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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ProcedurePosted cashPosted gross× 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; with dilation (eg, balloon, guide wire, bougie) (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×
Aspirate pleura w/ imaging (32555) $633.65 $2,112.15 1.1×
Aspirate/Inj Ganglion Cyst (20612) $420.62 $1,402.05 1.4×
Biopsy Abdominal Mass (49180) $1,480.32 $4,934.40 0.9×
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 muscle percutaneous needle (20206) $1,480.32 $4,934.40 0.9×
Biopsy of breast; open, incisional (19101) $2,538.66 $8,462.20 0.7×
Biopsy of liver, needle; percutaneous (47000) $1,499.64 $4,998.80 1.0×
Biopsy Salivary Gland Needle (42400) $996.54 $3,321.80 1.5×
Bladder Irrigation (51700) $150.78 $502.60 0.6×
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×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $2,038.14 $6,793.80 0.6×
Bronchoscopy Clear Airways (31645) $1,780.95 $5,936.50 1.1×
Bronchoscopy Dilate W/Stent (31631)
unusually low: confirm this is the full procedure
$2,296.83 $7,656.10 0.3×
Bronchoscopy W/Biopsy(S) (31625) $1,739 $5,796.65 1.0×
Bronchoscopy W/Removal Foreign Body (31635) $1,739 $5,796.65 1.0×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $1,739 $5,796.65 0.5×
Bronchoscopy/Needle Bx Each (31629) $1,739 $5,796.65 0.5×
Bx breast 1st lesion us imag (19083) $3,012.38 $10,041.25 1.9×
Catheter aspiration nasotracheal spx (31720) $166.05 $553.50 0.8×
Chest tube placement (32551) $843.44 $2,811.45 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/balloon dilation (44405) $1,253.13 $4,177.10 1.1×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $1,261.31 $4,204.35 1.4×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,253.13 $4,177.10 1.1×
Colonoscopy Through Stoma With Decompression (44408) $1,253.13 $4,177.10 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/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×
Declot vascular device (36593) $359.58 $1,198.60 1.1×
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×
Dilate Esophagus 1/Mult Pass (43450) $895.29 $2,984.30 1.0×
Dilation Esophagus Guide Wire (43453) $758.39 $2,527.95 0.4×
Drainage of rectal abscess (45005) $1,636.65 $5,455.50 1.4×
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×
Dx Bronchoscope/Lavage (31624) $1,739 $5,796.65 1.0×
Dx Bronchoscope/Wash (31622) $1,739 $5,796.65 1.0×
Dx lmbr spi pnxr w/fluor/CT (62328) $869.79 $2,899.30 1.3×
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) $1,103.97 $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 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 place gastrostomy tube (43246) $1,093.16 $3,643.85 0.6×
Egd remove lesion snare (43251) $1,103.97 $3,679.90 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 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×
Epidural Blood Patch (62273) $1,008.83 $3,362.75 1.5×
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) $5,718.02 $19,060.05 1.0×
Ercp Dx Collection Specimen Brushing/Washing (43260) $2,859.02 $9,530.05 0.8×
Ercp ea duct/ampulla dilate (43277) $5,718.02 $19,060.05 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) $5,718.02 $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,Sphincterotomy (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 Catheter Prq W/Img Gid Rs&I (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 without imaging guidance (10021) $194.52 $648.40 0.5×
Fluoro exam of g/colon tube (49465) $307.08 $1,023.60 1.4×
Fna bx w/us gdn 1st les (10005) $1,267.59 $4,225.30 1.9×
Guide Cathet Fluid Drainage (10030) $1,465.77 $4,885.90 2.2×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,284.93 $4,283.10 1.5×
Ileoscopy Stoma W/Balloon Dilation (44381) $1,201.23 $4,004.10 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 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×
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×
Injection of sclerosing solution, hemorrhoids (46500) $713.27 $2,377.55 0.8×
Insert Bladder Cath Complex (51703)
range across 4 matching MRF lines
$311.37–$333.18 $1,037.90–$1,110.60 varies
Insert cath pleura w/ image (32557) $1,808.99 $6,029.95 1.2×
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 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)
range across 3 matching MRF lines
$122.96–$127.59 $409.85–$425.30 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×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,342.05 $4,473.50 1.0×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$533.85–$565.88 $1,779.50–$1,886.25 varies
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) $741.02 $2,470.05 1.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $958.25 $3,194.15 1.3×
N Block Inj Pudendal (64430) $356.39 $1,187.95 0.4×
Nasal/Orogastric W/Tube Plmt (43752) $348.78 $1,162.60 0.8×
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×
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×
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 abscess hematoma bulla/cyst (10160) $458.54 $1,528.45 1.2×
Removal of 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 Perq (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 No Revj Trc (43762) $607.29 $2,024.30 2.6×
Rplc gtube revj gstrst trc (43763) $607.29 $2,024.30 2.6×
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) $672.71 $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 & 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 With With Band Ligation(S) (45350) $1,133.61 $3,778.70 1.0×
Sigmoidoscopy w/fb removal (45332) $672.71 $2,242.35 0.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $672.71 $2,242.35 0.8×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,093.16 $3,643.85 1.0×
Sphincterotomy anal division sphincter spx (46080) $1,750.98 $5,836.60 0.7×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$375.41–$696.02 $1,251.35–$2,320.05 varies
Ther Spi Pnxr Csf Fluor/Ct (62329) $796.05 $2,653.50 1.2×
Therapeutic plasma exchange (36514) $1,867.05 $6,223.50 1.3×
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×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $496.26 $1,654.20 1.7×

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.