Visits & medical services prices at Ascension Saint Thomas River Park
McMinnville, TN · every code in this section with a posted price and a Medicare benchmark.
130 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $102.66 | $342.20 | 2.9× |
| Airway Inhalation Treatment (94640) | $128.94 | $429.80 | 0.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 5 matching MRF lines |
$30.15–$46.82 | $100.50–$156.05 | varies |
| Assessment of aphasia per hr (96105) | $189.75 | $632.50 | 2.0× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $41.93 | $139.75 | 0.5× |
| Bfb training ea addl 15 min (90913) | $41.93 | $139.75 | 1.3× |
| Breathing response to hypoxia (94450) | $80.40 | $268 | 0.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $536.34 | $1,787.80 | 1.5× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$614.06–$713.27 | $2,046.85–$2,377.55 | varies |
| Cardiopulmonary resuscitation (92950) | $923.46 | $3,078.20 | 4.5× |
| Cardioversion (92960) range across 3 matching MRF lines |
$813.65–$1,045.46 | $2,712.15–$3,484.85 | varies |
| Cbt 1st hour (94644) | $114.54 | $381.80 | 0.9× |
| Chemo IV infusion addl hr (96415) | $42.27 | $140.90 | 0.6× |
| Chemo IV push addl drug (96411) | $126.77 | $422.55 | 1.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $190.16 | $633.85 | 2.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $251.42 | $838.05 | 0.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $126.77 | $422.55 | 0.4× |
| Chest Wall Manipulation (94668) | $72 | $240 | 0.6× |
| Color/duplex Doppler, complete (93975) | $523.35 | $1,744.50 | 2.3× |
| Color/duplex Doppler, limited (93976) | $440.78 | $1,469.25 | 4.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 4 matching MRF lines |
$34.13–$56.19 | $113.75–$187.30 | varies |
| Continuous Pulse Ox (94762) | $207.80 | $692.65 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$229.20–$481.11 | $764–$1,603.70 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$68.43–$75.56 | $228.10–$251.85 | varies |
| Critical care first hour (99291) | $1,382.76 | $4,609.20 | 1.8× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$46.82–$59.03 | $156.05–$196.75 | varies |
| Dialysis One Evaluation (90945) | $855.18 | $2,850.60 | 2.2× |
| 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) range across 4 matching MRF lines |
$369.27–$369.29 | $1,230.90–$1,230.95 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 4 matching MRF lines |
$460.55–$634.35 | $1,535.15–$2,114.50 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 8 matching MRF lines |
$376.53–$523.35 | $1,255.10–$1,744.50 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$384.66–$570.89 | $1,282.20–$1,902.95 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 4 matching MRF lines |
$366.44–$418.61 | $1,221.45–$1,395.35 | varies |
| Echo Heart Xthoracic,Limited (93308) | $489.71 | $1,632.35 | 2.2× |
| Echo transesophag montr cardiac pump functj (93318) | $1,149.95 | $3,833.15 | 2.2× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$1,149.84–$1,149.95 | $3,832.80–$3,833.15 | varies |
| EEG awake and asleep (95819) | $305.15 | $1,017.15 | 1.5× |
| EEG cerebral death evaluation (95824) | $495.47 | $1,651.55 | 1.4× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$40.23–$60.20 | $134.10–$200.65 | varies |
| Electrocardiogram Tracing (93005) | $106.86 | $356.20 | 1.9× |
| Emergency Dept Visit Level 2 (99282) | $573 | $1,910 | 3.9× |
| Emergency Dept Visit Level 3 (99283) | $735 | $2,450 | 2.8× |
| Emergency Dept Visit Level 4 (99284) | $945 | $3,150 | 2.4× |
| Er level 1 (99281) | $207.68 | $692.25 | 2.6× |
| Er level v (99285) | $960.02 | $3,200.05 | 1.7× |
| Evaluate pt use of inhaler (94664) | $128.94 | $429.80 | 0.6× |
| Evaluate Swallowing Function (92610) | $146.93 | $489.75 | 1.7× |
| External Ecg Scanning Analysis Report (93226) | $588.86 | $1,962.85 | 10.5× |
| Extracranial Bilat Study (93880) | $571.17 | $1,903.90 | 2.5× |
| Flexible endoscopic eval swallow c/v rec (92612) | $185.87 | $619.55 | 0.9× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $460.58 | $1,535.25 | 1.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $546.59 | $1,821.95 | 0.7× |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$28.13–$31.70 | $93.75–$105.65 | varies |
| Holter monitor recording (93225) | $395.99 | $1,319.95 | 3.1× |
| Immunization administration (90471) | $43.88 | $146.25 | 0.6× |
| Iontophoresis 15 min (97033) range across 4 matching MRF lines |
$39.26–$61.77 | $130.85–$205.90 | varies |
| Irrig Drug Delivery Device (96523) | $46.80 | $156 | 0.8× |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$36.92–$71.96 | $123.05–$239.85 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$148.43–$209.42 | $494.75–$698.05 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 5 matching MRF lines |
$99.30–$148.44 | $331–$494.80 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
$36.92–$71.96 | $123.05–$239.85 | varies |
| IV push initial (96374) | $127.74 | $425.80 | 0.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $293.79 | $979.30 | 1.4× |
