Procedures & surgery prices at Ascension Saint Thomas DeKalb

Smithville, TN · every code in this section with a posted price and a Medicare benchmark.

171 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,668.08 $5,560.25 1.9×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $2,363.76 $7,879.20 0.9×
Application Finger Splint Dynamic (29131) $59.01 $196.70 1.1×
Application finger splint static (29130) $59.42 $198.05 0.5×
Application long arm splint shoulder hand (29105) $129.71 $432.35 0.8×
Application Short Arm Splint Dynamic (29126) $102.02 $340.05 0.8×
Application short arm splint forearm-hand static (29125) $97.34 $324.45 0.8×
Arterial puncture (36600) $45.50 $151.65 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $388.16 $1,293.85 1.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $395.57 $1,318.55 1.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $388.16 $1,293.85 1.3×
Aspirate pleura w/ imaging (32555) $633.65 $2,112.15 1.1×
Biopsy Abdominal Mass (49180) $1,480.32 $4,934.40 0.9×
Biopsy bone trocar/needle deep (20225) $1,258.23 $4,194.10 0.8×
Biopsy muscle percutaneous needle (20206) $1,480.32 $4,934.40 0.9×
Biopsy of breast; open, incisional (19101) $2,665.62 $8,885.40 0.7×
Biopsy of liver, needle; percutaneous (47000) $1,499.64 $4,998.80 1.0×
Bladder Irrigation (51700) $150.78 $502.60 0.6×
Bladder Scan (51798) $126.41 $421.35 2.3×
Blood Transfusion Service (36430) $375 $1,250 0.9×
Bone Marrow Biopsy (38221) $1,288.76 $4,295.85 0.8×
Brnchsc Brushing/Protected Brushings (31623) $1,860.63 $6,202.10 1.1×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $5,916.11 $19,720.35 1.7×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $9,637.35 $32,124.50 2.7×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $1,345.43 $4,484.75 0.8×
Bronchoscopy Bronch Stents (31636)
unusually low: confirm this is the full procedure
$2,270.39 $7,567.95 0.3×
Bronchoscopy W/Biopsy(S) (31625) $1,860.63 $6,202.10 1.1×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626)
likely a partial charge, not the full procedure
$1,184.22 $3,947.40 0.2×
Bronchoscopy W/Removal Foreign Body (31635) $1,860.63 $6,202.10 1.1×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $1,860.63 $6,202.10 0.5×
Bronchoscopy/Needle Bx Each (31629) $1,860.63 $6,202.10 0.5×
Bx breast 1st lesion us imag (19083) $3,012.38 $10,041.25 1.9×
Catheter aspiration nasotracheal spx (31720) $81.48 $271.60 0.4×
Chest tube placement (32551) $902.49 $3,008.30 0.6×
Collect Blood From Catheter Venous Nos (36592) $79.85 $266.15 0.6×
Collection of venous blood by venipuncture (36415) $11.99 $39.95 1.3×
Colonoscopy Flexible With Decompression (45393) $1,261.31 $4,204.35 1.1×
Colonoscopy Stoma Ablation Lesion (44401) $1,261.31 $4,204.35 1.1×
Colonoscopy Stoma Control Bleeding (44391) $1,261.31 $4,204.35 1.1×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,261.31 $4,204.35 1.1×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402)
unusually low: confirm this is the full procedure
$2,859.02 $9,530.05 0.5×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $1,261.31 $4,204.35 1.4×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,261.31 $4,204.35 1.1×
Colonoscopy thru stoma (44388) $1,261.31 $4,204.35 1.4×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,261.31 $4,204.35 1.1×
Colonoscopy w/ablation (45388) $1,261.31 $4,204.35 1.1×
Colonoscopy W/Band Ligation (45398) $1,253.13 $4,177.10 1.1×
Colonoscopy w/fb removal (45379) $1,261.31 $4,204.35 1.1×
Colonoscopy W/Resection (45390) $2,522.64 $8,408.80 1.0×
Colonoscopy w/stent plcmt (45389)
unusually low: confirm this is the full procedure
$2,859.02 $9,530.05 0.5×
Colonoscopy w/submucosal inj (45381) $1,261.31 $4,204.35 1.1×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,261.31 $4,204.35 1.1×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,261.31 $4,204.35 1.1×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,261.31 $4,204.35 1.1×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,200.35 $7,334.50 1.4×
Cystourethroscopy (52000) $1,328.63 $4,428.75 2.0×
Declot vascular device (36593) $359.58 $1,198.60 1.1×
