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 |
|---|---|---|---|---|
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $17.59 – $2,225.50 | 24 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $25.71 – $2,225.50 | 24 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $33.83 – $2,225.50 | 24 |
| Shigella antibody CPT 86771 | not published | not published | $9.25 – $76.77 | 36 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $1,075.79 – $1,543.50 | 4 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $2,172.78 – $3,160.00 | 4 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $1,468.50 – $2,172.78 | 4 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $1,468.50 – $2,172.78 | 4 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $1,075.79 – $1,543.50 | 4 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $1,468.50 – $2,172.78 | 4 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $1,468.50 – $2,172.78 | 4 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $1,468.50 – $2,172.78 | 4 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $1,468.50 – $2,172.78 | 4 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $1,468.50 – $2,172.78 | 4 |
| Shortening of hand tendon CPT 26479 | not published | not published | $614.17 – $1,004.50 | 4 |
| Shorten radius or ulna CPT 25390 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Shorten radius & ulna CPT 25392 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $2,172.78 – $2,298.50 | 4 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,195.80 | $3,986.00 | $264.35 – $1,351.33 | 34 |
| Shoulder MRI (with contrast) CPT 73222 | $972.71 | $3,242.35 | $215.74 – $1,109.03 | 34 |
| Shoulder MRI (without contrast) CPT 73221 | $936.15 | $3,120.50 | $167.52 – $629.71 | 34 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $912.16 – $3,160.00 | 4 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Shoulder X-ray CPT 73030 | $150.29 | $500.95 | $16.30 – $127.70 | 34 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $142.49 | $474.95 | $22.35 – $198.33 | 34 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $8.57 – $47.40 | 36 |
| Sialography s&i CPT 70390 | not published | not published | $50.48 – $372.86 | 34 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $633.43 – $2,225.50 | 4 |
| Sickling rbc CPT 85660 | $156.71 | $522.35 | $3.87 – $21.44 | 36 |
| Sigmoidoscopy and biopsy CPT 45331 | $672.75 | $2,242.50 | $48.71 – $1,204.78 | 24 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $672.75 | $2,242.50 | $413.71 – $1,204.78 | 22 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,093.16 | $3,643.85 | $413.71 – $1,004.50 | 4 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $672.75 | $2,242.50 | $246.85 – $1,204.78 | 22 |
| Sigmoidoscopy w/ablation CPT 45346 | $1,093.16 | $3,643.85 | $413.71 – $1,985.50 | 4 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $672.75 | $2,242.50 | $60.89 – $1,004.50 | 6 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $2,859.02 | $9,530.05 | $413.71 – $1,985.50 | 4 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $413.71 – $1,985.50 | 4 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $1,093.16 | $3,643.85 | $413.71 – $1,004.50 | 4 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $1,093.16 | $3,643.85 | $413.71 – $1,204.78 | 22 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $1,093.16 | $3,643.85 | $413.71 – $1,004.50 | 4 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $1,093.16 | $3,643.85 | $246.85 – $1,204.78 | 22 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $9.41 – $78.50 | 27 |
| Sig w/tndsc balloon dilation CPT 45340 | $1,093.16 | $3,643.85 | $413.71 – $1,004.50 | 4 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $12.04 – $1,004.50 | 24 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $280.40 | $934.65 | $173.87 – $310.55 | 7 |
| Sinus CT scan (with and without contrast) CPT 70488 | $691.10 | $2,303.65 | $151.23 – $562.76 | 34 |
| Sinus CT scan (with contrast) CPT 70487 | $622.91 | $2,076.35 | $148.75 – $551.54 | 34 |
