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 |
|---|---|---|---|---|
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $1,989.59 – $2,981.50 | 4 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $1,989.59 – $2,225.50 | 4 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $1,254.79 – $1,543.50 | 4 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $1,093.16 | $3,643.85 | $532.43 – $1,246.50 | 4 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $394.93 – $1,204.78 | 22 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $1,085.86 – $1,543.50 | 4 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $1,005.13 – $1,543.50 | 4 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $1,261.32 | $4,204.40 | $394.93 – $1,204.78 | 22 |
| Endoscopy of ureter CPT 50951 | not published | not published | $274.47 – $1,004.50 | 4 |
| Endoscopy of ureter CPT 50953 | not published | not published | $274.47 – $1,004.50 | 4 |
| Endoscopy swallow (fees) vid CPT 92612 | not published | not published | $33.70 – $378.47 | 28 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $629.78 – $1,004.50 | 4 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $2,118.00 – $4,813.93 | 4 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $45.00 – $2,225.50 | 3 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $3.23 | $10.75 | $0.71 – $1.26 | 7 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $8.42 – $46.28 | 35 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $12.66 – $137.70 | 35 |
| Enzyme histochemistry CPT 88319 | not published | not published | $6.73 – $1,079.50 | 34 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $51.20 – $14,250.00 | 9 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $51.20 – $14,250.00 | 8 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $703.71 – $1,246.50 | 4 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $215.06 – $1,246.50 | 4 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $735.02 – $1,176.48 | 22 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $336.03 – $1,176.48 | 22 |
| Epiglottidectomy CPT 31420 | not published | not published | $1,185.00 – $1,865.02 | 4 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $1,989.31 – $7,185.42 | 15 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $125.39 – $12,715.00 | 11 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $923.10 – $2,225.50 | 4 |
| Epstein barr early antigen antibody CPT 86663 | $275.22 | $917.40 | $9.20 – $50.81 | 35 |
| Epstein barr nuclear antigen antibody CPT 86664 | $61.97 | $206.55 | $10.73 – $58.71 | 35 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $53.03 | $176.75 | $12.72 – $69.98 | 35 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $16.13 | $53.75 | $3.70 – $35.98 | 8 |
| Ercp biliary & pancreas CPT 74330 | not published | not published | $89.02 – $241.15 | 10 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $5,718.03 | $19,060.10 | $1,587.54 – $3,160.00 | 4 |
| Ercp ea duct/ampulla dilate CPT 43277 | $5,718.03 | $19,060.10 | $976.53 – $3,160.00 | 4 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $5,718.03 | $19,060.10 | $976.53 – $3,160.00 | 4 |
| Ercp lithotripsy calculi CPT 43265 | $2,859.02 | $9,530.05 | $976.53 – $1,246.50 | 4 |
| Ercp remove duct calculi 43264 CPT 43264 | $2,859.02 | $9,530.05 | $976.53 – $1,246.50 | 4 |
| Ercp remove forgn body duct 43275 CPT 43275 | $2,859.02 | $9,530.05 | $976.53 – $3,160.00 | 4 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $976.53 – $1,246.50 | 4 |
| Ercp stent exchange w/dilate CPT 43276 | $5,718.03 | $19,060.10 | $1,587.54 – $3,160.00 | 4 |
| Ercp w/specimen collection CPT 43260 | $2,859.02 | $9,530.05 | $976.53 – $1,246.50 | 4 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $107.46 | $358.20 | $13.10 – $72.00 | 9 |
| ER Visit (level 1, minor) CPT 99281 | $207.69 | $692.30 | $19.26 – $1,224.00 | 31 |
| ER Visit (level 2) CPT 99282 | $573.00 | $1,910.00 | $37.71 – $1,686.00 | 31 |
| ER Visit (level 3) CPT 99283 | $735.00 | $2,450.00 | $56.40 – $2,166.00 | 31 |
| ER Visit (level 4) CPT 99284 | $945.00 | $3,150.00 | $107.34 – $3,788.00 | 31 |
| ER Visit (level 5, high severity) CPT 99285 | $960.02 | $3,200.05 | $158.13 – $4,025.00 | 31 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $195.33 | $651.10 | $8.34 – $152.07 | 13 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $1.58 | $5.25 | $0.19 – $0.57 | 11 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $89.02 – $240.41 | 10 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Esophageal motility CPT 78258 | not published | not published | $81.71 – $589.01 | 33 |
| Esophageal recording CPT 93615 | not published | not published | $8.67 – $12,715.00 | 11 |
| Esophageal recording CPT 93616 | not published | not published | $9.35 – $12,715.00 | 11 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Esophagosc dilate balloon 30 CPT 43214 | $1,093.16 | $3,643.85 | $532.43 – $2,298.50 | 4 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $372.80 – $1,543.50 | 22 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $532.43 – $1,543.50 | 4 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $1,587.54 – $3,160.00 | 4 |
| Esophagoscop ultrasound exam CPT 43231 | $1,093.16 | $3,643.85 | $532.43 – $1,246.50 | 4 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $532.43 – $1,004.50 | 4 |
| Esophagoscopy control bleed CPT 43227 | $1,093.16 | $3,643.85 | $532.43 – $1,246.50 | 4 |
| Esophagoscopy flex biopsy CPT 43202 | $1,093.16 | $3,643.85 | $372.80 – $1,004.50 | 4 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $1,093.16 | $3,643.85 | $372.80 – $1,238.94 | 22 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $372.80 – $1,543.50 | 22 |
| Esophagoscopy flex remove fb CPT 43215 | $1,093.16 | $3,643.85 | $532.43 – $1,004.50 | 4 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $957.58 – $3,160.00 | 4 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $954.50 – $1,004.50 | 4 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $532.43 – $2,298.50 | 4 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $532.43 – $2,298.50 | 4 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $372.80 – $1,543.50 | 4 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $973.10 – $3,160.00 | 4 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $532.43 – $1,004.50 | 4 |
| Esophagoscopy w/us needle bx CPT 43232 | $1,093.16 | $3,643.85 | $532.43 – $1,246.50 | 4 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $532.43 – $2,298.50 | 4 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $532.43 – $2,298.50 | 4 |
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.