Diagnostic sigmoidoscopy (45330) $672.75 $2,242.50 0.8×
Dilate Esophagus 1/Mult Pass (43450) $840.86 $2,802.85 1.0×
Draw Blood Off Venous Device (36591) $79.85 $266.15 0.6×
Dx Bronchoscope/Lavage (31624) $1,860.63 $6,202.10 1.1×
Dx Bronchoscope/Wash (31622) $1,860.63 $6,202.10 1.1×
Dx lmbr spi pnxr w/fluor/CT (62328) $869.79 $2,899.30 1.3×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,093.16 $3,643.85 0.6×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,093.16 $3,643.85 0.6×
Egd cautery tumor polyp (43250) $1,093.16 $3,643.85 0.6×
Egd control bleeding any (43255) $1,093.16 $3,643.85 0.6×
Egd dilation gastric/duodenal stricture (43245) $1,093.16 $3,643.85 0.6×
Egd endo mucosal resection (43254) $2,186.31 $7,287.70 1.2×
Egd Endoscopic Stent Place (43266)
unusually low: confirm this is the full procedure
$2,859.02 $9,530.05 0.5×
Egd Flexible Foreign Body Removal (43247) $1,093.16 $3,643.85 1.3×
Egd guide wire insertion (43248) $1,093.16 $3,643.85 1.3×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $1,093.16 $3,643.85 0.6×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $1,093.16 $3,643.85 0.6×
Egd intrmural us needle aspirate/biopsy esophags (43238) $1,093.16 $3,643.85 0.6×
Egd lesion ablation (43270) $2,354.48 $7,848.25 1.3×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines
$1,053.41–$1,093.16 $3,511.35–$3,643.85 varies
Egd remove lesion snare (43251) $1,093.16 $3,643.85 0.6×
Egd Tube/Cath Insertion (43241) $1,093.16 $3,643.85 0.6×
Egd us exam duodenum/jejunum (43259) $1,093.16 $3,643.85 0.6×
Egd us transmural injxn/mark (43253) $1,093.16 $3,643.85 0.6×
Egd Varices Ligation (43244) $1,093.16 $3,643.85 0.6×
Endoscopic us exam esoph (43237) $1,093.16 $3,643.85 0.6×
Endoscopy Upper Small Intestine (44360) $1,261.31 $4,204.35 0.7×
Endoscopy upper small intestine w/biopsy (44361) $1,261.31 $4,204.35 0.7×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $1,261.31 $4,204.35 0.7×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $1,261.31 $4,204.35 0.7×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $1,261.31 $4,204.35 0.7×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $1,261.31 $4,204.35 0.7×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $1,261.31 $4,204.35 0.7×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $1,261.31 $4,204.35 0.7×
Epidural Blood Patch (62273)
range across 3 matching MRF lines
$1,059.27–$1,079.45 $3,530.90–$3,598.15 varies
Ercp Destruction/Lithotripsy Calculi Any Method (43265)
unusually low: confirm this is the full procedure
$2,859.02 $9,530.05 0.5×
Ercp duct stent placement (43274) $5,718.03 $19,060.10 1.0×
Ercp Dx Collection Specimen Brushing/Washing (43260) $2,859.02 $9,530.05 0.8×
Ercp ea duct/ampulla dilate (43277) $5,718.03 $19,060.10 1.6×
Ercp remove calculi/debris biliary/pancreas duct (43264) $2,859.02 $9,530.05 0.8×
Ercp remove forgn body duct (43275) $2,859.02 $9,530.05 1.6×
Ercp Stent Exchange W/Dilate (43276) $5,718.03 $19,060.10 1.0×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $5,718.03 $19,060.10 1.6×
Ercp W/Biopsy Single/Multiple (43261) $2,859.02 $9,530.05 0.8×
Ercp,Sphincterotomy (43262) $2,859.02 $9,530.05 0.8×
Esoph Scope W/Submucous Inj (43201) $1,093.16 $3,643.85 0.6×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,093.16 $3,643.85 1.3×
Esophagosc Dilate Balloon 30 (43214) $1,093.16 $3,643.85 0.6×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,093.16 $3,643.85 1.3×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $1,093.16 $3,643.85 0.6×
Esophagoscopy Flexible W/Bleeding Control (43227) $1,093.16 $3,643.85 0.6×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $1,093.16 $3,643.85 0.6×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,093.16 $3,643.85 0.6×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,093.16 $3,643.85 0.6×
Fine needle aspiration without imaging guidance (10021) $194.52 $648.40 0.5×
Fluoro exam of g/colon tube (49465) $307.08 $1,023.60 1.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $608.81 $2,029.35 0.7×
