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 |
|---|---|---|---|---|
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $441.84 | $1,472.80 | $61.98 – $290.74 | 8 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $45.00 – $2,225.50 | 22 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Growth hormone antibody CPT 86277 | not published | not published | $11.04 – $60.97 | 35 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $14.82 – $237.02 | 35 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $957.58 – $2,225.50 | 4 |
| G-tube reposition CPT 43761 | $373.91 | $1,246.35 | $206.61 – $1,004.50 | 22 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $75.38 – $2,834.48 | 15 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $45.00 – $2,225.50 | 22 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $27.70 – $204.59 | 13 |
| Gum graft CPT 41870 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $1,083.82 – $1,985.50 | 4 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $45.00 – $2,225.50 | 22 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $109.97 – $1,543.50 | 22 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $109.97 – $1,543.50 | 22 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $60.35 | $201.15 | $7.97 – $37.02 | 9 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $12.87 | $42.90 | $1.42 – $2.53 | 9 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $3.41 – $7.00 | 6 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,105.06 – $1,543.50 | 4 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $614.17 – $1,985.50 | 4 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $1,105.06 – $1,985.50 | 4 |
| Hand X-ray CPT 73130 | $117.84 | $392.80 | $15.33 – $127.70 | 33 |
| Haptoglobin quantitative CPT 83010 | $64.41 | $214.70 | $8.82 – $48.55 | 35 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Harvest auto stem cells CPT 38206 | not published | not published | $527.70 – $2,225.50 | 4 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $215.06 – $1,246.50 | 4 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $767.34 – $1,246.50 | 4 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $314.10 – $1,004.50 | 22 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $31.15 – $170.34 | 25 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $25.88 – $170.34 | 25 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $487.46 – $1,881.64 | 35 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $164.44 – $634.37 | 35 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $304.87 – $1,176.17 | 35 |
| Hbb full gene sequence CPT 81364 | not published | not published | $263.70 – $1,018.14 | 35 |
| Hbb gene com variants CPT 81361 | not published | not published | $142.02 – $548.59 | 35 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $164.44 – $634.37 | 35 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $304.87 – $1,176.17 | 35 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $10.04 – $100.45 | 3 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $36.29 – $1,016.68 | 33 |
| Hcg free betachain test CPT 84704 | not published | not published | $10.56 – $58.71 | 35 |
| Hcg qualitative CPT 84703 | $62.90 | $209.65 | $5.27 – $29.34 | 35 |
| Hcg quantitative CPT 84702 | $104.48 | $348.25 | $10.56 – $58.71 | 35 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $17.36 – $100.45 | 3 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $10.38 – $100.45 | 3 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $33.53 – $159.84 | 3 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $26.38 – $100.45 | 3 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $178.56 | $595.20 | $118.58 – $291.65 | 6 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $656.09 – $1,004.50 | 4 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $215.06 – $1,004.50 | 22 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $215.06 – $1,004.50 | 22 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $139.91 – $755.17 | 33 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $53.91 – $938.21 | 23 |
| Hc nm kidney imaging with flow CPT 78701 | $567.18 | $1,890.60 | $100.83 – $589.01 | 33 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $147.30 – $2,035.50 | 33 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $513.30 – $3,581.20 | 15 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $161.78 – $916.85 | 32 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $294.67 – $1,088.40 | 32 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $344.63 – $1,718.25 | 32 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $96.21 – $461.92 | 32 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $96.21 – $758.28 | 32 |
| Head CT scan (with and without contrast) CPT 70470 | $885.95 | $2,953.15 | $148.64 – $562.76 | 33 |
| Head CT scan (with contrast) CPT 70460 | $881.88 | $2,939.60 | $120.17 – $562.76 | 33 |
| Head CT scan (without contrast) CPT 70450 | $812.24 | $2,707.45 | $86.77 – $562.76 | 33 |
| Heart first pass add-on CPT 78496 | not published | not published | $21.85 – $75.36 | 10 |
| Heart first pass multiple CPT 78483 | not published | not published | $147.30 – $755.17 | 33 |
| Heart image spect CPT 78494 | not published | not published | $147.30 – $589.01 | 33 |
| Heart infarct image CPT 78466 | not published | not published | $74.39 – $589.01 | 33 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $103.79 – $755.17 | 33 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Heinz bodies direct CPT 85441 | not published | not published | $2.95 – $15.80 | 35 |
| Helicobacter pylori antibody igm CPT 86677 | not published | not published | $10.18 – $56.45 | 35 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $5.74 – $31.60 | 35 |
| Hematocrit CPT 85014 | $37.20 | $124.00 | $1.66 – $9.01 | 35 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $85.69 – $379.84 | 33 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Hemodialysis one evaluation CPT 90935 | not published | not published | $118.74 – $924.66 | 20 |
| Hemoglobin CPT 85018 | $37.20 | $124.00 | $1.66 – $9.01 | 35 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $1.65 – $12.42 | 35 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $4.18 – $24.85 | 35 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $5.80 – $33.86 | 35 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $72.72 | $242.40 | $4.76 – $28.22 | 35 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $7.01 – $41.76 | 35 |
| Hemoglobin plasma CPT 83051 | $79.34 | $264.45 | $5.13 – $28.22 | 35 |
| Hemoglobin urine CPT 83069 | not published | not published | $2.77 – $15.80 | 35 |
| Hemolysin acid CPT 85475 | not published | not published | $6.23 – $33.86 | 35 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $5.75 – $31.60 | 35 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $8.49 – $47.40 | 35 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $11.11 – $60.97 | 35 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $2,836.50 – $2,981.50 | 3 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $221.26 – $1,204.78 | 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.