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 |
|---|---|---|---|---|
| Removal of artery clot; neck incision 34001 CPT 34001 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Removal of bladder lesion CPT 51520 | not published | not published | $1,042.43 – $1,985.50 | 4 |
| Removal of bladder stone CPT 51050 | not published | not published | $1,042.43 – $1,985.50 | 4 |
| Removal of bone for graft CPT 20900 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Removal of bone for graft CPT 20902 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Removal of bone lesion CPT 23140 | not published | not published | $830.42 – $1,985.50 | 4 |
| Removal of bone lesion CPT 23145 | not published | not published | $1,301.07 – $2,298.50 | 4 |
| Removal of bone lesion CPT 23146 | not published | not published | $1,301.07 – $2,298.50 | 4 |
| Removal of brain lesion 61510 CPT 61510 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Removal of breast lesion CPT 19120 | not published | not published | $1,083.82 – $1,543.50 | 4 |
| Removal of brow wrinkles CPT 15826 | not published | not published | $1,150.77 – $1,543.50 | 4 |
| Removal of calcium deposits CPT 23000 | not published | not published | $670.71 – $1,246.50 | 4 |
| Removal of colon/ileostomy 44151 CPT 44151 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Removal of epididymis CPT 54860 | not published | not published | $906.09 – $1,543.50 | 4 |
| Removal of epididymis CPT 54861 | not published | not published | $906.09 – $1,985.50 | 4 |
| Removal of ethmoid sinus CPT 31200 | not published | not published | $1,185.00 – $1,865.02 | 4 |
| Removal of ethmoid sinus CPT 31201 | not published | not published | $973.10 – $2,298.50 | 4 |
| Removal of external ear CPT 69120 | not published | not published | $973.10 – $1,246.50 | 4 |
| Removal of eye CPT 65101 | not published | not published | $1,334.00 – $1,543.50 | 4 |
| Removal of eye CPT 65110 | not published | not published | $1,334.00 – $2,298.50 | 4 |
| Removal of eye lesion CPT 65400 | not published | not published | $350.83 – $1,279.88 | 22 |
| Removal of eye lesion CPT 65420 | not published | not published | $767.34 – $1,246.50 | 4 |
| Removal of eye lesion CPT 65426 | not published | not published | $767.34 – $2,298.50 | 4 |
| Removal of face wrinkles CPT 15828 | not published | not published | $1,150.77 – $1,543.50 | 4 |
| Removal of fallopian tube 58700 CPT 58700 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Removal of fascia for graft CPT 20920 | not published | not published | $1,150.77 – $1,985.50 | 4 |
| Removal of fascia for graft CPT 20922 | not published | not published | $1,150.77 – $1,543.50 | 4 |
| Removal of finger lesion CPT 26210 | not published | not published | $614.17 – $1,246.50 | 4 |
| Removal of finger tendon CPT 26180 | not published | not published | $614.17 – $1,543.50 | 4 |
| Removal of foot fascia CPT 28062 | not published | not published | $871.76 – $1,543.50 | 4 |
| Removal of foot joint lining CPT 28070 | not published | not published | $871.76 – $1,543.50 | 4 |
| Removal of foot joint lining CPT 28072 | not published | not published | $871.76 – $1,543.50 | 4 |
| Removal of foot lesion CPT 28080 | not published | not published | $871.76 – $1,543.50 | 4 |
| Removal of foot lesion CPT 28090 | not published | not published | $871.76 – $1,543.50 | 4 |
| Removal of foot lesion CPT 28104 | not published | not published | $871.76 – $1,246.50 | 4 |
| Removal of forearm lesion CPT 25120 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Removal of forehead wrinkles CPT 15824 | not published | not published | $703.71 – $1,543.50 | 4 |
| Removal of foreign body CPT 27372 | not published | not published | $912.16 – $2,981.50 | 4 |
| Removal of frontal sinus CPT 31080 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Removal of frontal sinus CPT 31081 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Removal of frontal sinus CPT 31084 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Removal of frontal sinus CPT 31086 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Removal of frontal sinus CPT 31087 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Removal of frontal sinus 31085 CPT 31085 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Removal of gallbladder 47600 CPT 47600 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Removal of gallbladder 47610 CPT 47610 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Removal of gallbladder 47620 CPT 47620 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Removal of gum tissue CPT 41830 | not published | not published | $973.10 – $2,225.50 | 4 |
| Removal of head of humerus CPT 23195 | not published | not published | $1,301.07 – $2,298.50 | 4 |
| Removal of heel bone CPT 28118 | not published | not published | $871.76 – $1,985.50 | 4 |
