Ascension Saint Thomas Highlands
401 Sewell Dr, Sparta, TN · Ascension · · NPI 1922487966
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 |
|---|---|---|---|---|
| Chromosome banding study CPT 88283 | not published | not published | $48.09 – $265.25 | 35 |
| Chromosome count additional CPT 88285 | not published | not published | $13.33 – $84.67 | 35 |
| Chromosome karyotype study CPT 88280 | not published | not published | $17.60 – $237.06 | 35 |
| Chromosome study additional CPT 88289 | not published | not published | $24.15 – $343.83 | 35 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $8.74 – $48.55 | 35 |
| Chylomicron screen, bf - sendout CPT 82664 | $105.74 | $352.45 | $24.09 – $193.00 | 35 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $767.34 – $1,246.50 | 4 |
| Cine/video x-rays CPT 76120 | not published | not published | $29.66 – $197.39 | 33 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $22.35 – $60.35 | 10 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $6.30 | $21.00 | $1.28 – $4.03 | 7 |
| Circum 28 days or older CPT 54161 | not published | not published | $906.09 – $1,246.50 | 4 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $67.65 – $1,246.50 | 24 |
| Circumcision (newborn) CPT 54150 | not published | not published | $39.24 – $1,004.50 | 6 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $163.11 – $1,032.83 | 35 |
| Claviculectomy partial CPT 23120 | not published | not published | $1,301.07 – $2,298.50 | 4 |
| Claviculectomy total CPT 23125 | not published | not published | $1,301.07 – $2,298.50 | 4 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $323.33 – $2,225.50 | 22 |
| Clearance of airways CPT 31720 | $176.01 | $586.70 | $82.32 – $1,004.50 | 22 |
| Clearance of tear duct CPT 68530 | not published | not published | $45.00 – $2,225.50 | 22 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $37.03 – $211.14 | 24 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $36.36 – $170.34 | 24 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $37.03 – $195.36 | 24 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $22.47 – $161.07 | 24 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $13.29 | $44.30 | $2.44 – $5.21 | 11 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $923.10 – $2,225.50 | 4 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $55.97 | $186.55 | $21.19 – $65.56 | 9 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $45.00 – $2,225.50 | 22 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $106.92 – $1,004.50 | 4 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $45.00 – $2,225.50 | 22 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $830.42 – $1,246.50 | 4 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $94.71 – $1,004.50 | 24 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $106.92 – $1,004.50 | 4 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $44.65 – $2,225.50 | 24 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $973.10 – $2,981.50 | 4 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $323.33 – $1,246.50 | 22 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $323.33 – $1,543.50 | 4 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $575.34 – $1,246.50 | 4 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $633.43 – $1,246.50 | 4 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $45.00 – $2,225.50 | 22 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $45.00 – $2,225.50 | 22 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $656.09 – $1,246.50 | 4 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $45.00 – $2,225.50 | 22 |
| Close mastoid fistula CPT 69700 | not published | not published | $973.10 – $1,543.50 | 4 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Close tear duct opening CPT 68760 | not published | not published | $45.00 – $2,225.50 | 22 |
| Close tear duct opening CPT 68761 | not published | not published | $45.00 – $2,225.50 | 22 |
| Close tear system fistula CPT 68770 | not published | not published | $350.83 – $1,985.50 | 4 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $8.42 – $49.66 | 35 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $52.77 – $1,246.50 | 6 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $323.33 – $1,004.50 | 22 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $350.83 – $1,279.88 | 22 |
| Closure of salivary fistula CPT 42600 | not published | not published | $633.43 – $1,004.50 | 4 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $954.50 – $1,004.50 | 4 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $244.68 – $2,225.50 | 22 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $13.29 – $73.36 | 35 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $14.32 – $79.00 | 35 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $13.29 – $73.36 | 35 |
| Clot factor xii hageman CPT 85280 | $165.96 | $553.20 | $13.56 – $74.51 | 35 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $6.24 – $35.01 | 35 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $11.46 – $63.20 | 35 |
| Clotting assay whole blood CPT 85396 | not published | not published | $10.11 – $48.06 | 16 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $87.95 – $1,004.50 | 24 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $90.65 – $1,004.50 | 24 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $45.00 – $2,225.50 | 22 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $656.09 – $1,004.50 | 4 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $106.92 – $1,004.50 | 22 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $356.63 – $1,004.50 | 4 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $59.53 – $1,004.50 | 24 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $45.00 – $2,225.50 | 22 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $40.59 – $2,225.50 | 24 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | not published | not published | $106.92 – $1,004.50 | 22 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $106.92 – $1,004.50 | 22 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | not published | not published | $106.92 – $1,004.50 | 22 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | not published | not published | $656.09 – $1,246.50 | 4 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $614.17 – $1,543.50 | 4 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $45.00 – $2,225.50 | 22 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $45.00 – $2,225.50 | 22 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | not published | not published | $45.00 – $2,225.50 | 22 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $45.00 – $2,225.50 | 24 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | not published | not published | $356.63 – $1,543.50 | 4 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $45.00 – $2,225.50 | 24 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | not published | not published | $106.92 – $1,246.50 | 4 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $89.30 – $1,004.50 | 24 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | not published | not published | $106.92 – $1,004.50 | 22 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $106.92 – $1,004.50 | 22 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $92.00 – $1,004.50 | 24 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $111.65 – $2,225.50 | 22 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $181.65 – $1,543.50 | 22 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $45.00 – $2,225.50 | 22 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $45.00 – $2,225.50 | 24 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | not published | not published | $106.92 – $1,246.50 | 22 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $656.09 – $1,246.50 | 4 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $45.00 – $2,225.50 | 22 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | 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.