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 |
|---|---|---|---|---|
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $50.00 – $2,838.60 | 7 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $50.00 – $2,523.20 | 7 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $50.00 – $6,938.76 | 7 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $50.00 – $2,207.80 | 7 |
| Somatosensory testing CPT 95927 | not published | not published | $65.37 – $411.50 | 27 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $50.00 – $6,307.95 | 7 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $50.00 – $1,892.40 | 25 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Special physics consult CPT 77370 | not published | not published | $53.24 – $336.54 | 33 |
| Special radiation dosimetry CPT 77331 | not published | not published | $14.49 – $175.45 | 33 |
| Special radiation treatment CPT 77470 | not published | not published | $49.19 – $764.43 | 33 |
| Special teletx port plan CPT 77321 | not published | not published | $45.02 – $483.74 | 33 |
| Specific gravity body fluid CPT 84315 | $29.67 | $98.90 | $1.76 – $10.16 | 36 |
| Specimen fat stain CPT 89125 | not published | not published | $3.03 – $18.06 | 36 |
| Speech audiometry complete CPT 92556 | not published | not published | $17.18 – $78.50 | 27 |
| Speech evaluation complex CPT 70371 | not published | not published | $43.63 – $372.86 | 34 |
| Speech recep thresh CPT 92555 | not published | not published | $11.44 – $78.50 | 27 |
| Sperm antibody test CPT 89325 | not published | not published | $7.48 – $41.76 | 36 |
| Sperm identification CPT 89257 | not published | not published | $18.23 – $382.08 | 32 |
| Sperm isolation complex CPT 89261 | not published | not published | $18.23 – $155.56 | 32 |
| Sperm isolation simple CPT 89260 | not published | not published | $18.23 – $155.56 | 32 |
| Sperm washing 58323 CPT 58323 | not published | not published | $19.58 – $1,004.50 | 24 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $1,865.02 – $1,985.50 | 4 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,300.53 – $1,543.50 | 4 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $869.79 | $2,899.30 | $588.30 – $1,004.50 | 21 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $25.88 – $411.50 | 27 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $536.34 | $1,787.80 | $28.35 – $411.50 | 27 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $25.88 – $227.38 | 27 |
| Spleen imaging CPT 78185 | not published | not published | $66.79 – $589.01 | 34 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $1,150.77 – $1,246.50 | 4 |
| Split blood or products CPT 86985 | not published | not published | $6.31 – $226.45 | 35 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $281.77 – $438.31 | 18 |
| Sputum specimen collection CPT 89220 | $34.44 | $114.80 | $8.45 – $226.45 | 35 |
| Srs linear based CPT 77372 | not published | not published | $624.48 – $2,906.24 | 12 |
| Srs multisource CPT 77371 | not published | not published | $1,440.41 – $3,688.73 | 15 |
| Staggered spondaic word test CPT 92572 | not published | not published | $2.56 – $206.75 | 27 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| St analysis behavior qualitative voice/resonance CPT 92524 | not published | not published | $79.52 – $209.92 | 28 |
| Staph a dna amp probe CPT 87640 | $94.53 | $315.10 | $24.61 – $135.44 | 36 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $49.53 – $133.24 | 22 |
| Stem cells total count CPT 86367 | not published | not published | $26.45 – $243.81 | 36 |
| Stenger test pure tone CPT 92565 | not published | not published | $12.04 – $78.50 | 27 |
| Stenger test speech CPT 92577 | not published | not published | $22.27 – $701.16 | 27 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $2,118.00 – $7,423.23 | 4 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $2,118.00 – $4,813.93 | 4 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $2,118.00 – $7,423.23 | 4 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Sternal debridement CPT 21627 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| St evaluate speech sound production CPT 92522 | not published | not published | $77.02 – $203.32 | 28 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $148.26 | $494.20 | $159.52 – $421.11 | 28 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $161.94 | $539.80 | $35.36 – $198.95 | 28 |
| St evaluation swallow function CPT 92610 | $154.29 | $514.30 | $32.48 – $186.35 | 28 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $692.04 – $1,543.50 | 4 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $28.54 – $449.55 | 32 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $28.54 – $749.70 | 32 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $28.54 – $449.55 | 32 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $28.54 – $449.55 | 32 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $13.53 – $2,225.50 | 30 |
| Strapping of chest CPT 29200 | not published | not published | $45.00 – $2,225.50 | 28 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $13.53 – $2,225.50 | 30 |
| Strapping of hand or finger CPT 29280 | not published | not published | $13.53 – $2,225.50 | 30 |
| Strapping of hip CPT 29520 | not published | not published | $26.19 – $2,225.50 | 28 |
| Strapping of knee CPT 29530 | not published | not published | $16.24 – $2,225.50 | 30 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $13.53 – $2,225.50 | 30 |
| Strep a ag ia CPT 87430 | not published | not published | $8.42 – $53.04 | 36 |
| Strep a dna dir probe CPT 87650 | not published | not published | $14.06 – $77.88 | 36 |
| Strep b assay w/optic CPT 87802 | not published | not published | $8.42 – $46.28 | 36 |
| Strep b dna amp probe CPT 87653 | not published | not published | $24.61 – $135.44 | 36 |
| Streptokinase antibody CPT 86590 | not published | not published | $7.74 – $42.91 | 36 |
| Stress test pulmonary CPT 94618 | $118.40 | $394.65 | $8.92 – $170.34 | 26 |
| Stress tte complete CPT 93351 | not published | not published | $217.73 – $724.56 | 27 |
| Str markers spec anal addl CPT 81266 | not published | not published | $99.93 – $956.06 | 36 |
| Str markers specimen anal CPT 81265 | not published | not published | $99.93 – $831.89 | 36 |
| St treatment speech individual CPT 92507 | $76.77 | $255.90 | $28.05 – $175.24 | 28 |
| St treatment swallow dysfunction/oral CPT 92526 | $112.47 | $374.90 | $32.09 – $190.37 | 28 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $336.03 – $1,004.50 | 22 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $318.92 – $424.48 | 2 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $45.00 – $2,225.50 | 22 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $45.00 – $2,225.50 | 22 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $101.45 – $135.03 | 2 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $97.55 – $129.84 | 2 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $1,075.79 – $3,160.00 | 4 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $1,075.79 – $3,160.00 | 4 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $1,075.79 – $3,160.00 | 4 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $2,172.78 – $3,160.00 | 4 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $5.33 | $17.75 | $1.09 – $3.63 | 7 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $1,150.77 – $1,543.50 | 4 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $1,150.77 – $1,543.50 | 4 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $1,150.77 – $1,543.50 | 4 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,150.77 – $1,543.50 | 4 |
| Sugars multiple quant CPT 84379 | not published | not published | $8.08 – $45.14 | 36 |
| Sugars single quant CPT 84378 | not published | not published | $8.08 – $45.14 | 36 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $0.02 – $0.02 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $23.64 | $78.80 | $36.89 – $76.97 | 6 |
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.