Ileoscopy Stoma W/Balloon Dilation (44381) $1,201.25 $4,004.15 0.7×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $1,261.31 $4,204.35 1.5×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,261.31 $4,204.35 1.5×
Image Cath Fluid Peri/Retro (49406) $1,587.32 $5,291.05 1.0×
Incise external hemorrhoid (46083) $542.18 $1,807.25 2.3×
Incision & drainage abscess complicated/multiple (10061) $290.99 $969.95 0.8×
Inj W/Fluor Eval Cv Device (36598) $1,228.01 $4,093.35 6.1×
Injection for identification of sentinel node (38792) $347.75 $1,159.15 0.9×
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines
$237.17–$333.18 $790.55–$1,110.60 varies
Insert non-tunnel cv cath (36556) $1,274.12 $4,247.05 0.4×
Insert Temp Bladder Cath (51702) $131.54 $438.45 1.0×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines
$93.65–$131.54 $312.15–$438.45 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,714.17 $5,713.90 1.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,417.76 $4,725.85 0.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $4,069.53 $13,565.10 0.5×
Intubation endotracheal emergency procedure (31500) $432.89 $1,442.95 1.9×
Laryngoscopy diagnostic (31505) $132.84 $442.80 0.7×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $1,404.29 $4,680.95 0.8×
Lithotripsy, extracorporeal shock wave (50590)
range across 3 matching MRF lines
$6,590.39–$9,885.59 $21,967.95–$32,951.95 varies
Myelography Lumbar Injection (62305) $868.85 $2,896.15 1.2×
Myelography Lumbar Injection (62304) $779.97 $2,599.90 1.0×
Myelography via lumbar injection rs&i cervical (62302) $778.07 $2,593.55 1.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $958.25 $3,194.15 1.3×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $1,261.32 $4,204.40 1.4×
Needle Biopsy Lymph Nodes (38505) $1,282.16 $4,273.85 0.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $279.29 $930.95 0.7×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,391.54 $4,638.45 0.4×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $1,391.54 $4,638.45 0.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $984.14 $3,280.45 1.5×
Perq dev breast 1st strtctc (19283) $1,769.70 $5,899 2.6×
Perq dev breast 1st us imag (19285) $1,500.41 $5,001.35 2.2×
Placement of needle for intraosseous infusion (36680) $315.50 $1,051.65 0.7×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $672.75 $2,242.50 0.8×
Puncture aspiration abscess hematoma bulla/cyst (10160) $458.54 $1,528.45 1.2×
Renal Biopsy Perq (50200) $1,379.96 $4,599.85 0.9×
Reposition Gastrostomy Tube (43761) $373.91 $1,246.35 1.6×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,496.51 $4,988.35 1.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $672.75 $2,242.50 0.8×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,093.16 $3,643.85 1.0×
Sigmoidoscopy & decompress (45337) $672.75 $2,242.50 0.8×
Sigmoidoscopy & Polypectomy (45333) $1,093.16 $3,643.85 1.2×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,093.16 $3,643.85 1.0×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,093.16 $3,643.85 1.0×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $1,093.16 $3,643.85 1.0×
Sigmoidoscopy w/fb removal (45332) $672.75 $2,242.50 0.6×
Sigmoidoscopy w/plcmt stent (45347)
unusually low: confirm this is the full procedure
$2,859.02 $9,530.05 0.5×
Sigmoidoscopy W/Ultrasound (45341) $1,093.16 $3,643.85 1.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $672.75 $2,242.50 0.8×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,093.16 $3,643.85 1.0×
Small bowel endoscopy (44366) $1,261.31 $4,204.35 0.7×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $1,261.31 $4,204.35 0.7×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$401.66–$696.02 $1,338.85–$2,320.05 varies
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$346.53–$502.43 $1,155.10–$1,674.75 varies
Ther Spi Pnxr Csf Fluor/Ct (62329) $796.05 $2,653.50 1.2×
Thyroid biopsy (60100) $1,066.79 $3,555.95 1.6×
Tracheal pnxr prq w/transtracheal aspir&/njx (31612) $4,473.50 $14,911.65 1.4×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,860.63 $6,202.10 3.6×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.