| Sinus CT scan (without contrast) CPT 70486 | $554.03 | $1,846.75 | $90.33 – $551.54 | 34 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $103.85 – $4,434.05 | 16 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $973.10 – $1,246.50 | 4 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $1,185.00 – $1,865.02 | 4 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,150.77 – $1,985.50 | 4 |
| Skin Biopsy CPT 11102 | not published | not published | $45.00 – $2,225.50 | 21 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,150.77 – $1,543.50 | 4 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $703.71 – $1,543.50 | 4 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $703.71 – $1,543.50 | 4 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $2.82 – $32.37 | 35 |
| Sleep study attended CPT 95807 | not published | not published | $156.45 – $850.75 | 27 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $156.45 – $1,344.43 | 27 |
| Sleep study unattended CPT 95806 | not published | not published | $85.04 – $227.70 | 27 |
| Slitting of prepuce CPT 54000 | not published | not published | $35.18 – $1,246.50 | 6 |
| Slitting of prepuce CPT 54001 | not published | not published | $814.38 – $1,246.50 | 4 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $16.00 – $72.15 | 6 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $43.40 – $205.05 | 6 |
| Slp pure tone screening CPT 92551 | not published | not published | $5.96 – $12.96 | 3 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $37.38 – $94.39 | 27 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $34.72 – $179.63 | 6 |
| Small bowel endoscopy CPT 44360 | $1,261.31 | $4,204.35 | $426.22 – $1,246.50 | 4 |
| Small bowel endoscopy CPT 44364 | $1,261.31 | $4,204.35 | $624.70 – $1,246.50 | 4 |
| Small bowel endoscopy CPT 44366 | $1,261.31 | $4,204.35 | $624.70 – $1,246.50 | 4 |
| Small bowel endoscopy CPT 44369 | $1,261.31 | $4,204.35 | $624.70 – $1,246.50 | 4 |
| Small bowel endoscopy CPT 44376 | $1,261.31 | $4,204.35 | $426.22 – $1,246.50 | 4 |
| Small bowel endoscopy CPT 44378 | not published | not published | $624.70 – $1,246.50 | 4 |
| Small bowel endoscopy CPT 44382 | $1,261.31 | $4,204.35 | $426.22 – $1,238.94 | 22 |
| Small bowel endoscopy CPT 44384 | not published | not published | $426.22 – $1,985.50 | 4 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $1,261.31 | $4,204.35 | $426.22 – $1,246.50 | 4 |
| Small bowel endoscopy 44365 CPT 44365 | $1,261.31 | $4,204.35 | $624.70 – $1,246.50 | 4 |
| Small bowel endoscopy/biopsy CPT 44361 | $1,261.31 | $4,204.35 | $426.22 – $1,246.50 | 4 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $624.70 – $1,246.50 | 4 |
| Small bowel endoscopy br/wa CPT 44380 | $1,261.31 | $4,204.35 | $426.22 – $1,238.94 | 22 |
| Small bowel endoscopy br/wa CPT 44381 | $1,201.25 | $4,004.15 | $426.22 – $1,985.50 | 4 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $1,587.54 – $3,160.00 | 4 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $465.70 | 23 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $46.43 | $154.75 | $3.77 – $20.32 | 36 |
| Smear gram stain CPT 87205 | $41.27 | $137.55 | $3.00 – $16.95 | 36 |
| Smear nasal eosinophil CPT 89190 | not published | not published | $3.34 – $18.06 | 36 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $58.32 | $194.40 | $4.21 – $23.70 | 36 |
| Smear wet mount CPT 87210 | $42.57 | $141.90 | $3.00 – $18.06 | 36 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $244.83 – $944.68 | 35 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $42.30 – $261.99 | 36 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $40.62 – $160.29 | 36 |
| Sodium 24 hour urine CPT 84300 | $40.10 | $133.65 | $3.42 – $19.17 | 36 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $46.35 | $154.50 | $3.28 – $13.76 | 9 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $46.35 | $154.50 | $1.65 – $14.33 | 9 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $46.35 | $154.50 | $0.82 – $13.04 | 9 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $13.67 | $45.55 | $2.61 – $4.66 | 7 |
| Sodium serum/plasma/whole blood CPT 84295 | $26.93 | $89.75 | $3.38 – $19.17 | 36 |
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.