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 |
|---|---|---|---|---|
| Tympanic membrane repair CPT 69610 | not published | not published | $973.10 – $2,225.50 | 4 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $954.50 – $1,865.02 | 4 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $16.82 – $206.75 | 27 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $181.65 – $1,004.50 | 22 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,865.02 – $2,981.50 | 4 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $2.22 – $12.42 | 35 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $99.93 – $733.69 | 35 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $178.85 | $596.15 | $48.97 – $179.33 | 32 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $4.40 – $179.33 | 33 |
| Ultrasound breast complete CPT 76641 | $346.94 | $1,156.45 | $45.37 – $188.95 | 33 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $330.39 | $1,101.30 | $40.06 – $143.98 | 33 |
| Ultrasound chest CPT 76604 | $218.07 | $726.90 | $31.15 – $179.33 | 33 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $25.28 – $179.33 | 33 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $36.35 – $179.33 | 33 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $25.07 – $76.89 | 10 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $57.67 – $205.15 | 32 |
| Ultrasound encephalogram CPT 76506 | $199.89 | $666.30 | $31.15 – $227.38 | 33 |
| Ultrasound exam k transpl w/doppler CPT 76776 | not published | not published | $47.68 – $317.38 | 33 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $131.31 | $437.70 | $46.19 – $179.33 | 33 |
| Ultrasound guidance for vascular access CPT 76937 | $222.23 | $740.75 | $11.95 – $49.88 | 10 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $228.23 | $760.75 | $42.36 – $75.75 | 10 |
| Ultrasound guide intraoperative CPT 76998 | not published | not published | $38.15 – $201.34 | 10 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $46.89 – $128.22 | 10 |
| Ultrasound hips infant dynamic CPT 76885 | not published | not published | $31.15 – $286.45 | 33 |
| Ultrasound infant hips ltd without stress CPT 76886 | $126.59 | $421.95 | $31.15 – $198.33 | 33 |
| Ultrasound joint complete left CPT 76881 | $301.68 | $1,005.60 | $47.68 – $186.15 | 33 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $275.09 | $916.95 | $7.72 – $179.33 | 33 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $15.58 – $171.01 | 26 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $163.98 | $546.60 | $47.68 – $177.82 | 11 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $199.83 | $666.10 | $20.87 – $48.59 | 11 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $338.91 | $1,129.70 | $75.31 – $372.86 | 33 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $211.22 | $704.05 | $31.15 – $191.78 | 33 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $86.70 | $289.00 | $31.15 – $179.33 | 33 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $372.18 | $1,240.60 | $31.15 – $179.33 | 33 |
| Ultrasound prostate/transrectal CPT 76872 | $190.08 | $633.60 | $43.30 – $212.17 | 33 |
| Ultrasound retroperitoneal limited CPT 76775 | $252.51 | $841.70 | $38.94 – $179.33 | 33 |
| Ultrasound scrotum and contents CPT 76870 | $333.84 | $1,112.80 | $43.30 – $179.33 | 33 |
| Ultrasound spinal canal and contents CPT 76800 | $376.25 | $1,254.15 | $40.08 – $229.27 | 33 |
| Ultrasound transabd ea addl gest CPT 76812 | $209.88 | $699.60 | $31.15 – $229.82 | 11 |
| Ultrasound transvaginal non obstetric CPT 76830 | $370.23 | $1,234.10 | $43.30 – $233.01 | 33 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $151.23 – $645.25 | 32 |
| Ultraviolet therapy CPT 97028 | not published | not published | $6.66 – $15.89 | 28 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $113.08 – $1,004.50 | 22 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $9.41 – $32.37 | 19 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $13.76 – $32.37 | 19 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $12.41 – $60.97 | 19 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $64.86 – $2,225.50 | 22 |
| Unlisted CT procedure CPT 76497 | not published | not published | $52.81 – $562.76 | 25 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $147.30 – $938.21 | 23 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $5.52 – $155.56 | 24 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $5.52 – $155.56 | 24 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $70.59 – $206.75 | 19 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $65.69 – $938.21 | 23 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $65.49 – $2,225.50 | 22 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $43.63 – $166.77 | 25 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $120.62 – $938.21 | 23 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $157.74 – $938.21 | 23 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $65.49 – $2,225.50 | 22 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laps px renal CPT 50549 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laps px testis CPT 54699 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $1,508.47 – $2,225.50 | 4 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $64.86 – $2,225.50 | 22 |
| Unlisted misc path test CPT 89240 | not published | not published | $5.52 – $155.56 | 24 |
| Unlisted mr procedure CPT 76498 | not published | not published | $74.80 – $296.80 | 25 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $122.24 – $938.21 | 23 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $64.86 – $2,225.50 | 22 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $22.09 – $206.75 | 19 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $119.13 – $938.21 | 23 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $20.81 – $32.37 | 19 |
| Unlisted orl service/px CPT 92700 | not published | not published | $17.18 – $32.37 | 19 |
| Unlisted procedure colon CPT 45399 | not published | not published | $394.93 – $2,298.50 | 22 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $372.80 – $2,225.50 | 22 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $149.18 – $2,225.50 | 22 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $64.86 – $2,225.50 | 22 |
| Unlisted procedure liver CPT 47399 | not published | not published | $243.67 – $2,225.50 | 22 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $33.83 – $113.55 | 7 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $149.18 – $2,225.50 | 22 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $243.67 – $2,225.50 | 22 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $221.26 – $2,225.50 | 22 |
| Unlisted procedure spine CPT 22899 | not published | not published | $203.78 – $2,225.50 | 22 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $25.31 – $39.85 | 19 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $203.78 – $2,225.50 | 22 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $64.86 – $2,225.50 | 22 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $376.09 – $2,225.50 | 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.