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 |
|---|---|---|---|---|
| Cystoscopy and treatment CPT 52234 | not published | not published | $1,042.43 – $1,246.50 | 4 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $1,042.43 – $1,543.50 | 4 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $1,042.43 – $1,543.50 | 4 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $613.48 – $1,246.50 | 4 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $274.47 – $1,004.50 | 4 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $1,042.43 – $1,543.50 | 4 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $1,042.43 – $1,246.50 | 4 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $1,042.43 – $1,246.50 | 4 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $567.02 – $1,246.50 | 22 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $1,042.43 – $1,246.50 | 4 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $1,042.43 – $1,246.50 | 4 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $1,042.43 – $1,543.50 | 4 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $1,042.43 – $1,246.50 | 4 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $613.48 – $1,246.50 | 4 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $1,042.43 – $1,246.50 | 4 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $1,042.43 – $2,298.50 | 4 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $1,042.43 – $1,246.50 | 4 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $274.47 – $11,003.00 | 24 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $613.48 – $2,298.50 | 4 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $274.47 – $1,246.50 | 22 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $1,042.43 – $3,160.00 | 4 |
| Cystoscopy inject material CPT 52327 | not published | not published | $1,185.00 – $1,556.88 | 4 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $613.48 – $1,246.50 | 4 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $613.48 – $1,246.50 | 4 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $1,042.43 – $1,246.50 | 4 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $1,042.43 – $1,985.50 | 4 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $1,042.43 – $11,003.00 | 6 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $1,042.43 – $1,985.50 | 4 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $1,042.43 – $1,985.50 | 4 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $1,042.43 – $2,225.50 | 4 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $1,042.43 – $1,543.50 | 4 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $1,042.43 – $1,543.50 | 4 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $1,042.43 – $1,985.50 | 4 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $1,042.43 – $1,985.50 | 4 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $1,556.88 – $11,003.00 | 6 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $1,556.88 – $11,003.00 | 6 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $1,042.43 – $1,543.50 | 4 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $1,042.43 – $1,985.50 | 4 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $1,042.43 – $1,543.50 | 4 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $1,042.43 – $1,543.50 | 4 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $613.48 – $1,246.50 | 4 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $1,042.43 – $1,246.50 | 4 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Cystourethro w/implant CPT 52441 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $1,042.43 – $1,543.50 | 4 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $1,042.43 – $1,543.50 | 4 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $1,042.43 – $1,543.50 | 4 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $24.41 – $134.33 | 35 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $18.77 – $127.54 | 35 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $942.43 – $2,480.66 | 17 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $99.93 – $2,821.90 | 35 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $51.12 | $170.40 | $10.10 – $63.59 | 35 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $72.51 | $241.70 | $11.81 – $67.00 | 35 |
| Cytomegalovirus dfa CPT 87271 | $79.34 | $264.45 | $8.42 – $46.28 | 35 |
| Cyto/molecular report CPT 88291 | not published | not published | $27.56 – $76.56 | 15 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $14.98 – $82.41 | 35 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $4.21 – $46.28 | 35 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $5.04 – $141.74 | 34 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | not published | not published | $18.23 – $127.09 | 34 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $18.57 – $102.73 | 35 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $121.64 | $405.45 | $14.21 – $77.88 | 35 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $71.28 | $237.60 | $6.73 – $120.30 | 34 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $28.98 | $96.60 | $6.18 – $138.36 | 34 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $31.35 | $104.50 | $4.85 – $24.85 | 16 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $104.07 | $346.90 | $8.45 – $226.45 | 34 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $27.65 | $92.15 | $12.38 – $259.82 | 34 |
| Cytopath smear other source CPT 88160 | $26.81 | $89.35 | $4.77 – $146.26 | 34 |
| Cytopath smear other source CPT 88162 | not published | not published | $11.25 – $181.93 | 34 |
| Cytopath smear oth prep screen & interp CPT 88161 | $26.81 | $89.35 | $5.62 – $128.20 | 34 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $7.42 – $46.28 | 35 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $27.75 – $246.07 | 35 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $20.81 – $115.12 | 35 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $28.54 – $1,534.65 | 34 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.54 | $1.80 | $0.02 – $0.97 | 10 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $168.80 – $520.97 | 24 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $923.10 – $1,543.50 | 4 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $923.10 – $1,246.50 | 4 |
| Dch glucoscan CPT 82948 | not published | not published | $2.22 – $15.80 | 35 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $46.10 – $411.50 | 27 |
| Dch validity tests CPT 81002 | not published | not published | $1.79 – $11.28 | 35 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,473.77 – $3,160.00 | 4 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $692.04 – $1,004.50 | 4 |
| D&c of cervical stump CPT 57558 | not published | not published | $923.10 – $1,543.50 | 4 |
| Deamidated gliadin antibody iga CPT 86258 | $13.20 | $44.00 | $10.38 – $24.33 | 28 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $45.00 – $2,225.50 | 22 |
| Debridement (>20 cm) charge pt CPT 97598 | $198.27 | $660.90 | $42.89 – $76.02 | 8 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $238.25 – $1,246.50 | 12 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $43.99 – $2,225.50 | 11 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $72.22 – $2,225.50 | 11 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $71.51 – $1,246.50 | 30 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $10.82 – $2,225.50 | 24 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $26.19 – $2,225.50 | 24 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $189.28 – $1,246.50 | 22 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $413.29 – $1,246.50 | 4 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $25.21 – $2,225.50 | 11 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $21.65 – $2,225.50 | 24 |
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.