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 |
|---|---|---|---|---|
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $1,185.00 – $1,831.27 | 4 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $2,118.00 – $5,112.00 | 4 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $1,690.39 – $2,225.50 | 4 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $197.27 – $2,225.50 | 22 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $973.10 – $2,225.50 | 4 |
| In-111 autol wbc diag per dose HCPCS A9570 | $3,704.00 | $12,346.65 | $5,062.13 – $7,763.56 | 6 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $830.42 – $1,246.50 | 4 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $830.42 – $1,246.50 | 4 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $692.04 – $1,246.50 | 4 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $350.83 – $2,225.50 | 22 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $830.42 – $1,543.50 | 4 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $614.17 – $1,543.50 | 4 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $692.04 – $1,246.50 | 4 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $1,468.50 – $1,543.50 | 4 |
| Incise inner ear CPT 69801 | not published | not published | $633.43 – $2,298.50 | 4 |
| Incise inner ear nerve CPT 69915 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $221.82 – $1,004.50 | 22 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $876.31 – $1,004.50 | 4 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $876.31 – $1,985.50 | 4 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $876.31 – $1,985.50 | 4 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $876.31 – $1,985.50 | 4 |
| Incise inner eye strands CPT 67030 | not published | not published | $876.31 – $1,004.50 | 4 |
| Incise nerve back of head CPT 64744 | not published | not published | $692.04 – $1,246.50 | 4 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $614.17 – $1,246.50 | 4 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $1,473.77 – $2,225.50 | 4 |
| Incise skull for treatment CPT 61770 | not published | not published | $1,473.77 – $3,160.00 | 4 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $906.09 – $1,004.50 | 4 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $149.18 – $1,004.50 | 22 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $830.42 – $1,246.50 | 4 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Incision anal septum infant CPT 46070 | not published | not published | $727.58 – $2,225.50 | 4 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | not published | not published | $45.00 – $2,225.50 | 4 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Incision of achilles tendon CPT 27605 | not published | not published | $871.76 – $1,004.50 | 4 |
| Incision of achilles tendon CPT 27606 | not published | not published | $830.42 – $1,004.50 | 4 |
| Incision of anal sphincter CPT 46080 | not published | not published | $727.58 – $1,543.50 | 4 |
| Incision of ankle bone CPT 28302 | not published | not published | $871.76 – $1,246.50 | 4 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Incision of breast lesion CPT 19020 | not published | not published | $817.89 – $1,246.50 | 4 |
| Incision of brow nerve CPT 64732 | not published | not published | $692.04 – $1,246.50 | 4 |
| Incision of burn scab initi CPT 16035 | not published | not published | $141.57 – $2,225.50 | 22 |
| Incision of cheek nerve CPT 64734 | not published | not published | $692.04 – $1,246.50 | 4 |
| Incision of chin nerve CPT 64736 | not published | not published | $692.04 – $1,246.50 | 4 |
| Incision of eardrum CPT 69420 | not published | not published | $181.65 – $1,004.50 | 22 |
| Incision of eardrum CPT 69421 | not published | not published | $633.43 – $1,543.50 | 4 |
| Incision of esophagus CPT 43020 | not published | not published | $323.33 – $1,004.50 | 4 |
| Incision of eye CPT 65850 | not published | not published | $876.31 – $1,985.50 | 4 |
| Incision of eye CPT 66172 | not published | not published | $876.31 – $1,985.50 | 4 |
| Incision of eyelid CPT 67710 | not published | not published | $350.83 – $1,279.88 | 22 |
| Incision of facial nerve CPT 64742 | not published | not published | $692.04 – $1,246.50 | 4 |
| Incision of fibula CPT 27707 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Incision of finger tendon CPT 26455 | not published | not published | $614.17 – $1,543.50 | 4 |
| Incision of foot fascia CPT 28008 | not published | not published | $871.76 – $1,543.50 | 4 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $871.76 – $1,246.50 | 4 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Incision of heel bone CPT 28300 | not published | not published | $1,185.00 – $2,609.58 | 4 |
| Incision of hip bones CPT 27151 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Incision of hip tendon CPT 27000 | not published | not published | $830.42 – $1,246.50 | 4 |
| Incision of hip tendon CPT 27001 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Incision of hip tendon CPT 27003 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Incision of hip tendons CPT 27006 | not published | not published | $1,301.07 – $2,225.50 | 4 |
| Incision of iris CPT 66500 | not published | not published | $157.21 – $1,004.50 | 4 |
| Incision of iris CPT 66505 | not published | not published | $376.09 – $1,004.50 | 4 |
| Incision of jaw joint CPT 21010 | not published | not published | $1,185.00 – $1,865.02 | 4 |
| Incision of jaw nerve CPT 64738 | not published | not published | $692.04 – $1,246.50 | 4 |
| Incision of knee joint CPT 27435 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Incision of lymph channels CPT 38308 | not published | not published | $1,172.25 – $1,246.50 | 4 |
| Incision of metatarsal CPT 28306 | not published | not published | $871.76 – $1,985.50 | 4 |
| Incision of metatarsal CPT 28307 | not published | not published | $871.76 – $1,985.50 | 4 |
| Incision of metatarsal CPT 28308 | not published | not published | $871.76 – $1,246.50 | 4 |
| Incision of metatarsals CPT 28309 | not published | not published | $1,889.50 – $2,609.58 | 4 |
| Incision of midfoot bones CPT 28304 | not published | not published | $1,185.00 – $2,609.58 | 4 |
| Incision of palm tendon CPT 26450 | not published | not published | $614.17 – $1,543.50 | 4 |
| Incision of prostate CPT 52450 | not published | not published | $1,042.43 – $1,543.50 | 4 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Incision of rectal abscess CPT 46060 | not published | not published | $727.58 – $1,246.50 | 4 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Incision of sperm duct CPT 55200 | not published | not published | $906.09 – $1,246.50 | 4 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $692.04 – $1,246.50 | 4 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $1,185.00 – $1,301.07 | 4 |
| Incision of tendon sheath CPT 25000 | not published | not published | $830.42 – $1,543.50 | 4 |
| Incision of thigh tendon CPT 27306 | not published | not published | $830.42 – $1,543.50 | 4 |
| Incision of thigh tendon CPT 27390 | not published | not published | $830.42 – $1,004.50 | 4 |
| Incision of thigh tendons CPT 27307 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Incision of thigh tendons CPT 27391 | not published | not published | $830.42 – $1,246.50 | 4 |
| Incision of thigh tendons CPT 27392 | not published | not published | $1,301.07 – $1,543.50 | 4 |
| Incision of tibia CPT 27705 | not published | not published | $1,185.00 – $1,881.50 | 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.