| Removal of heel spur CPT 28119 | not published | not published | $871.76 – $1,985.50 | 4 |
| Removal of hip foreign body 27087 CPT 27087 | not published | not published | $830.42 – $1,543.50 | 4 |
| Removal of humerus lesion CPT 23150 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Removal of humerus lesion CPT 23155 | not published | not published | $1,301.07 – $2,298.50 | 4 |
| Removal of humerus lesion CPT 23156 | not published | not published | $1,301.07 – $2,298.50 | 4 |
| Removal of hydrocele CPT 55040 | not published | not published | $1,337.72 – $1,543.50 | 4 |
| Removal of hydrocele CPT 55500 | not published | not published | $1,117.60 – $1,543.50 | 4 |
| Removal of hydroceles CPT 55041 | not published | not published | $1,337.72 – $2,298.50 | 4 |
| Removal of implant deep CPT 20680 | not published | not published | $912.16 – $1,543.50 | 4 |
| Removal of infusion pump CPT 36262 | not published | not published | $954.50 – $1,173.62 | 4 |
| Removal of inner eye fluid CPT 67036 | not published | not published | $1,561.28 – $1,985.50 | 4 |
| Removal of inner eye lesion CPT 66770 | not published | not published | $221.82 – $1,004.50 | 22 |
| Removal of intranasal lesion CPT 30117 | not published | not published | $633.43 – $1,543.50 | 4 |
| Removal of intranasal lesion CPT 30118 | not published | not published | $973.10 – $1,543.50 | 4 |
| Removal of iris CPT 66605 | not published | not published | $1,468.50 – $1,561.28 | 4 |
| Removal of iris CPT 66625 | not published | not published | $376.09 – $1,543.50 | 4 |
| Removal of iris CPT 66630 | not published | not published | $376.09 – $1,543.50 | 4 |
| Removal of iris CPT 66635 | not published | not published | $876.31 – $1,543.50 | 4 |
| Removal of ischial bursa CPT 27060 | not published | not published | $830.42 – $2,298.50 | 4 |
| Removal of jaw bone lesion CPT 21044 | not published | not published | $1,185.00 – $1,865.02 | 4 |
| Removal of jaw joint CPT 21050 | not published | not published | $1,468.50 – $1,865.02 | 4 |
| Removal of kneecap CPT 27350 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Removal of kneecap bursa CPT 27340 | not published | not published | $830.42 – $1,543.50 | 4 |
| Removal of knee cartilage CPT 27332 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Removal of knee cartilage CPT 27333 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Removal of knee cyst CPT 27345 | not published | not published | $830.42 – $1,985.50 | 4 |
| Removal of larynx lesion CPT 31300 | not published | not published | $411.31 – $2,298.50 | 6 |
| Removal of larynx lesion 31512 CPT 31512 | not published | not published | $1,005.13 – $1,246.50 | 4 |
| Removal of lens lesion CPT 66830 | not published | not published | $876.31 – $1,985.50 | 4 |
| Removal of lens material CPT 66840 | not published | not published | $876.31 – $1,985.50 | 4 |
| Removal of lens material CPT 66850 | not published | not published | $876.31 – $2,981.50 | 4 |
| Removal of lens material CPT 66852 | not published | not published | $1,561.28 – $1,985.50 | 4 |
| Removal of lung lesion 32540 CPT 32540 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Removal of lung lesion(s) 32150 CPT 32150 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Removal of lymph nodes neck CPT 38700 | not published | not published | $1,172.25 – $1,246.50 | 4 |
| Removal of lymph nodes neck CPT 38724 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Removal of metatarsal CPT 28140 | not published | not published | $871.76 – $1,543.50 | 4 |
| Removal of metatarsal heads CPT 28114 | not published | not published | $871.76 – $1,543.50 | 4 |
| Removal of neck wrinkles CPT 15825 | not published | not published | $703.71 – $1,543.50 | 4 |
| Removal of nerve lesion CPT 64790 | not published | not published | $692.04 – $1,543.50 | 4 |
| Removal of nerve lesion CPT 64792 | not published | not published | $1,468.50 – $1,543.50 | 4 |
| Removal of nose CPT 30160 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Removal of nose lesion CPT 30124 | not published | not published | $954.50 – $1,004.50 | 4 |
| Removal of nose lesion CPT 30125 | not published | not published | $1,185.00 – $1,865.02 | 4 |
| Removal of nose polyp(s) 30115 CPT 30115 | not published | not published | $973.10 – $1,246.50 | 4 |
| Removal of ocular implant CPT 65175 | not published | not published | $767.34 – $1,004.50 | 4 |
| Removal of omentum 49255 CPT 49255 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Removal of ovary(s) 58940 CPT 58940 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Removal of ovary/tube(s) CPT 58720 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Removal of palm tendon each CPT 26170 | not published | not published | $614.17 – $1,543.50 | 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.