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 |
|---|---|---|---|---|
| MRI chest w IV cont CPT 71551 | not published | not published | $215.74 – $1,380.32 | 33 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $103.59 – $539.37 | 13 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $135.40 – $1,273.66 | 33 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $297.78 – $1,467.83 | 10 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $90.97 – $1,690.68 | 10 |
| MRI loex nonjt w IV cont CPT 73719 | $1,065.93 | $3,553.10 | $215.74 – $970.79 | 33 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $882.66 | $2,942.20 | $167.52 – $890.97 | 33 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,356.87 | $4,522.90 | $264.35 – $1,184.10 | 33 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,158.41 | $3,861.35 | $167.52 – $757.96 | 33 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,152.21 | $3,840.70 | $264.35 – $1,105.09 | 33 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,001.88 | $3,339.60 | $215.74 – $894.38 | 33 |
| MRI tmj CPT 70336 | not published | not published | $167.52 – $924.67 | 33 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $958.56 | $3,195.20 | $167.52 – $1,113.01 | 33 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,041.24 | $3,470.80 | $264.35 – $1,460.67 | 33 |
| MRI upper extremity w/dye CPT 73219 | $950.48 | $3,168.25 | $215.74 – $1,198.59 | 33 |
| Mr safety determination physician/other qhp CPT 76016 | $75.90 | $253.00 | $70.15 – $116.35 | 22 |
| Mr safety implant elec prepj CPT 76018 | $78.39 | $261.30 | $77.98 – $146.52 | 22 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $50.46 – $224.19 | 22 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $21.11 | $70.35 | $16.92 – $32.37 | 22 |
| Mr sfty med physics xm cstmz CPT 76017 | $208.35 | $694.50 | $205.34 – $348.11 | 22 |
| Mr spectroscopy CPT 76390 | not published | not published | $74.80 – $1,412.47 | 33 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $75.10 – $669.34 | 35 |
| Msh2 gene full seq CPT 81295 | not published | not published | $75.10 – $1,196.49 | 35 |
| Msh2 gene known variants CPT 81296 | not published | not published | $64.12 – $1,058.79 | 35 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $40.62 – $746.11 | 35 |
| Msh6 gene full seq CPT 81298 | not published | not published | $142.48 – $2,012.59 | 35 |
| Msh6 gene known variants CPT 81299 | $2,931.66 | $9,772.20 | $40.62 – $966.22 | 35 |
| Mthfr gene analy common variants CPT 81291 | $798.15 | $2,660.50 | $29.48 – $205.42 | 35 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $14.06 – $84.67 | 35 |
| Mucin synovial fluid CPT 83872 | not published | not published | $4.11 – $22.59 | 35 |
| Mucopolysaccharides CPT 83864 | not published | not published | $13.96 – $89.16 | 35 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $28.30 – $212.32 | 22 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $45.71 – $206.75 | 26 |
| Multiple sleep latency test CPT 95805 | not published | not published | $158.56 – $748.26 | 27 |
| Mumps antibody igg CPT 86735 | $82.49 | $274.95 | $9.16 – $50.81 | 35 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $703.71 – $1,543.50 | 4 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,150.77 – $1,543.50 | 4 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,150.77 – $1,543.50 | 4 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $17.79 – $411.50 | 27 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $6.43 – $206.75 | 27 |
| Muscle test larynx CPT 95865 | not published | not published | $20.36 – $170.34 | 27 |
| Muscle test one fiber CPT 95872 | not published | not published | $18.53 – $206.75 | 27 |
| Muscle transfers CPT 23397 | not published | not published | $1,881.50 – $2,981.50 | 4 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $1,881.50 – $2,298.50 | 4 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $1,301.07 – $1,985.50 | 4 |
| Mycobacteria dna amp probe CPT 87551 | $161.00 | $536.65 | $24.61 – $151.24 | 35 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $7.11 | $23.70 | $0.20 – $0.34 | 7 |
| Mycoplasma antibody igm CPT 86738 | $47.07 | $156.90 | $9.29 – $50.81 | 35 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $142.50 – $550.29 | 35 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $135.87 – $1,089.31 | 33 |
| Myelography l-s spine CPT 72265 | not published | not published | $91.32 – $1,089.31 | 33 |
| Myelography neck spine CPT 72240 | not published | not published | $90.56 – $1,089.31 | 33 |
| Myelography thoracic spine CPT 72255 | not published | not published | $83.36 – $1,089.31 | 33 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | not published | not published | $307.14 – $1,985.50 | 22 |
| Myelography via inj w/s&i cervical CPT 62302 | not published | not published | $307.14 – $1,985.50 | 22 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | not published | not published | $307.14 – $1,985.50 | 22 |
| Myelography via inj w/s&i thoracic CPT 62303 | not published | not published | $307.14 – $1,985.50 | 22 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $452.69 | $1,508.95 | $8.09 – $45.14 | 35 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $513.30 – $3,581.20 | 15 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $66.24 – $3,866.97 | 14 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $85.09 – $7,370.44 | 14 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $513.30 – $3,581.20 | 15 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $62.85 – $3,866.97 | 14 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Myomectomy abdom method CPT 58140 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Myomectomy vag method CPT 58145 | not published | not published | $923.10 – $2,298.50 | 4 |
| Myringoplasty CPT 69620 | not published | not published | $973.10 – $1,246.50 | 4 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $0.53 | $1.75 | $0.34 – $0.45 | 5 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $9.59 | $31.95 | $3.94 – $7.04 | 9 |
| Narcosynthesis CPT 90865 | not published | not published | $55.00 – $212.32 | 21 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | not published | not published | $45.00 – $2,225.50 | 22 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $64.86 – $2,225.50 | 22 |
| Nasal function studies CPT 92512 | not published | not published | $34.14 – $411.50 | 27 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $1,468.50 – $1,543.50 | 4 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $629.78 – $1,246.50 | 4 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $1,468.50 – $1,543.50 | 4 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $1,005.13 – $1,246.50 | 4 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $1,005.13 – $1,543.50 | 4 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $1,535.38 – $2,298.50 | 4 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $1,468.50 – $1,543.50 | 4 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $193.20 – $1,246.50 | 22 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $629.78 – $1,004.50 | 4 |
| Nasal sinus therapy CPT 30210 | not published | not published | $323.33 – $1,004.50 | 4 |
| Nasopharyngoscopy w/endoscope CPT 92511 | not published | not published | $37.61 – $289.80 | 27 |
| Natriuretic peptide CPT 83880 | $113.60 | $378.65 | $23.80 – $130.95 | 35 |
| Natural killer cells total count CPT 86357 | not published | not published | $26.45 – $145.60 | 35 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| N block inj common digit CPT 64632 | not published | not published | $45.00 – $2,225.50 | 22 |
| N block inj hypogas plxs CPT 64517 | not published | not published | $336.03 – $1,246.50 | 22 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $45.00 – $2,225.50 | 22 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | not published | not published | $6.46 – $170.34 | 27 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | not published | not published | $20.81 – $2,225.50 | 21 |
| Ndl insj without njx 3+ musc CPT 20561 | not published | not published | $20.81 – $2,225.50 | 21 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $6.93 – $78.50 | 27 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $904.56 | $3,015.20 | $151.23 – $768.52 | 33 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $852.78 | $2,842.60 | $148.75 – $619.72 | 33 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $888.18 | $2,960.60 | $90.33 – $562.76 | 33 |
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.