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 |
|---|---|---|---|---|
| Repair nasal stenosis CPT 30465 | not published | not published | $1,865.02 – $3,160.00 | 4 |
| Repair nerve add-on CPT 64837 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Repair nerve add-on 64832 CPT 64832 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Repair nonunion carpal bone CPT 25431 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Repair nonunion hand CPT 26546 | not published | not published | $1,105.06 – $1,985.50 | 4 |
| Repair nose to lip fistula CPT 42260 | not published | not published | $973.10 – $1,985.50 | 4 |
| Repair of achilles tendon CPT 27654 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Repair of anal sphincter CPT 46760 | not published | not published | $1,185.00 – $1,300.53 | 4 |
| Repair of anal sphincter CPT 46761 | not published | not published | $1,300.53 – $1,543.50 | 4 |
| Repair of anal stricture CPT 46700 | not published | not published | $970.72 – $1,543.50 | 4 |
| Repair of aneurysm CPT 35141 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Repair of ankle ligament CPT 27695 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Repair of ankle ligament CPT 27698 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Repair of ankle ligaments CPT 27696 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Repair of arm nerves CPT 64861 | not published | not published | $1,468.50 – $1,543.50 | 4 |
| Repair of bladder opening CPT 51880 | not published | not published | $954.50 – $1,042.43 | 4 |
| Repair of body cast CPT 29720 | not published | not published | $45.00 – $2,225.50 | 28 |
| Repair of bowel lesion CPT 44605 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Repair of circumcision CPT 54163 | not published | not published | $906.09 – $1,246.50 | 4 |
| Repair of digit nerve hand/foot 1 nerve CPT 64831 | not published | not published | $1,473.77 – $1,985.50 | 4 |
| Repair of enterocele abdominal approach 57270 CPT 57270 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Repair of enterocele vaginal approach 57268 CPT 57268 | not published | not published | $923.10 – $1,543.50 | 4 |
| Repair of eye socket wound CPT 65290 | not published | not published | $767.34 – $1,543.50 | 4 |
| Repair of eye wound CPT 65270 | not published | not published | $767.34 – $1,246.50 | 4 |
| Repair of eye wound CPT 65272 | not published | not published | $767.34 – $1,246.50 | 4 |
| Repair of eye wound CPT 65275 | not published | not published | $1,334.00 – $1,985.50 | 4 |
| Repair of eye wound CPT 65280 | not published | not published | $876.31 – $1,985.50 | 4 |
| Repair of eye wound CPT 65285 | not published | not published | $876.31 – $1,985.50 | 4 |
| Repair of eye wound CPT 65286 | not published | not published | $376.09 – $1,004.50 | 4 |
| Repair of facial nerve CPT 64864 | not published | not published | $1,468.50 – $1,543.50 | 4 |
| Repair of facial nerve CPT 64865 | not published | not published | $1,473.77 – $1,985.50 | 4 |
| Repair of fibula epiphysis CPT 27732 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Repair of foot bones CPT 28320 | not published | not published | $1,889.50 – $2,609.58 | 4 |
| Repair of foot tendon CPT 28200 | not published | not published | $871.76 – $1,543.50 | 4 |
| Repair of hand or foot nerve CPT 64834 | not published | not published | $1,185.00 – $1,473.77 | 4 |
| Repair of hand or foot nerve CPT 64835 | not published | not published | $1,468.50 – $1,543.50 | 4 |
| Repair of heart defects incplt/prtl without av valve 33660 CPT 33660 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Repair of humerus CPT 24430 | not published | not published | $1,468.50 – $3,161.40 | 4 |
| Repair of hydrocele 55060 CPT 55060 | not published | not published | $906.09 – $1,985.50 | 4 |
| Repair of kneecap tendon CPT 27380 | not published | not published | $954.50 – $1,301.07 | 4 |
| Repair of knee cartilage CPT 27403 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Repair of knee ligament CPT 27405 | not published | not published | $1,881.50 – $1,985.50 | 4 |
| Repair of knee ligament CPT 27407 | not published | not published | $1,889.50 – $3,161.40 | 4 |
| Repair of knee ligaments CPT 27409 | not published | not published | $1,881.50 – $1,985.50 | 4 |
| Repair of leg epiphyses CPT 27740 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Repair of leg epiphyses CPT 27742 | not published | not published | $1,185.00 – $1,881.50 | 4 |
| Repair of leg nerve CPT 64840 | not published | not published | $1,185.00 – $1,473.77 | 4 |
| Repair of leg tendon each CPT 27658 | not published | not published | $830.42 – $1,004.50 | 4 |
| Repair of leg tendon each CPT 27659 | not published | not published | $830.42 – $1,246.50 | 4 |
