healthcosts.net

Ascension Saint Thomas DeKalb

520 W Main St, Smithville, TN · Ascension · · NPI 1649659582

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

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
Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 $87.24 $290.80 $18.28 – $100.47 36
Warde viscosity CPT 85810 $73.44 $244.80 $8.19 – $45.14 36
Warde vitamin a CPT 84590 $88.46 $294.85 $8.14 – $45.14 36
Warde vitamin b-1 (thiamine) CPT 84425 $94.23 $314.10 $14.89 – $82.41 36
Warde vitamin b6 (pyridoxine) CPT 84207 $86.49 $288.30 $19.70 – $108.37 36
Warde vitamin c (ascorbic acid) CPT 82180 $89.33 $297.75 $6.93 – $38.38 36
Warde vitamin d (1 25 dihydroxy) CPT 82652 $109.88 $366.25 $27.00 – $149.01 36
Warde vitamin e (alpha-tocopherol) CPT 84446 $88.46 $294.85 $9.94 – $55.30 36
Warde zinc CPT 84630 $74.40 $248.00 $7.98 – $44.02 36
Wash harvest stem cells CPT 38209 not published not published $148.65 – $1,004.50 22
Wbc automated CPT 85048 $40.10 $133.65 $1.78 – $10.16 36
Wedge biopsy of liver 47100 CPT 47100 not published not published $2,118.00 – $2,225.50 3
Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 not published not published $1,989.59 – $2,225.50 4
Wedge resect of lung add-on 32506 CPT 32506 not published not published $2,118.00 – $2,225.50 3
Wedge resect of lung diag 32507 CPT 32507 not published not published $2,118.00 – $2,225.50 3
Wedge resect of lung initial 32505 CPT 32505 not published not published $2,118.00 – $2,225.50 3
Wedging of cast CPT 29740 not published not published $45.00 – $2,225.50 28
Wedging of clubfoot cast CPT 29750 not published not published $32.05 – $2,225.50 30
Western blot test CPT 84181 not published not published $11.94 – $65.46 36
Whole blood for transfusion HCPCS P9010 $427.77 $1,425.90 $52.87 – $450.00 9
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 $740.18 $2,467.25 $52.42 – $521.66 7
Whole mitochondrial genome CPT 81460 not published not published $1,045.61 – $4,035.30 18
Wnd prep f/n/hf/g addl cm CPT 15005 not published not published $213.50 – $2,225.50 9
Wound therapy negative pressure per session <= 50 sq cm CPT 97607 not published not published $33.38 – $714.84 26
Wound therapy negative pressure per session > 50 sq cm CPT 97608 not published not published $33.70 – $714.84 26
Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 not published not published $32.45 – $262.57 26
Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 not published not published $34.55 – $527.97 26
Wrist arthroscopy CPT 29840 not published not published $1,075.79 – $1,543.50 4
Wrist arthroscopy/surgery CPT 29843 not published not published $1,075.79 – $1,543.50 4
Wrist arthroscopy/surgery CPT 29844 not published not published $1,075.79 – $1,543.50 4
Wrist arthroscopy/surgery CPT 29845 not published not published $1,075.79 – $1,543.50 4
Wrist arthroscopy/surgery CPT 29846 not published not published $1,075.79 – $1,543.50 4
Wrist arthroscopy/surgery CPT 29847 not published not published $1,468.50 – $2,172.78 4
Wrist endoscopy/surgery CPT 29848 not published not published $1,075.79 – $3,160.00 4
Wrist X-ray CPT 73110 $125.58 $418.60 $15.33 – $127.70 34
Xcapsl ctrc rmvl cplx w/ecp CPT 66987 not published not published $3,006.00 – $3,160.00 3
Xcapsl ctrc rmvl cplx wo ecp CPT 66982 not published not published $876.31 – $2,932.00 4
Xcapsl ctrc rmvl insj 1+ CPT 66991 not published not published $2,789.50 – $2,932.00 3
Xcapsl ctrc rmvl w/ecp CPT 66988 not published not published $3,006.00 – $3,160.00 3
Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 not published not published $2,789.50 – $2,932.00 3
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 not published not published $703.71 – $1,246.50 4
Xfer tis s/a/l 10 sq cm/< CPT 14020 not published not published $703.71 – $1,543.50 4
Xm archive tissue molec anal CPT 88363 not published not published $5.52 – $47.22 35
Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 not published not published $2,118.00 – $2,225.50 3
Xpos opn fmrl eprst aor uni add-on CPT 34812 not published not published $2,118.00 – $2,225.50 3
X-ray abdomen 1 view CPT 74018 $146.03 $486.75 $13.33 – $127.70 33
X-ray abdomen 2 views CPT 74019 $160.07 $533.55 $15.96 – $179.33 33
X-ray abdomen >=3 views CPT 74021 not published not published $18.59 – $179.33 33
