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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ProcedureCash priceGross charge× 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×
Biopsy bone trocar/needle deep (20225) $1,258.23 $4,194.10 0.8×
Biopsy Breast Open Incisional (19101) $2,665.62 $8,885.40 0.7×
Biopsy muscle percutaneous needle (20206) $1,480.32 $4,934.40 0.9×
Bladder Irrigation Simple (51700) $150.78 $502.60 0.6×
Bladder Scan (51798) $126.41 $421.35 2.3×
Blood patch (62273) $1,079.45 $3,598.15 1.6×
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×
Bronch ebus samplng 1/2 node (31652) $5,916.11 $19,720.35 1.7×
Bronch ebus samplng 3/> node (31653) $9,637.35 $32,124.50 2.7×
Bronchosc dx w/w/o fluor&wash (31622) $1,860.63 $6,202.10 1.1×
Bronchoscopy bronch stents (31636)
unusually low: confirm this is the full procedure
$2,270.39 $7,567.95 0.3×
Bronchoscopy needle bx trachea main stem&/bron (31629) $1,860.63 $6,202.10 0.5×
Bronchoscopy W/Biopsy(S) (31625) $1,860.63 $6,202.10 1.1×
Bronchoscopy w/markers (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,Diagnostic W Lavage (31624) $1,860.63 $6,202.10 1.1×
Bronchoscopy,Rx W Place Catheter (31643) $1,345.43 $4,484.75 0.8×
Bx abdl/retroperitoneal mass prq needle (49180) $1,480.32 $4,934.40 0.9×
Bx breast 1st lesion us imag (19083) $3,012.38 $10,041.25 1.9×
Bx/exc lymph node needle superficial (38505) $1,282.16 $4,273.85 0.8×
Catheter Aspiration Nasotracheal Spx (31720) $81.48 $271.60 0.4×
Chest tube placement (32551) $902.49 $3,008.30 0.6×
Chg Collect Blood From Catheter Venous Nos (36592) $79.85 $266.15 0.6×
Colonoscopy flex w/rem forcep (45384) $1,261.31 $4,204.35 1.1×
Colonoscopy Flexible With Decompression - Colonoscopy (45393) $1,261.31 $4,204.35 1.1×
Colonoscopy for bleeding (44391) $1,261.31 $4,204.35 1.1×
Colonoscopy Stoma Ablation Lesion (44401) $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/biopsy (44389) $1,261.31 $4,204.35 1.1×
Colonoscopy stoma w/snare (44394) $1,261.31 $4,204.35 1.1×
Colonoscopy through stoma; with removal of foreign body(s) (44390) $1,261.31 $4,204.35 1.4×
Colonoscopy thru stoma (44388) $1,261.31 $4,204.35 1.4×
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 (44402)
unusually low: confirm this is the full procedure
$2,859.02 $9,530.05 0.5×
Colonoscopy w/stent plcmt (45389)
unusually low: confirm this is the full procedure
$2,859.02 $9,530.05 0.5×
Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) $1,261.31 $4,204.35 1.1×
Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) $1,261.31 $4,204.35 1.1×
Colsc flx with directed submucosal njx any sbst (45381) $1,261.31 $4,204.35 1.1×
Complete replacement picc rs&i (36584) $1,496.51 $4,988.35 1.0×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $1,228.01 $4,093.35 6.1×
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 lumbar spinal puncture w/fluor or CT (62328) $869.79 $2,899.30 1.3×
Diagnostic sigmoidoscopy (45330) $672.75 $2,242.50 0.8×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $840.86 $2,802.85 1.0×
Draw blood off venous device (36591) $79.85 $266.15 0.6×
Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) $2,354.48 $7,848.25 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 Dilation Gastric/Duodenal Stricture - Egd (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 varices (43243) $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 place gastrostomy tube (43246) $1,073.28 $3,577.60 0.6×
Egd rem tumr/polyp forcep (43250) $1,093.16 $3,643.85 0.6×
Egd remove lesion snare (43251) $1,093.16 $3,643.85 0.6×
Egd Transoral Control Bleeding Any Method - Egd (43255) $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 fine needle bx/aspir (43242) $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 of bowel pouch (44385) $1,261.32 $4,204.40 1.4×
Endoscopy Upper Small Intestine - Enteroscopy (44360) $1,261.31 $4,204.35 0.7×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $1,261.31 $4,204.35 0.7×
Ercp Duct Stent Placement (43274) $5,718.03 $19,060.10 1.0×
Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) $2,859.02 $9,530.05 0.8×
