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 |
|---|---|---|---|---|
| Resect diaphragm simple 39560 CPT 39560 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Resect distal finger tumor CPT 26262 | not published | not published | $614.17 – $1,246.50 | 4 |
| Resect enlarged toe CPT 28341 | not published | not published | $871.76 – $1,985.50 | 4 |
| Resect enlarged toe tissue CPT 28340 | not published | not published | $871.76 – $1,985.50 | 4 |
| Resect extraplural rib(s) 32900 CPT 32900 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $670.71 – $1,543.50 | 4 |
| Resect face/scalp tum 2 cm/> CPT 21016 | not published | not published | $912.16 – $3,160.00 | 4 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | not published | not published | $912.16 – $3,160.00 | 4 |
| Resect forarm/wrist tum 3cm> CPT 25078 | not published | not published | $912.16 – $3,160.00 | 4 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $670.71 – $1,543.50 | 4 |
| Resect heart sac lesion 33050 CPT 33050 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $670.71 – $1,543.50 | 4 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | not published | not published | $912.16 – $3,160.00 | 4 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Resect inferior turbinate CPT 30140 | not published | not published | $973.10 – $1,246.50 | 4 |
| Resection of elbow joint CPT 24155 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $973.10 – $1,985.50 | 4 |
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $670.71 – $1,543.50 | 4 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $912.16 – $3,160.00 | 4 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Resect mediastinal tumor 39220 CPT 39220 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $871.76 – $1,543.50 | 4 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $912.16 – $3,160.00 | 4 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $871.76 – $1,543.50 | 4 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $871.76 – $1,543.50 | 4 |
| Resect prox finger tumor CPT 26260 | not published | not published | $614.17 – $1,543.50 | 4 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Resect tarsal tumor CPT 28171 | not published | not published | $871.76 – $1,543.50 | 4 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $670.71 – $1,985.50 | 4 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $912.16 – $3,160.00 | 4 |
| Respirator motion mgmt simul CPT 77293 | not published | not published | $239.55 – $984.41 | 14 |
| #resp virpnl dfa-adenovirus CPT 87260 | not published | not published | $8.42 – $46.28 | 36 |
| #resp virpnl dfa-parainfluenza CPT 87279 | not published | not published | $8.42 – $51.92 | 36 |
| Resp virus 6-11 targets CPT 87632 | not published | not published | $145.22 – $826.26 | 36 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Resuscitation cardiopulmonary CPT 92950 | $656.27 | $2,187.55 | $119.02 – $654.44 | 27 |
| Resuscitation delivery/birthing room CPT 99465 | not published | not published | $78.04 – $864.74 | 21 |
| Reticulated platelet assay CPT 85055 | not published | not published | $18.77 – $111.74 | 36 |
| Reticulocyte automated CPT 85045 | $81.84 | $272.80 | $2.81 – $15.80 | 36 |
| Reticulocyte direct measurement automated CPT 85046 | $54.54 | $181.80 | $3.91 – $21.44 | 36 |
| Retrieval of oocyte CPT 58970 | not published | not published | $243.63 – $1,150.65 | 22 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $13.73 – $75.62 | 36 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $1,142.96 – $1,246.50 | 4 |
| Revise additional leg tendon CPT 27692 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $876.31 – $1,246.50 | 4 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $692.04 – $1,246.50 | 4 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $2,075.23 – $2,298.50 | 4 |
| Revise circulation to head CPT 61708 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Revise eye CPT 65091 | not published | not published | $767.34 – $1,543.50 | 4 |
| Revise eyelashes CPT 67825 | not published | not published | $149.18 – $1,004.50 | 22 |
| Revise eyelashes CPT 67835 | not published | not published | $767.34 – $1,246.50 | 4 |
| Revise eyelid defect CPT 67909 | not published | not published | $767.34 – $1,985.50 | 4 |
| Revise eyelid defect CPT 67911 | not published | not published | $767.34 – $1,543.50 | 4 |
| Revise eyelid lining CPT 68330 | not published | not published | $876.31 – $1,985.50 | 4 |
| Revise eyelid lining CPT 68360 | not published | not published | $1,185.00 – $1,334.00 | 4 |
| Revise eyelid lining CPT 68362 | not published | not published | $767.34 – $1,246.50 | 4 |
| Revise eye muscle CPT 67311 | not published | not published | $767.34 – $1,543.50 | 4 |
| Revise eye muscle CPT 67314 | not published | not published | $767.34 – $1,985.50 | 4 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $767.34 – $1,985.50 | 4 |
| Revise eye socket implant CPT 67560 | not published | not published | $767.34 – $1,246.50 | 4 |
| Revise eye sockets CPT 21260 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Revise eye sockets CPT 21261 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Revise eye sockets CPT 21263 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Revise eye sockets CPT 21267 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Revise eye with implant CPT 65093 | not published | not published | $1,334.00 – $1,543.50 | 4 |
| Revise finger joint each CPT 26135 | not published | not published | $1,105.06 – $1,985.50 | 4 |
| Revise finger joint each CPT 26140 | not published | not published | $614.17 – $1,246.50 | 4 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $954.50 – $1,150.77 | 4 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $767.34 – $1,985.50 | 4 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $1,334.00 – $1,985.50 | 4 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $1,334.00 – $1,985.50 | 4 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $767.34 – $1,985.50 | 4 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $1,334.00 – $1,985.50 | 4 |
| Revise graft w/vein CPT 35879 | not published | not published | $1,610.43 – $2,225.50 | 4 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $1,610.43 – $2,225.50 | 4 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $1,105.06 – $1,985.50 | 4 |
| Revise head/neck of femur CPT 27179 | not published | not published | $2,118.00 – $3,161.40 | 4 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $1,337.72 – $2,298.50 | 4 |
| Revise hip joint replacement CPT 27134 | not published | not published | $2,118.00 – $23,491.00 | 5 |
| Revise hip joint replacement CPT 27138 | not published | not published | $2,118.00 – $28,151.00 | 11 |
| Revise/implant finger joint CPT 26536 | not published | not published | $1,682.15 – $2,298.50 | 4 |
| Revise kneecap CPT 27437 | not published | not published | $1,682.15 – $1,985.50 | 4 |
| Revise kneecap with implant CPT 27438 | not published | not published | $2,187.00 – $28,151.00 | 11 |
| Revise knuckle joint CPT 26530 | not published | not published | $1,468.50 – $1,682.15 | 4 |
| Revise knuckle with implant CPT 26531 | not published | not published | $1,682.15 – $2,981.50 | 4 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $692.04 – $1,246.50 | 4 |
| Revise lower leg tendon CPT 27690 | not published | not published | $1,881.50 – $1,985.50 | 4 |
| Revise lower leg tendon CPT 27691 | not published | not published | $1,881.50 – $1,985.50 | 4 |
| Revise lower leg tendons CPT 27686 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Revise middle ear bone CPT 69660 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Revise middle ear bone CPT 69661 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Revise middle ear bone CPT 69662 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $1,865.02 – $2,981.50 | 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.