Ascension Saint Thomas DeKalb
Smithville, TN
Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-17.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) | $1,093.16 | $3,643.85 | 1.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $1,093.16 | $3,643.85 | 1.3× |
| Diagnostic colonoscopy (45378) | $1,261.31 | $4,204.35 | 1.4× |
| Colonoscopy with biopsy (45380) | $1,261.31 | $4,204.35 | 1.1× |
| Colonoscopy with lesion removal (45385) | $1,261.31 | $4,204.35 | 1.1× |
| CT head/brain without contrast (70450) | $812.24 | $2,707.45 | 8.2× |
| MRI brain without contrast (70551) | $1,146.95 | $3,823.15 | 5.1× |
| MRI brain with contrast (70552) | $1,384.82 | $4,616.05 | 4.2× |
| MRI brain without and with contrast (70553) | $1,504.49 | $5,014.95 | 4.5× |
| X-ray lower spine, 4+ views (72110) | $254.30 | $847.65 | 2.6× |
| MRI lumbar spine without contrast (72148) | $976.83 | $3,256.10 | 4.3× |
| CT pelvis with contrast (72193) | $838.05 | $2,793.50 | 5.0× |
| MRI lower-extremity joint without contrast (73721) | $974.03 | $3,246.75 | 4.3× |
| CT abdomen and pelvis with contrast (74177) | $1,810.25 | $6,034.15 | 5.5× |
| Ultrasound, abdomen complete (76700) | $469.01 | $1,563.35 | 4.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $362.30 | $1,207.65 | 3.7× |
| Ultrasound, transvaginal (76830) | $370.23 | $1,234.10 | 3.7× |
| Mammography, one breast (diagnostic) (77065) | $215.58 | $718.60 | 2.5× |
| Mammography, both breasts (diagnostic) (77066) | $244.26 | $814.20 | 2.2× |
| Mammography, screening (bilateral) (77067) | $189.54 | $631.80 | 2.1× |
| Basic metabolic panel (80048) | $75.09 | $250.30 | 8.9× |
| Comprehensive metabolic panel (80053) | $179.18 | $597.25 | 17.0× |
| Obstetric panel (80055) | $97.91 | $326.35 | 2.0× |
| Lipid panel (80061) | $56.26 | $187.55 | 4.2× |
| Renal function panel (80069) | $72.72 | $242.40 | 8.4× |
| Hepatic function panel (80076) | $105.26 | $350.85 | 12.9× |
| PSA, total (84153) | $63.36 | $211.20 | 3.4× |
| Thyroid stimulating hormone (TSH) (84443) | $66.94 | $223.12 | 4.0× |
| CBC with automated differential (85025) | $70.88 | $236.28 | 9.1× |
| CBC, automated (85027) | $33.81 | $112.70 | 5.2× |
| Prothrombin time (PT) (85610) | $24.87 | $82.90 | 5.8× |
| Partial thromboplastin time (PTT) (85730) | $11.01 | $36.70 | 1.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $50.20 | $167.30 | 1.7× |
More prices at this hospital
- Imaging: 237 codes with posted prices and Medicare benchmarks
- Lab & pathology: 615 codes with posted prices and Medicare benchmarks
- Visits & medical services: 130 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 171 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 22 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 121.2 MB) ↓ — captured 2026-08-17
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