Ercp ea duct/ampulla dilate (43277) $5,718.03 $19,060.10 1.6×
Ercp lithotripsy calculi (43265)
unusually low: confirm this is the full procedure
$2,859.02 $9,530.05 0.5×
Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (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 w/sphincterotomy/papillotomy (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 flex biopsy (43202) $1,093.16 $3,643.85 0.6×
Esophagoscopy flexible removal foreign body (43215) $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 w/us needle bx (43232) $1,093.16 $3,643.85 0.6×
Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) $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×
Ileoscopy stoma w/balloon dilation (44381) $1,201.25 $4,004.15 0.7×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) $1,261.31 $4,204.35 1.5×
Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) $1,261.31 $4,204.35 1.5×
Image Cath Fluid Peri/Retro (49406) $1,587.32 $5,291.05 1.0×
Incision & drainage abscess complicated/multiple (10061) $290.99 $969.95 0.8×
Incision thrombosed hemorrhoid external (46083) $542.18 $1,807.25 2.3×
Injection for identification of sentinel node (38792) $347.75 $1,159.15 0.9×
Insert Bladder Cath Complex (51703) $333.14 $1,110.45 2.7×
Insert non-tunnel cv cath (36556) $1,274.12 $4,247.05 0.4×
Insert picc cath (36569) $1,417.76 $4,725.85 0.9×
Insert Temp Bladder Cath (51702) $131.54 $438.45 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $131.54 $438.45 1.0×
Insertion of tube into middle small bowel using an endoscope (44372) $1,261.31 $4,204.35 0.7×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,714.17 $5,713.90 1.1×
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 Indirect Diagnostic Spx (31505) $132.84 $442.80 0.7×
Laryngoscopy with biopsy (31576) $1,404.29 $4,680.95 0.8×
Ligation of hemorrhoid(s) (46221) $608.81 $2,029.35 0.7×
Lithotripsy (50590) $6,590.39 $21,967.95 2.0×
Liver Biopsy (47000) $1,499.64 $4,998.80 1.0×
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×
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×
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $672.75 $2,242.50 0.8×
Puncture Aspiration (10160) $458.54 $1,528.45 1.2×
Puncture/clear windpipe (31612) $4,473.50 $14,911.65 1.4×
Removal of small bowel polyps or growths with electrical cautery (44365) $1,261.31 $4,204.35 0.7×
Renal biopsy (50200) $1,379.96 $4,599.85 0.9×
Reposition gastrostomy tube (43761) $373.91 $1,246.35 1.6×
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 Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) $1,093.16 $3,643.85 1.0×
Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) $1,093.16 $3,643.85 1.0×
Sigmoidoscopy Flx Ndsc Us Xm (45341) $1,093.16 $3,643.85 1.2×
Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) $1,093.16 $3,643.85 1.0×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $672.75 $2,242.50 0.8×
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) $1,093.16 $3,643.85 1.2×
Sigmoidoscopy w/fb removal (45332) $672.75 $2,242.50 0.6×
Sigmoidoscopy w/us guide bx (45342) $1,093.16 $3,643.85 1.0×
Sigmoidoscopy, flexible; with placement of endoscopic stent (45347)
unusually low: confirm this is the full procedure
$2,859.02 $9,530.05 0.5×
Small Bowel Endoscopy (44373) $1,261.31 $4,204.35 0.7×
Small bowel endoscopy (44366) $1,261.31 $4,204.35 0.7×
Small bowel endoscopy (44364) $1,261.31 $4,204.35 0.7×
Small bowel endoscopy (44376) $1,261.31 $4,204.35 0.7×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $1,261.31 $4,204.35 0.7×
Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) $1,261.31 $4,204.35 0.7×
Spinal puncture lumbar diagnostic (62270) $548.84 $1,829.45 0.8×
Strapping unna boot (29580) $424.48 $1,414.92 2.8×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) $796.05 $2,653.50 1.2×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $633.65 $2,112.15 1.1×
Thyroid biopsy (60100) $1,066.79 $3,555.95 1.6×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,860.63 $6,202.10 3.6×
Venipuncture (36415) $11.99 $39.95 1.3×