidine (pcp) CPT 83992 | $96.39 | $321.30 | $0.02 – $135.44 | 15 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $56.63 | $188.75 | $3.70 – $71.41 | 9 |
| Phenobarbital therapeutic drug level CPT 80184 | $82.74 | $275.80 | $8.03 – $48.55 | 36 |
| Phentolaine mesylate inj HCPCS J2760 | $958.16 | $3,193.85 | $26.78 – $870.14 | 14 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $0.02 | $0.05 | $0.01 – $0.02 | 5 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $1.49 | $4.95 | $0.61 – $1.29 | 9 |
| Phenytoin total therapeutic drug level CPT 80185 | $64.71 | $215.70 | $9.30 – $50.81 | 36 |
| Phlebotomy therapeutic CPT 99195 | not published | not published | $13.42 – $202.68 | 27 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $1,085.86 – $1,543.50 | 4 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $1,085.86 – $1,543.50 | 4 |
| Phosphorus CPT 84100 | $42.81 | $142.70 | $3.33 – $18.06 | 36 |
| Phosphorus 24 hour urine CPT 84105 | $42.81 | $142.70 | $3.63 – $20.32 | 36 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $17.64 – $143.22 | 27 |
| Photochemotherapy puva CPT 96912 | not published | not published | $17.64 – $184.67 | 27 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $20.10 – $527.97 | 27 |
| Photo patch test CPT 95052 | not published | not published | $7.40 – $78.50 | 21 |
| Photopheresis CPT 36522 | not published | not published | $1,422.90 – $2,225.50 | 4 |
| Photosensitivity tests CPT 95056 | not published | not published | $5.28 – $170.34 | 21 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $5.52 – $120.51 | 29 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $18.23 – $226.45 | 29 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $5.52 – $121.35 | 35 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $10.53 | $35.10 | $3.02 – $6.21 | 9 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $16.09 – $2,225.50 | 4 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $223.29 – $587.70 | 35 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $94.71 – $1,246.50 | 24 |
| Pin finger dislocation CPT 26776 | not published | not published | $1,021.33 – $1,246.50 | 4 |
| Pin finger fracture each CPT 26756 | not published | not published | $1,021.33 – $1,246.50 | 4 |
| Pin hand dislocation CPT 26676 | not published | not published | $1,021.33 – $1,246.50 | 4 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $656.09 – $1,246.50 | 4 |
| Pinworm exam CPT 87172 | $78.92 | $263.05 | $3.00 – $16.95 | 36 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $7.49 | $24.95 | $1.44 – $2.57 | 7 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $3,006.00 – $3,732.16 | 4 |
| Place cath intracranial art CPT 36228 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Place cath xtrnl carotid CPT 36227 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $727.58 – $2,298.50 | 4 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $532.43 – $1,004.50 | 4 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Place gastrostomy tube perc CPT 49440 | not published | not published | $532.43 – $1,004.50 | 4 |
| Placement bile duct support CPT 47801 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | not published | not published | $65.88 – $1,004.50 | 4 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,500.41 | $5,001.35 | $65.88 – $1,004.50 | 22 |
| Placement nephrostomy catheter (both sides) CPT 50432 | not published | not published | $753.21 – $2,981.50 | 4 |
| Placement of seton CPT 46020 | not published | not published | $970.72 – $1,543.50 | 4 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | not published | not published | $2,118.00 – $4,813.93 | 4 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $1,301.07 – $3,160.00 | 4 |
| Place needles h&n for right CPT 41019 | not published | not published | $973.10 – $2,981.50 | 4 |
| Place needles pelvic for right CPT 55920 | not published | not published | $1,142.96 – $3,160.00 | 4 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $1,280.21 – $2,225.50 | 4 |
| Placental lactogen CPT 83632 | not published | not published | $14.18 – $77.88 | 36 |
| Place po breast cath for rad CPT 19296 | not published | not published | $3,006.00 – $3,732.16 | 4 |
| Place right device/marker pros CPT 55876 | not published | not published | $519.27 – $1,004.50 | 4 |
| Place slctv cath carotd art uni CPT 36224 | not published | not published | $2,118.00 – $2,662.31 | 4 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $1,280.21 – $2,225.50 | 4 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | not published | not published | $1,280.21 – $2,225.50 | 4 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $1,280.21 – $2,225.50 | 4 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $2,118.00 – $2,662.31 | 4 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $128.55 | $428.50 | $37.15 – $197.80 | 7 |
| Plasma volume multiple CPT 78111 | not published | not published | $72.84 – $2,035.50 | 16 |
| Plasma volume single CPT 78110 | not published | not published | $26.72 – $2,035.50 | 16 |
| Platelet aggregation each agent teg CPT 85576 | $90.14 | $300.45 | $15.07 – $83.52 | 36 |
| Platelet automated CPT 85049 | $42.42 | $141.40 | $3.14 – $16.95 | 36 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $314.10 – $1,004.50 | 22 |
| Platelets each unit HCPCS P9019 | $120.51 | $401.70 | $32.70 – $270.60 | 9 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $562.40 | $1,874.65 | $65.47 – $272.02 | 9 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $593.01 | $1,976.70 | $69.93 – $369.91 | 9 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $787.37 | $2,624.55 | $269.14 – $1,149.26 | 9 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $919.44 | $3,064.80 | $345.53 – $1,540.24 | 9 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $745.43 | $2,484.75 | $544.24 – $1,436.72 | 8 |
| Platelet survival CPT 78191 | not published | not published | $79.26 – $589.01 | 34 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | not published | not published | $1,088.56 – $3,160.00 | 4 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $1,121.75 – $3,160.00 | 4 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $1,121.75 – $3,160.00 | 4 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | not published | not published | $240.32 – $1,246.50 | 22 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | 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.