| Mechanical chest wall oscillation per session (94669) | $229.95 | $766.50 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $28.62 | $95.40 | 0.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $126.06 | $420.20 | 7.4× |
| Methacholine challenge (94070) | $536.54 | $1,788.45 | 1.5× |
| Motility study esophagus (91010) | $546.59 | $1,821.95 | 1.5× |
| Motion Fluoroscopy/Swallow (92611) | $154.22 | $514.05 | 1.7× |
| Multiple Sleep Latency Test (95805) | $879.38 | $2,931.25 | 1.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $733.55 | $2,445.15 | 1.9× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $673.01 | $2,243.35 | 1.7× |
| Neurobehavioral Status Exam (96116) | $189.75 | $632.50 | 0.9× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$41.91–$46.95 | $139.70–$156.50 | varies |
| Newborn resuscitation (99465) | $388.95 | $1,296.50 | 0.6× |
| Oral Function Therapy (92526) | $107.12 | $357.05 | 1.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 3 matching MRF lines |
$42.50–$50.48 | $141.65–$168.25 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$42.50–$51.95 | $141.65–$173.15 | varies |
| Ot Contrast Bath Ea 15 Min (97034) range across 3 matching MRF lines |
$40.16–$40.50 | $133.85–$135 | varies |
| Ot eval high complexity (97167) | $123.42 | $411.40 | 1.2× |
| Ot Eval Low Complex (97165) | $123.42 | $411.40 | 1.2× |
| Ot Eval Moderate Complexity (97166) | $123.42 | $411.40 | 1.2× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$42.78–$52.62 | $142.60–$175.40 | varies |
| Ot paraffin bath (97018) range across 3 matching MRF lines |
$25.59–$53.84 | $85.30–$179.45 | varies |
| Ot Re-Eval Est Plan Care (97168) | $45.95 | $153.15 | 0.7× |
| Ot rom hand (95852) | $14.28 | $47.60 | 0.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $125.21 | $417.35 | 1.0× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $92.70 | $309 | 0.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $105.44 | $351.45 | 1.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $105.44 | $351.45 | 1.9× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$32.49–$35.63 | $108.30–$118.75 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $1,569.15 | $5,230.50 | 1.9× |
| Pt Eval High Complex (97163) | $123.42 | $411.40 | 1.3× |
| Pt eval low complex 20 min (97161) | $123.42 | $411.40 | 1.3× |
| Pt Eval Mod Complex (97162) | $123.42 | $411.40 | 1.3× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$36.14–$46.82 | $120.45–$156.05 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$55.32–$65 | $184.40–$216.65 | varies |
| Pt Re-Eval Est Plan Care (97164) | $45.95 | $153.15 | 0.7× |
| Pulm function test by gas (94727) | $194.73 | $649.10 | 0.9× |
| Pulmonary service/procedure (94799) | $482.84 | $1,609.45 | 4.0× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$77.70–$118.40 | $259–$394.65 | varies |
| Respiratory flow volume loop (94375) | $308.69 | $1,028.95 | 1.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$32.30–$115.89 | $107.65–$386.30 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $10.71 | $35.70 | 0.4× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$37.44–$42.78 | $124.80–$142.60 | varies |
| Sensory Integration Ea 15 Min (97533) | $41.73 | $139.10 | 0.7× |
| Speech sound lang comprehen (92523) | $141.20 | $470.65 | 0.6× |
| Spirometry (94010) | $161.93 | $539.75 | 0.8× |
| Subcutaneous Infusion Each Additional Hour (96370) | $36.90 | $123 | 0.8× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $148.44 | $494.80 | 0.7× |
| Surfactant Admin Thru Tube (94610) | $128.94 | $429.80 | 0.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$28.16–$42.78 | $93.85–$142.60 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $28.16 | $93.85 | 1.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 4 matching MRF lines |
$44.94–$47.09 | $149.80–$156.95 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$55.98–$90.32 | $186.60–$301.05 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $148.43 | $494.75 | 0.7× |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$35.75–$55.44 | $119.15–$184.80 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $36.39 | $121.30 | 1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $20.19 | $67.30 | 0.6× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,176.02–$1,221.23 | $3,920.05–$4,070.75 | varies |
| Tte W/O Doppler Complete (93307) | $859.97 | $2,866.55 | 3.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $73.11 | $243.70 | 1.0× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $47.94 | $159.80 | 2.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $55.98 | $186.60 | 1.3× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$272.96–$303.71 | $909.85–$1,012.35 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $272.96 | $909.85 | 1.3× |
| Vent Mgmt Inpat Init Day (94002) | $485.18 | $1,617.25 | 0.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $451.82 | $1,506.05 | 0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$40.97–$46.82 | $136.55–$156.05 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$32.15–$98.76 | $107.15–$329.20 | varies |
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.