| Repair of leg tendon each CPT 27665 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Repair of low back nerves CPT 64862 | not published | not published | $1,468.50 – $1,543.50 | 4 |
| Repair of mesentery 44850 CPT 44850 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Repair of metatarsals CPT 28322 | not published | not published | $871.76 – $1,985.50 | 4 |
| Repair of mitral valve w/bypass 33425 CPT 33425 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Repair of nasal septum CPT 30520 | not published | not published | $973.10 – $1,985.50 | 4 |
| Repair of penis CPT 54440 | not published | not published | $1,117.60 – $1,985.50 | 4 |
| Repair of rectocele 45560 CPT 45560 | not published | not published | $1,185.00 – $1,300.53 | 4 |
| Repair of rectum CPT 45500 | not published | not published | $970.72 – $1,246.50 | 4 |
| Repair of rectum CPT 45505 | not published | not published | $1,185.00 – $1,300.53 | 4 |
| Repair of ruptured spleen 38115 CPT 38115 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Repair of shoulder CPT 23420 | not published | not published | $1,881.50 – $2,981.50 | 4 |
| Repair of skull defect 62140 CPT 62140 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Repair of sperm duct CPT 55400 | not published | not published | $906.09 – $1,004.50 | 4 |
| Repair of thigh muscle CPT 27385 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Repair of tibia CPT 27720 | not published | not published | $2,114.20 – $3,160.00 | 4 |
| Repair of tibia epiphysis CPT 27730 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Repair of toe dislocation CPT 28675 | not published | not published | $1,021.33 – $1,543.50 | 4 |
| Repair of ulnar motor nerve 64836 CPT 64836 | not published | not published | $1,468.50 – $1,543.50 | 4 |
| Repair of urethra defect CPT 53275 | not published | not published | $814.38 – $1,246.50 | 4 |
| Repair of urethra defect CPT 53520 | not published | not published | $1,185.00 – $1,254.79 | 4 |
| Repair of urethra injury CPT 53505 | not published | not published | $1,185.00 – $1,254.79 | 4 |
| Repair of urethra injury CPT 53510 | not published | not published | $814.38 – $1,246.50 | 4 |
| Repair of urethra injury CPT 53515 | not published | not published | $1,185.00 – $1,254.79 | 4 |
| Repair of urethra injury 53502 CPT 53502 | not published | not published | $814.38 – $1,246.50 | 4 |
| Repair of urethral lesion CPT 57230 | not published | not published | $923.10 – $1,543.50 | 4 |
| Repair of web finger CPT 26560 | not published | not published | $614.17 – $1,246.50 | 4 |
| Repair of web finger CPT 26561 | not published | not published | $1,105.06 – $1,543.50 | 4 |
| Repair of web finger CPT 26562 | not published | not published | $1,105.06 – $1,985.50 | 4 |
| Repair of windpipe CPT 31750 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Repair of windpipe CPT 31755 | not published | not published | $1,185.00 – $1,865.02 | 4 |
| Repair of windpipe defect CPT 31825 | not published | not published | $973.10 – $1,246.50 | 4 |
| Repair oronasal fistula 30600 CPT 30600 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Repair palate CPT 42182 | not published | not published | $973.10 – $1,246.50 | 4 |
| Repair palate CPT 42235 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Repair palate pharynx/uvula CPT 42145 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Repair paravag defect lap CPT 57423 | not published | not published | $1,889.70 – $3,160.00 | 4 |
| Repair paravag defect vag 57285 CPT 57285 | not published | not published | $1,989.59 – $3,160.00 | 4 |
| Repair penis CPT 54380 | not published | not published | $1,117.60 – $1,543.50 | 4 |
| Repair penis CPT 54385 | not published | not published | $1,117.60 – $1,543.50 | 4 |
| Repair pm/icd lead dual CPT 33220 | not published | not published | $1,173.62 – $6,935.50 | 4 |
| Repair pm/icd lead sgl CPT 33218 | not published | not published | $1,173.62 – $6,935.50 | 4 |
| Repair prosth valve clot 33496 CPT 33496 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Repair pulm artery stenosis w/patch/graft 33917 CPT 33917 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Repair radius or ulna CPT 25400 | not published | not published | $1,468.50 – $3,161.40 | 4 |
| Repair radius & ulna CPT 25415 | not published | not published | $1,468.50 – $3,161.40 | 4 |
| Repair rectum; remove sigmoid 45550 CPT 45550 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Repair rectum & vagina CPT 57250 | not published | not published | $1,989.59 – $2,298.50 | 4 |
| Repair rectum-vagina fistula CPT 57300 | not published | not published | $923.10 – $1,543.50 | 4 |
| Repair rectum-vagina fistula abd appr 57305 CPT 57305 | 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.