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 |
|---|---|---|---|---|
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $34.11 – $34.11 | 1 |
| Psytx complex interactive CPT 90785 | not published | not published | $3.25 – $3.25 | 1 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $45.00 – $45.00 | 1 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $78.00 – $78.00 | 1 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $89.70 – $89.70 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $60.20 | $200.65 | $12.13 – $41.75 | 28 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $10.21 – $20.76 | 8 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $64.86 | $216.20 | $13.09 – $69.21 | 28 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $46.82 | $156.05 | $11.75 – $28.08 | 28 |
| Pt application of modality traction mechanical CPT 97012 | $68.27 | $227.55 | $12.13 – $35.10 | 28 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $43.36 – $940.26 | 35 |
| Pten gene full sequence CPT 81321 | not published | not published | $99.93 – $1,881.64 | 35 |
| Pten gene known fam variant CPT 81322 | not published | not published | $28.91 – $165.93 | 35 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $973.10 – $2,225.50 | 4 |
| Pt evaluation high complexity patient/family CPT 97163 | $129.60 | $432.00 | $66.74 – $176.18 | 28 |
| Pt evaluation low complexity patient/family CPT 97161 | $129.60 | $432.00 | $66.74 – $176.18 | 28 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $129.60 | $432.00 | $66.74 – $176.18 | 28 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $11.92 – $56.60 | 26 |
| Pt re-evaluation patient/family CPT 97164 | $48.26 | $160.85 | $45.14 – $119.16 | 28 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $18.89 – $95.77 | 28 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $47.69 | $158.95 | $10.42 – $30.06 | 10 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $46.82 | $156.05 | $13.24 – $62.24 | 28 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $49.46 | $164.85 | $12.59 – $57.39 | 28 |
| Pt wheelchair management each 15 minutes CPT 97542 | $46.82 | $156.05 | $13.66 – $67.11 | 28 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $785.24 – $16,047.00 | 9 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $304.57 – $16,047.00 | 5 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $100.20 – $589.01 | 33 |
| Pulse ox continuous overnight monitoring CPT 94762 | $218.19 | $727.30 | $32.70 – $206.75 | 27 |
| Pulse ox multiple CPT 94761 | not published | not published | $8.04 – $31.18 | 8 |
| Pulse ox single CPT 94760 | $78.99 | $263.30 | $5.08 – $11.74 | 8 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $244.03 – $1,004.50 | 22 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $45.50 | $151.65 | $19.21 – $2,225.50 | 24 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $458.54 | $1,528.45 | $25.71 – $2,225.50 | 24 |
| Puncture/clear windpipe 31612 CPT 31612 | $4,473.50 | $14,911.65 | $954.50 – $1,865.02 | 4 |
| Puncture spinal lumbar diagnostic CPT 62270 | $696.02 | $2,320.05 | $29.77 – $1,004.50 | 24 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $45.00 – $2,225.50 | 22 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $45.00 – $2,225.50 | 22 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Pyruvate CPT 84210 | not published | not published | $7.61 – $45.14 | 35 |
| Pyruvate kinase CPT 84220 | not published | not published | $6.61 – $36.12 | 35 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $109.50 – $170.34 | 18 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $156.59 – $755.17 | 33 |
| Quant diff pulm perf w/imaging CPT 78597 | $657.60 | $2,192.00 | $100.20 – $589.01 | 33 |
| Quest t3 uptake CPT 84479 | $60.08 | $200.25 | $4.54 – $24.85 | 35 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $88.15 – $780.60 | 31 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $217.03 – $615.01 | 28 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $801.24 | $2,670.80 | $92.19 – $578.19 | 31 |
| Rabies vaccine id CPT 90676 | not published | not published | $73.27 – $370.26 | 21 |
| Radiation handling CPT 77790 | not published | not published | $13.91 – $79.82 | 10 |
| Radiation physics consult CPT 77336 | not published | not published | $53.24 – $336.54 | 32 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $37.04 – $175.45 | 32 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $37.97 – $175.45 | 32 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $9.71 – $215.61 | 32 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $91.32 – $483.74 | 32 |
| Radiation treatment delivery CPT 77401 | not published | not published | $21.10 – $144.70 | 32 |
| Radiation treatment delivery CPT 77402 | not published | not published | $49.21 – $334.90 | 32 |
| Radiation treatment delivery CPT 77412 | not published | not published | $65.96 – $599.11 | 32 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,118.00 – $4,813.00 | 5 |
| Radical resection of elbow CPT 24149 | not published | not published | $1,301.07 – $2,225.50 | 4 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $670.71 – $2,981.50 | 4 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $912.16 – $3,160.00 | 4 |
| Radiology port images(s) CPT 77417 | not published | not published | $14.64 – $26.45 | 10 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $472.00 – $4,177.58 | 14 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $156.66 – $2,035.50 | 15 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $122.69 – $2,035.50 | 15 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $468.70 – $2,035.50 | 14 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $772.52 | $2,575.05 | $185.62 – $2,035.50 | 15 |
| Radphm lcl tumor plr sgl day CPT 78800 | $168.95 | $563.15 | $96.19 – $589.01 | 33 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $60.64 – $163.84 | 10 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $670.71 – $1,543.50 | 4 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $912.16 – $3,160.00 | 4 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $670.71 – $1,543.50 | 4 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $670.71 – $1,543.50 | 4 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $912.16 – $3,160.00 | 4 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $670.71 – $1,543.50 | 4 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $912.16 – $3,160.00 | 4 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $1,468.50 – $1,881.50 | 4 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $670.71 – $2,225.50 | 4 |
| Rapid desensitization CPT 95180 | not published | not published | $39.76 – $527.31 | 24 |
| Rapid Strep Test CPT 87880 | not published | not published | $8.42 – $51.92 | 35 |
| Rbc count only automated CPT 85041 | $37.20 | $124.00 | $2.12 – $11.28 | 35 |
| Rbc deglycerolized each unit HCPCS P9039 | $740.18 | $2,467.25 | $119.19 – $873.66 | 7 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $314.10 – $1,004.50 | 22 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $6.31 – $527.31 | 34 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $973.10 – $2,225.50 | 4 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,865.02 – $2,225.50 | 4 |
| Realignment of knee CPT 27457 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Realignment of tendons CPT 26437 | not published | not published | $614.17 – $1,543.50 | 4 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,865.02 – $2,298.50 | 4 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,468.50 – $1,865.02 | 4 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,865.02 – $2,981.50 | 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.