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 |
|---|---|---|---|---|
| Azathioprine 50 mg tablet HCPCS J7500 | $0.66 | $2.20 | $1.83 – $2.11 | 4 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $19.70 | $65.65 | $2.66 – $4.75 | 7 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $6.39 | $21.30 | $2.01 – $4.64 | 11 |
| Baclofen eval charges CPT 97750 | $37.43 | $124.75 | $22.51 – $72.40 | 28 |
| Bacterial meningitis antigen CPT 86403 | $315.24 | $1,050.80 | $7.15 – $39.50 | 36 |
| Bacterial vaginosis pcr CPT 87801 | not published | not published | $39.41 – $272.03 | 36 |
| Bactericidal level serum CPT 87197 | not published | not published | $6.94 – $58.71 | 36 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $24.61 – $135.44 | 36 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $923.10 – $1,246.50 | 4 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $24.61 – $135.44 | 36 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $12.77 – $206.75 | 27 |
| B cells total count CPT 86355 | not published | not published | $26.45 – $145.60 | 36 |
| Bckdhb gene CPT 81205 | not published | not published | $85.49 – $436.65 | 36 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $63.87 | $212.90 | $2.77 – $36.55 | 14 |
| Benign lesion paring 2-4 CPT 11056 | not published | not published | $45.00 – $2,225.50 | 22 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $45.00 – $2,225.50 | 22 |
| #_benzodiazconfur CPT 80346 | not published | not published | $0.02 – $0.02 | 2 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $67.17 | $223.90 | $7.71 – $35.50 | 9 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $47.10 | $157.00 | $16.77 – $98.21 | 36 |
| Beta-2 microglobulin CPT 82232 | $76.91 | $256.35 | $11.35 – $62.08 | 36 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $42.50 | $141.65 | $64.92 – $159.68 | 23 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $42.50 | $141.65 | $26.50 – $65.35 | 23 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $10.23 – $65.46 | 36 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $336.03 – $1,176.48 | 22 |
| Bilateral n block inj occipital 64405 CPT 64405 | not published | not published | $35.18 – $1,004.50 | 24 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | not published | not published | $105.61 – $1,004.50 | 22 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $18.63 – $102.73 | 36 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $916.75 – $1,246.50 | 4 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $1,468.50 – $2,047.95 | 4 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $916.75 – $1,543.50 | 4 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $916.75 – $1,543.50 | 4 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $2,047.95 – $3,160.00 | 4 |
| Bilicheck CPT 88720 | not published | not published | $3.51 – $19.17 | 36 |
| Bilirubin direct CPT 82248 | $49.31 | $164.35 | $3.51 – $19.17 | 36 |
| Bilirubin total CPT 82247 | $59.54 | $198.45 | $3.51 – $19.17 | 36 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Biofeedback, pt CPT 90901 | not published | not published | $10.21 – $88.09 | 28 |
| Biopsy abdominal mass CPT 49180 | $1,480.32 | $4,934.40 | $526.32 – $1,004.50 | 4 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $670.71 – $1,246.50 | 4 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $912.16 – $1,543.50 | 4 |
| Biopsy bone trocar/needle superficial CPT 20220 | not published | not published | $413.29 – $1,004.50 | 4 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $243.63 – $1,150.65 | 22 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $350.83 – $1,543.50 | 4 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $1,172.25 – $1,246.50 | 4 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $181.65 – $1,004.50 | 22 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $149.18 – $1,004.50 | 22 |
| Biopsy eye muscle CPT 67346 | not published | not published | $767.34 – $1,004.50 | 4 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $614.17 – $1,004.50 | 4 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $614.17 – $1,004.50 | 4 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $912.16 – $1,246.50 | 4 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $614.17 – $1,246.50 | 4 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | not published | not published | $954.50 – $1,004.50 | 3 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $413.29 – $1,004.50 | 4 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,480.32 | $4,934.40 | $526.32 – $1,004.50 | 4 |
| Biopsy needle liver percutaneous CPT 47000 | $1,499.64 | $4,998.80 | $526.32 – $1,004.50 | 4 |
| Biopsy needle lymph node superficial CPT 38505 | $1,282.16 | $4,273.85 | $526.32 – $1,004.50 | 4 |
| Biopsy of cornea CPT 65410 | not published | not published | $350.83 – $1,246.50 | 4 |
| Biopsy of epididymis CPT 54800 | not published | not published | $243.67 – $1,004.50 | 4 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $871.76 – $1,246.50 | 4 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $871.76 – $1,246.50 | 4 |
| Biopsy of heart lining CPT 93505 | not published | not published | $379.11 – $8,875.00 | 5 |
| Biopsy of hip joint CPT 27052 | not published | not published | $830.42 – $1,543.50 | 4 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $532.43 – $1,238.94 | 22 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $45.00 – $2,225.50 | 22 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $189.28 – $1,004.50 | 22 |
| Biopsy of nerve CPT 64795 | not published | not published | $692.04 – $1,246.50 | 4 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $923.10 – $1,543.50 | 4 |
| Biopsy of penis CPT 54105 | not published | not published | $912.16 – $1,004.50 | 4 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $670.71 – $1,004.50 | 4 |
| Biopsy of prostate CPT 55700 | not published | not published | $731.15 – $1,246.50 | 4 |
| Biopsy of prostate CPT 55705 | not published | not published | $731.15 – $1,246.50 | 4 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $727.58 – $1,004.50 | 4 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $830.42 – $1,543.50 | 4 |
| Biopsy of salivary gland 42400 CPT 42400 | not published | not published | $243.67 – $1,004.50 | 22 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $973.10 – $1,246.50 | 4 |
| Biopsy of tear gland CPT 68510 | not published | not published | $767.34 – $1,004.50 | 4 |
| Biopsy of tear sac CPT 68525 | not published | not published | $767.34 – $1,004.50 | 4 |
| Biopsy of testis CPT 54500 | not published | not published | $28.41 – $1,004.50 | 6 |
| Biopsy of testis CPT 54505 | not published | not published | $906.09 – $1,004.50 | 4 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $871.76 – $1,246.50 | 4 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $633.43 – $1,004.50 | 4 |
| Biopsy of urethra CPT 53200 | not published | not published | $814.38 – $1,004.50 | 4 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $830.42 – $1,246.50 | 4 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $28.54 – $1,494.25 | 32 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $28.54 – $1,187.90 | 32 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $1,172.25 – $1,246.50 | 4 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $1,172.25 – $1,246.50 | 4 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,379.96 | $4,599.85 | $526.32 – $1,004.50 | 4 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $323.33 – $1,004.50 | 4 |
| Biopsy skin incisional single lesion CPT 11106 | not published | not published | $520.01 – $1,004.50 | 21 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | not published | not published | $670.71 – $1,004.50 | 4 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $912.16 – $1,004.50 | 4 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $39.24 – $1,004.50 | 24 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $923.10 – $1,246.50 | 4 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $45.00 – $2,225.50 | 22 |
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.