Procedures & surgery prices at Ascension Saint Thomas River Park

McMinnville, 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×
Anoscopy diagnostic (46600) $426.99 $1,423.30 3.4×
Anoscopy,W/Dilation - Endoscopy, Anus (46604) $1,056.72 $3,522.40 0.9×
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) $72.66 $242.20 0.6×
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×
Aspirat/Injection Ganglion Cyst(S) (20612) $420.62 $1,402.05 1.4×
Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) $1,133.61 $3,778.70 1.0×
Biopsy bone trocar/needle deep (20225) $1,198.31 $3,994.35 0.8×
Biopsy Bone Trocar/Needle Superficial (20220) $1,281.51 $4,271.70 0.8×
Biopsy Breast Open Incisional (19101) $2,538.66 $8,462.20 0.7×
Biopsy muscle percutaneous needle (20206) $1,480.32 $4,934.40 0.9×
Biopsy Salivary Gland,Needle (42400) $996.54 $3,321.80 1.5×
Bladder Irrigation Simple (51700) $150.78 $502.60 0.6×
Blood patch (62273) $1,008.83 $3,362.75 1.5×
Blood transfusion service (36430) $375 $1,250 0.9×
Brnchsc Brushing/Protected Brushings (31623) $1,739 $5,796.65 1.0×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $2,038.14 $6,793.80 0.6×
Bronchosc dx w/w/o fluor&wash (31622) $1,739 $5,796.65 1.0×
Bronchoscopy dilate/fx repr (31630) $2,038.14 $6,793.80 0.6×
Bronchoscopy needle bx trachea main stem&/bron (31629) $1,739 $5,796.65 0.5×
Bronchoscopy W/Biopsy(S) (31625) $1,739 $5,796.65 1.0×
Bronchoscopy W/Placement Tracheal Stent (31631)
unusually low: confirm this is the full procedure
$2,296.83 $7,656.10 0.3×
Bronchoscopy W/Removal Foreign Body (31635) $1,739 $5,796.65 1.0×
Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) $1,780.95 $5,936.50 1.1×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $1,739 $5,796.65 0.5×
Bronchoscopy,Diagnostic W Lavage (31624) $1,739 $5,796.65 1.0×
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) $166.05 $553.50 0.8×
Chest tube placement (32551) $843.44 $2,811.45 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/balloon dilation (44405) $1,253.13 $4,177.10 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 decompression (44408) $1,253.13 $4,177.10 1.4×
Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) $1,253.13 $4,177.10 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×
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×
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) $672.71 $2,242.35 0.8×
Dilat rct strix spx under anes oth/thn local (45910) $2,659.16 $8,863.85 2.3×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $895.29 $2,984.30 1.0×
Dilation Esophagus Guide Wire (43453) $758.39 $2,527.95 0.4×
Draw blood off venous device (36591) $79.85 $266.15 0.6×
Dstrj lesion anus simple surg excision (46922) $2,624.61 $8,748.70 1.0×
Dx bone marrow bx & aspir (38222) $1,393.70 $4,645.65 0.5×
Egd balloon dilation esophagus <30 mm diam (43249) $1,093.16 $3,643.85 0.6×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $1,103.97 $3,679.90 0.6×
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 place gastrostomy tube (43246) $1,093.16 $3,643.85 0.6×
Egd rem tumr/polyp forcep (43250) $1,093.16 $3,643.85 0.6×
Egd remove lesion snare (43251) $1,103.97 $3,679.90 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 Varices Ligation (43244) $1,093.16 $3,643.85 0.6×
Egd w/transmural drain cyst (43240)
likely a partial charge, not the full procedure
$1,086.02 $3,620.05 0.2×
Ercp Duct Stent Placement (43274) $5,718.02 $19,060.05 1.0×
Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) $2,859.02 $9,530.05 0.8×
Ercp ea duct/ampulla dilate (43277) $5,718.02 $19,060.05 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) $5,718.02 $19,060.05 1.0×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $5,718.02 $19,060.05 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×
