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 |
|---|---|---|---|---|
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $532.43 – $2,298.50 | 4 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $532.43 – $2,298.50 | 4 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $532.43 – $1,004.50 | 4 |
| Esophagus motility study CPT 91010 | $546.59 | $1,821.95 | $25.02 – $701.16 | 27 |
| Esoph balloon distension tst CPT 91040 | $484.85 | $1,616.15 | $70.59 – $728.48 | 27 |
| Esoph egd dilation <30 mm CPT 43249 | $1,093.16 | $3,643.85 | $532.43 – $1,246.50 | 4 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $532.43 – $1,004.50 | 4 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $10.79 – $29.28 | 8 |
| Esoph imped function test CPT 91037 | not published | not published | $70.59 – $411.50 | 27 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $55.02 – $819.49 | 27 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $532.43 – $2,298.50 | 4 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $372.80 – $1,004.50 | 4 |
| Esoph scope w/submucous inj CPT 43201 | $1,093.16 | $3,643.85 | $532.43 – $1,004.50 | 4 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Essure 58565 CPT 58565 | not published | not published | $1,989.59 – $3,160.00 | 4 |
| Establish access to aorta CPT 36160 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Establish access to artery CPT 36100 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Established Patient Office Visit (level 1) CPT 99211 | not published | not published | $8.47 – $26.90 | 2 |
| Established Patient Office Visit (level 2) CPT 99212 | not published | not published | $22.92 – $36.06 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | not published | not published | $36.06 – $46.61 | 2 |
| Established Patient Office Visit (level 4) CPT 99214 | not published | not published | $47.56 – $71.66 | 2 |
| Established Patient Office Visit (level 5) CPT 99215 | not published | not published | $65.21 – $100.98 | 2 |
| Estradiol total CPT 82670 | $94.50 | $315.00 | $19.59 – $108.37 | 35 |
| Estrogens total-sendout CPT 82672 | $120.93 | $403.10 | $15.21 – $83.52 | 35 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $973.10 – $1,543.50 | 4 |
| Ethylene glycol -sendout CPT 82693 | $185.01 | $616.70 | $10.44 – $57.56 | 35 |
| Euglobulin lysis CPT 85360 | not published | not published | $5.89 – $32.75 | 35 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $923.10 – $2,298.50 | 4 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $58.98 – $206.75 | 26 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $71.31 – $281.04 | 28 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $235.55 | $785.15 | $45.16 – $308.15 | 35 |
| Evaluation heart device CPT 93640 | not published | not published | $232.08 – $12,715.00 | 10 |
| Evaluation of speech fluency 92521 CPT 92521 | not published | not published | $94.51 – $249.50 | 28 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $55.08 – $212.32 | 20 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | not published | 0 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | not published | 0 |
| Event monitor CPT 93270 | $200.19 | $667.30 | $15.14 – $55.78 | 27 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $6.26 – $411.50 | 27 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $4.49 – $411.50 | 27 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $48.76 – $60.95 | 5 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $42.33 – $411.50 | 27 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $7.74 – $411.50 | 27 |
| Evok oa screening qual CPT 92558 | not published | not published | $4.77 – $11.01 | 3 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $113.08 – $1,004.50 | 22 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $923.10 – $1,246.50 | 4 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $670.71 – $1,246.50 | 4 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $912.16 – $3,160.00 | 4 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $912.16 – $3,160.00 | 4 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $912.16 – $1,985.50 | 4 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $912.16 – $3,160.00 | 4 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $912.16 – $3,160.00 | 4 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $96.06 – $1,246.50 | 6 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $670.71 – $1,246.50 | 4 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $912.16 – $3,160.00 | 4 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $923.10 – $1,543.50 | 4 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $413.29 – $1,004.50 | 4 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $912.16 – $1,246.50 | 4 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $670.71 – $1,246.50 | 4 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $23.00 – $1,004.50 | 24 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $29.77 – $1,004.50 | 24 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $48.71 – $1,004.50 | 24 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $413.29 – $1,004.50 | 4 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $36.53 – $1,004.50 | 24 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $670.71 – $1,004.50 | 4 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $912.16 – $1,246.50 | 4 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $32.47 – $1,004.50 | 24 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $50.06 – $1,004.50 | 24 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $1,083.82 – $1,543.50 | 4 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $1,989.59 – $2,298.50 | 4 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $1,989.59 – $2,225.50 | 4 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $703.71 – $1,985.50 | 4 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $413.29 – $1,543.50 | 4 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $614.17 – $1,246.50 | 4 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $830.42 – $1,543.50 | 4 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $1,468.50 – $2,609.58 | 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.