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 |
|---|---|---|---|---|
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $12.55 – $51.13 | 21 |
| Ghs ot dds rom CPT 95851 | $10.71 | $35.70 | $3.75 – $38.04 | 28 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $18.33 – $46.74 | 24 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $23.40 – $72.40 | 28 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $43.83 | $146.10 | $23.19 – $78.93 | 28 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $90.40 – $113.00 | 6 |
| Ghs pacing - transcutaneous CPT 92953 | not published | not published | $0.76 – $864.74 | 27 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $15.78 – $74.92 | 16 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $181.65 – $1,004.50 | 22 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $3.86 – $21.44 | 35 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $421.75 – $1,004.50 | 4 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.02 – $16.95 | 35 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $403.07 – $1,840.46 | 27 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $7.97 – $170.34 | 27 |
| Ghs ppd (tb intradermal) CPT 86580 | $23.06 | $76.85 | $2.82 – $32.37 | 34 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $6.77 – $37.24 | 35 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $3.63 – $20.32 | 35 |
| Ghs protoporphyrins fract CPT 84202 | $60.74 | $202.45 | $10.06 – $55.30 | 35 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $50.46 – $137.10 | 23 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $8.59 – $47.40 | 35 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $226.32 – $282.90 | 6 |
| Ghs quinidine CPT 80194 | not published | not published | $10.24 – $56.45 | 35 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $43.93 – $438.31 | 27 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $24.35 – $2,225.50 | 24 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $65.88 – $1,004.50 | 22 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $614.17 – $1,543.50 | 4 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $9.04 – $49.66 | 35 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $3.02 – $16.95 | 35 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $8.42 – $46.28 | 35 |
| Ghs sedimentation rate CPT 85651 | $48.89 | $162.95 | $2.48 – $13.54 | 35 |
| Ghs semen analysis fert CPT 89320 | $62.78 | $209.25 | $8.45 – $46.28 | 35 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $6.26 – $35.01 | 35 |
| Ghs sensitivity (per antimicro) CPT 87184 | $49.55 | $165.15 | $4.84 – $27.07 | 35 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $73.07 – $1,246.50 | 22 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $73.07 – $1,246.50 | 22 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $109.97 – $1,246.50 | 22 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $73.07 – $1,246.50 | 22 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $73.07 – $1,246.50 | 22 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $73.07 – $1,246.50 | 22 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $85.04 – $261.60 | 27 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $65.37 – $411.50 | 27 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $92.56 – $701.16 | 27 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $16.63 – $115.64 | 28 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $105.61 – $1,004.50 | 22 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $6.93 – $170.34 | 27 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $46.15 – $242.77 | 28 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $16.54 – $51.87 | 27 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $26.19 – $2,225.50 | 28 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $41.53 – $160.10 | 28 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $36.90 | $123.00 | $12.56 – $87.00 | 22 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $148.44 | $494.80 | $63.32 – $278.42 | 22 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $62.24 – $1,004.50 | 24 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $40.59 – $1,004.50 | 24 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $323.33 – $1,004.50 | 4 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $5.12 – $28.22 | 35 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $17.05 – $93.68 | 35 |
| Ghs urine, porphyrins quant CPT 84120 | $100.26 | $334.20 | $10.32 – $56.45 | 35 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $923.10 – $2,225.50 | 4 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $423.09 – $1,116.90 | 26 |
| Ghs windowing of cast CPT 29730 | not published | not published | $36.57 – $2,225.50 | 30 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $10.33 – $56.45 | 35 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $42.74 – $456.86 | 33 |
| Gi inhouse confirmation CPT 87045 | $7.97 | $26.55 | $6.61 – $36.12 | 35 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Gi protein loss CPT 78282 | not published | not published | $91.83 – $748.47 | 33 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,261.31 | $4,204.35 | $426.22 – $1,453.55 | 25 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $774.50 – $1,741.26 | 23 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $426.22 – $1,409.16 | 27 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $426.22 – $2,001.83 | 27 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $91.01 – $317.17 | 35 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $55.37 – $261.99 | 35 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $31.50 – $261.99 | 35 |
| Glaucoma surgery CPT 66150 | not published | not published | $876.31 – $1,985.50 | 4 |
| Glaucoma surgery CPT 66155 | not published | not published | $876.31 – $1,985.50 | 4 |
| Glaucoma surgery CPT 66160 | not published | not published | $876.31 – $1,246.50 | 4 |
| Glaucoma surgery CPT 66170 | not published | not published | $876.31 – $1,985.50 | 4 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $601.79 | $2,005.95 | $43.54 – $412.83 | 14 |
| Glucagon plasma - sendout CPT 82943 | $95.67 | $318.90 | $10.02 – $55.30 | 35 |
| Glucose 1 hr post dose CPT 82950 | $50.82 | $169.40 | $3.34 – $18.06 | 35 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $4.25 – $23.70 | 35 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $1.64 – $10.16 | 35 |
| Glucose blood quantitative CPT 82947 | $50.82 | $169.40 | $2.75 – $14.69 | 35 |
| Glucose body fluid CPT 82945 | $50.82 | $169.40 | $2.75 – $14.69 | 35 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $50.46 – $115.44 | 24 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $48.56 | $161.85 | $9.03 – $49.66 | 35 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $29.42 | $98.05 | $2.75 – $14.69 | 35 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $62.25 | $207.50 | $13.03 – $72.24 | 35 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $62.01 | $206.70 | $12.99 – $72.24 | 35 |
| Gonioscopy CPT 92020 | not published | not published | $21.01 – $170.34 | 27 |
| Goniotomy CPT 65820 | not published | not published | $876.31 – $1,004.50 | 4 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,105.06 – $1,543.50 | 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.