Visits & medical services prices at Ascension Saint Thomas Highlands

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $75.56 $251.85 0.4×
Assessment of aphasia (96105) $199.26 $664.20 2.1×
Bfb training 1st 15 min (90912) $42.50 $141.65 0.5×
Bfb training ea addl 15 min (90913) $42.50 $141.65 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $536.34 $1,787.80 1.5×
Capsule endoscopy (91110) $1,261.31 $4,204.35 1.5×
Cardiac Stress Tst,Tracing Only (93017) $614.06 $2,046.88 3.0×
Cardiopulmonary resuscitation (92950) $656.27 $2,187.55 3.2×
Cardioversion (92960) $949.90 $3,166.35 1.5×
Cbt 1st hour (94644) $66.14 $220.45 0.5×
Color/duplex Doppler, complete (93975) $523.35 $1,744.50 2.3×
Color/duplex Doppler, limited (93976) $440.79 $1,469.30 4.4×
Cpap initiation and management (94660) $240.77 $802.55 1.2×
Cpt initial (94667) $79.35 $264.50 0.6×
Critical care (99291) $976.02 $3,253.40 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $61.97 $206.55 0.3×
Demo &/or eval,pt use,aerosol device (94664) $128.94 $429.80 0.6×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $753.99 $2,513.30 1.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $389.69 $1,298.95 1.7×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $393.88 $1,312.92 4.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $384.66 $1,282.20 1.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $366.44 $1,221.45 3.7×
Dup-scan xtr veins unilateral/limited study (93971) $410.70 $1,369 4.1×
Duplex scan extracranial art compl bi study (93880) $571.19 $1,903.95 2.5×
Echo Heart Xthoracic,Limited (93308) $489.71 $1,632.35 2.2×
Echo transesophageal (93312) $1,149.95 $3,833.15 2.2×
EEG awake asleep (95819) $356.55 $1,188.50 1.7×
EEG awake drowsy (95816) $297.48 $991.60 1.5×
EEG cerebral death evaluation (95824) $495.47 $1,651.55 1.4×
EEG coma or sleep only (95822) $342.33 $1,141.10 1.7×
EKG (93005) $106.86 $356.20 1.9×
EKG rhythm strip (93041) $106.85 $356.15 1.9×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $507.59 $1,691.95 2.5×
Er level 1 (99281) $207.69 $692.30 2.6×
Er level ii (99282) $573 $1,910 3.9×
Er level iii (99283) $735 $2,450 2.8×
Er level IV (99284) $945 $3,150 2.4×
Er level v (99285) $960.02 $3,200.05 1.7×
Esophgl balo distension dx std w/provocation (91040) $484.85 $1,616.15 1.4×
Evaluation of swallowing function (92610) $154.29 $514.30 1.8×
External Ecg Scanning Analysis Report (93226) $589.04 $1,963.45 10.5×
Flow volume loop (94375) $324.14 $1,080.45 1.6×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $546.59 $1,821.95 0.7×
Group Therapeutic Procedures (97150) $33.29 $110.95 1.8×
Holter Monitor Recording (93225) $395.99 $1,319.95 3.1×
Hypoxia Response Curve (94450) $80.40 $268 0.7×
Immunization Admin (90471) $43.88 $146.25 0.6×
Ins swan ganz bedside (93503) $1,880.60 $6,268.65 1.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $46.80 $156 0.8×
IV infusion hydration each additional hour (96361) $36.93 $123.10 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $148.43 $494.75 0.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $148.44 $494.78 2.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $148.43 $494.75 0.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $36.93 $123.10 0.8×
IV push initial (96374) $127.74 $425.80 0.6×
Manual therapy 15 min (97140) $53.72 $179.08 1.9×
Massage 15 min (97124) $48.14 $160.45 1.6×
Maximum voluntary ventilation (94200) $147.30 $491 2.6×
Mechanical chest wall oscillation (94669) $229.95 $766.50 1.1×
Mechanical traction (97012) $61.80 $205.98 4.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $28.62 $95.40 0.8×
Methacholine challenge (94070) $563.39 $1,877.95 1.6×
Mnt Group Ea 30 Min (97804) $126.06 $420.20 7.4×
Motility study esophagus (91010) $546.59 $1,821.95 1.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $161.94 $539.80 1.8×
Neurobehavioral Status Exam (96116) $199.26 $664.20 1.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $272.97 $909.90 2.2×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $272.97 $909.90 1.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $218.19 $727.30 1.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $47.94 $159.78 1.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $40.13 $133.75 1.3×
Ot Contrast Bath Ea 15 Min (97034) $42.54 $141.80 3.0×
Ot eval high complex 60 min (97167) $129.60 $432 1.3×
Ot eval low complex 30 min (97165) $129.60 $432 1.3×
Ot eval mod complex 45 min (97166) $129.60 $432 1.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $46.49 $154.95 0.9×
Ot Range Motion Measure,Each Extrem (95851) $10.71 $35.70 0.4×
Ot re-eval est plan care (97168) $48.26 $160.85 0.7×
Paraffin bath (97018) $33.86 $112.85 5.6×
Pt Electric Current Therapy (97033) $54.86 $182.85 2.9×
Pt Electrical Stimulation (97032) $60.20 $200.65 4.1×
Pt eval high complex 45 min (97163) $129.60 $432 1.3×
Pt eval low complex 20 min (97161) $129.60 $432 1.3×
Pt Gait Training Therapy (97116) $42.38 $141.28 1.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $44.01 $146.70 1.3×
Pt Physical Performance Test (97750) $34.96 $116.52 1.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $129.60 $432 1.3×
Pt re-evaluation (97164) $48.26 $160.85 0.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $43.40 $144.65 1.3×
Pt Ultrasound Therapy (97035) $44.01 $146.70 3.1×
Pt Whirlpool Therapy (97022) $67.92 $226.40 4.3×
Pulm function test by gas (94727) $204.50 $681.65 1.0×
Pulmonary stress testing (94618) $98.05 $326.82 0.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $200.19 $667.30 5.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $47.69 $158.95 0.3×
Rom meas&reprt hand w/wo comparison normal sid (95852) $14.28 $47.60 0.7×
Rt Chest Wall Manipulation,Subsequent (94668) $75.56 $251.85 0.6×
Sensory Integration Ea 15 Min (97533) $42.78 $142.60 0.7×
Smoking cessation > 10 min (99407) $36.39 $121.30 1.0×
Speech group therapy (92508) $50.36 $167.85 2.1×
Speech sound lang comprehen (92523) $148.26 $494.20 0.7×
Spirometry (94010) $170.06 $566.85 0.8×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $36.90 $123 0.8×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $148.44 $494.80 0.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $28.16 $93.85 1.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $28.16 $93.85 1.3×
Ther/Proph/Diag Inj Sc/Im (96372) $56 $186.65 0.8×
Therapeutic Activities (97530) $43.87 $146.22 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $20.19 $67.30 0.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,221.23 $4,070.75 2.4×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $859.97 $2,866.55 3.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $76.77 $255.90 1.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $112.47 $374.90 1.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $55.98 $186.60 1.3×
Unlisted pulmonary service/procedure (94799) $482.84 $1,609.45 4.0×
Vasc Duplex Extrem Venous,Bilat (93970) $547.46 $1,824.88 2.4×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $293.79 $979.30 1.4×
Ventilation assist & mgmt inpatient 1st day (94002) $509.54 $1,698.45 0.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $474.42 $1,581.40 0.8×
Vital capacity total (94150) $77.82 $259.40 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $44.92 $149.72 1.4×