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 $200.93 $669.75 $20.94 – $179.33 34
X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 $151.28 $504.25 $19.13 – $127.70 34
X-ray ankle 2 views (both sides) CPT 73600 $81.39 $271.30 $14.21 – $127.70 34
X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 $307.68 $1,025.60 $59.47 – $610.96 34
X-ray bone age studies CPT 77072 $80.31 $267.70 $9.60 – $179.33 34
X-ray bone length studies CPT 77073 $69.21 $230.70 $20.49 – $179.33 34
X-ray bone survey complete CPT 77075 $397.41 $1,324.70 $37.36 – $179.33 34
X-ray bone survey infant CPT 77076 $160.85 $536.15 $27.55 – $179.33 34
X-ray cervical spine 2-3 views CPT 72040 $127.55 $425.15 $17.15 – $127.70 34
X-ray cervical spine 4-5 views CPT 72050 $220.38 $734.60 $25.31 – $179.33 34
X-ray cervical spine >= 6 views CPT 72052 $220.38 $734.60 $31.93 – $179.33 34
X-ray clavicle complete (both sides) CPT 73000 $128.76 $429.20 $15.04 – $127.70 34
X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 $293.31 $977.70 $42.49 – $305.21 34
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 $377.21 $1,257.35 $63.28 – $431.74 34
X-ray elbow 2 views (both sides) CPT 73070 $102.63 $342.10 $15.04 – $127.70 34
X-ray elbow >= 3 views (both sides) CPT 73080 $144.62 $482.05 $16.30 – $127.70 34
X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 $165.00 $550.00 $33.33 – $291.55 34
X-ray exam entire spi 4/5 vw CPT 72083 not published not published $36.46 – $179.33 34
X-ray exam entire spi 6/> vw CPT 72084 not published not published $44.03 – $179.33 34
X-ray exam of arm infant CPT 73092 not published not published $14.21 – $179.33 34
X-ray exam of eye sockets CPT 70200 $173.90 $579.65 $22.18 – $179.33 34
X-ray exam of femur 1 CPT 73551 $96.20 $320.65 $14.00 – $127.70 34
X-ray exam of jaw joint CPT 70328 not published not published $14.21 – $127.70 34
X-ray exam of jaw joint CPT 70332 not published not published $56.40 – $372.86 34
X-ray exam of mastoids CPT 70120 not published not published $17.71 – $179.33 34
X-ray exam of middle ear CPT 70134 not published not published $20.94 – $770.53 34
X-ray exam of penis CPT 74445 not published not published $31.93 – $215.79 34
X-ray exam of perineum CPT 74775 not published not published $41.49 – $456.86 34
X-ray exam of salivary gland CPT 70380 not published not published $19.13 – $127.70 34
X-ray exam of sinuses CPT 70210 $81.03 $270.10 $17.71 – $127.70 34
X-ray exam of tear duct CPT 70170 not published not published $26.72 – $456.86 34
X-ray exam of teeth CPT 70300 not published not published $7.30 – $127.70 34
X-ray exam of teeth CPT 70310 not published not published $11.95 – $372.86 34
X-ray exam si joints CPT 72200 not published not published $15.04 – $179.33 34
X-ray exam thorac spine4/>vw CPT 72074 not published not published $22.18 – $179.33 34
X-ray eye detection foreign body (both sides) CPT 70030 $107.96 $359.85 $11.95 – $127.70 34
X-ray facial bones complete > 3 views CPT 70150 $166.83 $556.10 $22.18 – $179.33 34
X-ray fallopian tube CPT 74742 not published not published $61.37 – $118.49 10
X-ray femur >=2 views (both sides) CPT 73552 $125.25 $417.50 $16.61 – $127.70 34
X-ray finger(s) >= 2 views (both sides) CPT 73140 $115.19 $383.95 $11.95 – $127.70 34
X-ray foot 2 views (both sides) CPT 73620 $70.29 $234.30 $14.21 – $127.70 34
X-ray forearm 2 views (both sides) CPT 73090 $115.02 $383.40 $15.04 – $127.70 34
X-ray hand 2 views (both sides) CPT 73120 $87.17 $290.55 $14.21 – $179.33 34
X-ray head for orthodontia CPT 70350 not published not published $10.42 – $127.70 34
X-ray heel/calcaneus > 2 views (both sides) CPT 73650 $119.61 $398.70 $13.64 – $127.70 34
X-ray hip uni w/wo pelvis min 4 views CPT 73503 $200.78 $669.25 $27.05 – $179.33 34
X-ray hip with pelvis when performed bilateral 2 views CPT 73521 $164.49 $548.30 $20.26 – $179.33 34
X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 $164.49 $548.30 $24.45 – $179.33 34
X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 not published not published $29.41 – $179.33 34
X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 $102.80 $342.65 $14.52 – $127.70 34
X-ray humerus >= 2 views left CPT 73060 $114.62 $382.05 $16.30 – $127.70 34
X-ray joint survey 1 view CPT 77077 not published not published $22.18 – $179.33 34

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.