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 |
|---|---|---|---|---|
| Revision of radius CPT 25350 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Revision of radius CPT 25355 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $692.04 – $1,246.50 | 4 |
| Revision of scrotum CPT 55175 | not published | not published | $954.50 – $1,708.17 | 4 |
| Revision of scrotum CPT 55180 | not published | not published | $906.09 – $1,246.50 | 4 |
| Revision of spinal shunt CPT 63744 | not published | not published | $1,468.50 – $1,543.50 | 4 |
| Revision of testis CPT 54660 | not published | not published | $906.09 – $1,246.50 | 4 |
| Revision of thigh muscles CPT 27430 | not published | not published | $1,881.50 – $1,985.50 | 4 |
| Revision of toe CPT 28312 | not published | not published | $871.76 – $1,543.50 | 4 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Revision of ulna CPT 25360 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $1,881.50 – $2,981.50 | 4 |
| Revision of urethra CPT 53450 | not published | not published | $954.50 – $1,254.79 | 4 |
| Revision of urethra CPT 53460 | not published | not published | $814.38 – $1,004.50 | 4 |
| Revision of urethra CPT 57220 | not published | not published | $1,468.50 – $1,989.59 | 4 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $1,610.43 – $1,985.50 | 4 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Revision tips CPT 37183 | not published | not published | $2,118.00 – $2,269.61 | 4 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,682.15 – $23,491.00 | 6 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $2,118.00 – $23,491.00 | 5 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,610.43 – $3,160.00 | 4 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,610.43 – $3,160.00 | 4 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,468.50 – $1,708.17 | 4 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $954.50 – $1,064.41 | 4 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $48.71 – $1,064.41 | 6 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $954.50 – $1,064.41 | 4 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $3.98 – $21.44 | 36 |
| Rheumatoid factor quantitative CPT 86431 | $44.87 | $149.55 | $3.98 – $21.44 | 36 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $973.10 – $1,985.50 | 4 |
| Rho d immune globulin inj HCPCS J2790 | $111.17 | $370.55 | $40.32 – $168.48 | 10 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $40.68 – $146.16 | 8 |
| Rib cartilage graft CPT 21230 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Right ventric recording CPT 93603 | not published | not published | $51.25 – $12,715.00 | 11 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $201.92 | $673.05 | $78.78 – $169.26 | 13 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $181.74 | $605.80 | $34.23 – $147.92 | 13 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $75.77 – $1,004.50 | 24 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $830.42 – $1,004.50 | 4 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $670.71 – $1,246.50 | 4 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $47.36 – $1,004.50 | 6 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $413.29 – $1,004.50 | 4 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $1,173.62 – $14,894.00 | 6 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $6,190.50 – $22,196.00 | 8 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $6,190.50 – $15,409.22 | 4 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $6,190.50 – $11,458.30 | 4 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $1,173.62 – $6,935.50 | 4 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $45.00 – $2,225.50 | 22 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $3,272.67 – $6,935.50 | 4 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $6,190.50 – $8,203.70 | 4 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $3,272.67 – $6,935.50 | 4 |
| Rmvl pq iabp CPT 33968 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $1,173.62 – $6,935.50 | 4 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $597.71 – $1,246.50 | 21 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $912.16 – $1,004.50 | 4 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $29.77 – $2,225.50 | 24 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $1,173.62 – $6,935.50 | 4 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $1,173.62 – $6,935.50 | 4 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $2,789.50 – $2,932.00 | 3 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $2,789.50 – $2,932.00 | 3 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $643.86 – $2,225.50 | 4 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $0.33 | $1.10 | $0.09 – $0.15 | 7 |
| Rotavirus antibody CPT 86759 | not published | not published | $9.25 – $57.56 | 36 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $1,682.15 – $2,225.50 | 4 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | not published | not published | $421.75 – $1,004.50 | 4 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $721.88 | $2,406.25 | $119.53 – $607.19 | 34 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | not published | not published | $315.83 – $2,035.50 | 14 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $619.14 – $2,308.94 | 14 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,496.51 | $4,988.35 | $421.75 – $1,004.50 | 4 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $1,118.14 – $1,543.50 | 4 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $1,118.14 – $1,543.50 | 4 |
| Rpl tun cvc wo subq port CPT 36581 | not published | not published | $1,118.14 – $1,246.50 | 4 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $1,889.50 – $1,985.50 | 3 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $1,250.59 – $2,225.50 | 4 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $1,118.14 – $2,225.50 | 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.