Esophagogastroduodenoscopy submucosal injection (43236) $1,093.16 $3,643.85 1.3×
Exc frenum labial/buccal (40819) $1,088.09 $3,626.95 0.7×
Exchange nephrostomy cath (50435) $1,334.97 $4,449.90 0.7×
Excision Multiple External Papillae/Tags Anus (46230) $2,659.16 $8,863.85 1.0×
External Cephalic Version (59412) $1,622.55 $5,408.50 0.5×
Fetal non-stress test (59025) $500.57 $1,668.55 2.6×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,822.79 $6,075.95 2.7×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,267.59 $4,225.30 1.9×
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×
Guide Cathet Fluid Drainage (10030) $1,465.77 $4,885.90 2.2×
I&d submucosal abscess rectum (45005) $1,636.65 $5,455.50 1.4×
Ileoscopy stoma w/balloon dilation (44381) $1,201.23 $4,004.10 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 Colxn Visc (49405) $1,587.32 $5,291.05 1.0×
Image Cath Fluid Peri/Retro (49406) $1,587.32 $5,291.05 1.0×
Inject Nerv Blck,Pudendal (64430) $356.39 $1,187.95 0.4×
Inject scleros soln in hemorrhoids (46500) $713.27 $2,377.55 0.8×
Injection for identification of sentinel node (38792) $347.75 $1,159.15 0.9×
Insert Bladder Cath Complex (51703) $328.13 $1,093.75 2.7×
Insert cervical dilator (59200) $207.93 $693.10 0.7×
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 tun ip cath perc (49418) $3,024.83 $10,082.75 0.9×
Insert,Non-Indwelling Bladder Catheter (51701) $122.96 $409.85 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,714.17 $5,713.90 1.1×
Intubation endotracheal emergency procedure (31500) $549.86 $1,832.88 2.4×
Ligation of hemorrhoid(s) (46221) $1,284.93 $4,283.10 1.5×
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) $741.02 $2,470.05 1.0×
Myelography via lumbar injection rs&i thoracic (62303) $958.25 $3,194.15 1.3×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $348.78 $1,162.60 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×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $1,246.05 $4,153.50 1.9×
Percut Drain/Inject Renal Cyst (50390) $1,179.68 $3,932.25 1.8×
Perq dev breast 1st strtctc (19283) $1,685.40 $5,618 2.5×
Perq dev breast 1st us imag (19285) $1,500.41 $5,001.35 2.2×
Perq device breast 1st imag (19281) $1,592.88 $5,309.60 1.0×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $1,808.99 $6,029.95 1.2×
Perq replacement gtube not req revj gstrst trc (43762) $607.29 $2,024.30 2.6×
Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) $1,342.05 $4,473.50 1.0×
Placement of needle for intraosseous infusion (36680) $315.50 $1,051.65 0.7×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $775.85 $2,586.15 1.2×
Puncture Aspiration (10160) $458.54 $1,528.45 1.2×
Puncture/clear windpipe (31612) $4,473.50 $14,911.65 1.4×
Removal Tunneled Intraperitoneal Catheter (49422) $2,194.44 $7,314.80 0.7×
Remove cerclage suture (59871) $2,146.38 $7,154.60 0.7×
Renal biopsy (50200) $1,379.96 $4,599.85 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $804.26 $2,680.85 1.4×
Rplc gtube revj gstrst trc (43763) $607.29 $2,024.30 2.6×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $672.71 $2,242.35 0.8×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,093.16 $3,643.85 1.0×
Sigmoidoscopy & decompress (45337) $672.71 $2,242.35 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 Tndsc Balo Dilat - Endoscopy Sigmoid (45340) $1,093.16 $3,643.85 1.0×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $672.71 $2,242.35 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) $672.71 $2,242.35 0.6×
Sphincterotomy (46080) $1,750.98 $5,836.60 0.7×
Spinal puncture lumbar diagnostic (62270) $535.72 $1,785.70 0.8×
Ther Apheresis,Plasma Pheresis (36514) $1,867.05 $6,223.50 1.3×
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×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $496.26 $1,654.20 1.7×
Venipuncture (36415) $11.99 $39.95 1.3×