Supplies, drugs & other prices at Ascension Saint Thomas Hospital West
Nashville, TN · every code in this section with a posted price and a Medicare benchmark.
52 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,357.47 | $4,524.90 | 1.8× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,108.76 | $3,695.85 | 1.5× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,108.76 | $3,695.85 | 3.3× |
| 3D cntr simula trgt lvr les (0944T) | $208.35 | $694.50 | 0.9× |
| Admin influenza virus vac (G0008) | $43.88 | $146.25 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $43.88 | $146.25 | 1.0× |
| Blind interatrial shunt ide (C9758) unusually low: confirm this is the full procedure |
$5,531.50 | $18,438.32 | 0.3× |
| Catheterize for urine spec (P9612) | $86.13 | $287.10 | 9.2× |
| Cbc without platelet (G0307) | $54.89 | $182.95 | 8.5× |
| Colon ca scrn not hi rsk ind (G0121) | $1,093.16 | $3,643.85 | 1.2× |
| Colorectal scrn; hi risk ind (G0105) | $1,093.16 | $3,643.85 | 1.2× |
| Diab manage trn per indiv (G0108) | $85.11 | $283.70 | 1.5× |
| Diab manage trn ind/group (G0109) | $36.38 | $121.25 | 2.3× |
| Drug test def 1-7 classes (G0480) | $96.39 | $321.30 | 0.8× |
| Drug test def 8-14 classes (G0481) | $48.93 | $163.10 | 0.3× |
| Ekg tracing for initial prev (G0404) | $97.32 | $324.40 | 3.5× |
| Elec stim other than wound (G0283) | $35.10 | $117 | 2.8× |
| Fecal microbiota prep instil (G0455) | $356.43 | $1,188.10 | 0.4× |
| Group mnt 2 or more 30 mins (G0271) | $15.77 | $52.55 | 0.9× |
| Inj for sacroiliac jt anesth (G0260) | $775.85 | $2,586.15 | 1.1× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $20,606.40 | $68,688 | 0.7× |
| Mnt subs tx for change dx (G0270) | $40.13 | $133.75 | 1.3× |
| Mra w/cont, abd (C8900) | $771.97 | $2,573.22 | 2.3× |
| Mra w/cont, chest (C8909) | $942.93 | $3,143.10 | 2.8× |
| Mra w/cont, lwr ext (C8912) | $820.34 | $2,734.45 | 2.5× |
| Mra w/cont, pelvis (C8918) | $578.94 | $1,929.80 | 1.7× |
| Mra w/o cont, abd (C8901) | $671.23 | $2,237.42 | 2.9× |
| Mra w/o cont, chest (C8910) | $819.95 | $2,733.15 | 3.6× |
| Mra w/o cont, lwr ext (C8913) | $713.33 | $2,377.75 | 3.1× |
| Mra w/o cont, pelvis (C8919) | $506.03 | $1,686.75 | 2.2× |
| Mra w/o fol w/cont, abd (C8902) | $866.68 | $2,888.92 | 2.6× |
| Mra w/o fol w/cont, chest (C8911) | $1,084.22 | $3,614.05 | 3.2× |
| Mra w/o fol w/cont, lwr ext (C8914) | $943.40 | $3,144.65 | 2.8× |
| Mra w/o fol w/cont, pelvis (C8920) | $667.73 | $2,225.75 | 2.0× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,309.41 | $4,364.70 | 3.9× |
| Oth resp proc, group (G0239) | $69.30 | $231 | 1.9× |
| Oth resp proc, indiv (G0238) | $69.30 | $231 | 2.5× |
| Pathogen test for platelets (P9100) | $98.30 | $327.68 | 1.7× |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,823.92 | $22,746.40 | 1.0× |
| Perq Sacral Augmt Unilat Inj (0200T) | $6,217.43 | $20,724.75 | 0.9× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) unusually low: confirm this is the full procedure |
$5,405.75 | $18,019.15 | 0.5× |
| Place device/marker, non pro (C9728) | $701.22 | $2,337.40 | 0.5× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) | $87.84 | $292.80 | 0.1× |
| Screen cerv/vag thin layer (G0123) | $39.51 | $131.70 | 2.0× |
| Screen pap by tech w md supv (P3000) | $27.65 | $92.15 | 1.5× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $11,924.94 | $39,749.80 | 2.2× |
| Therapeutic procd strg endur (G0237) | $68.93 | $229.75 | 2.5× |
| Tomosynthesis, mammo (G0279) | $34.07 | $113.55 | 2.7× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $5,588.55 | $18,628.50 | 1.0× |
| Transcatheter renal sympath denervation unilat (0338T) | $5,588.55 | $18,628.50 | 1.0× |
| Tte w or w/o fol w/con,stres (C8928) | $1,108.76 | $3,695.85 | 1.5× |
| Tte w or wo fol wcon,doppler (C8929) | $1,738.13 | $5,793.75 | 2.3× |