Supplies, drugs & other prices at Ascension Saint Thomas Rutherford

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

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

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ProcedurePosted cashPosted gross× Medicare
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) $1,108.32 $3,694.40 3.3×
3D contour simulaj trgt lvr les&mrgn micrwv ablt (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×
Ca screen;flexi sigmoidscope (G0104) $672.71 $2,242.35 0.8×
Catheterize for urine spec (P9612)
range across 2 matching MRF lines
$86.18–$86.39 $287.25–$287.95 varies
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×
CT breast w/3d rendering uni without contrast (0633T) $284.30 $947.65 2.8×
Cysto, litho, vacuum kidney (C9761) $7,758.90 $25,863 0.9×
Diab manage trn per indiv (G0108) $85.11 $283.70 1.5×
Diab manage trn ind/group (G0109)
range across 3 matching MRF lines
$36.38–$36.50 $121.25–$121.65 varies
Drug test def 1-7 classes (G0480)
range across 71 matching MRF lines
$43.49–$416.19 $144.95–$1,387.30 varies
Drug test def 8-14 classes (G0481)
range across 6 matching MRF lines
$48.93–$96.39 $163.10–$321.30 varies
Elec stim other than wound (G0283) $35.10 $117 2.8×
Elec stim unattend for press (G0281) $43.59 $145.30 3.7×
Hbot, full body chamber, 30m (G0277)
range across 2 matching MRF lines
$349.28–$1,092.66 $1,164.25–$3,642.20 varies
Inj for sacroiliac jt anesth (G0260) $775.85 $2,586.15 1.1×
Mra w/cont, abd (C8900) $771.92 $2,573.05 2.3×
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) $671.21 $2,237.35 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) $505.68 $1,685.60 2.2×
Mra w/o fol w/cont, abd (C8902) $845.42 $2,818.05 2.5×
Mra w/o fol w/cont, chest (C8911) $1,084.17 $3,613.90 3.2×
Mra w/o fol w/cont, lwr ext (C8914)
range across 3 matching MRF lines
$943.40–$943.64 $3,144.65–$3,145.45 varies
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)
range across 3 matching MRF lines
$15.38–$146.37 $51.25–$487.90 varies
Pelvic ring fracture uni/bil (G0413)
unusually low: confirm this is the full procedure
$3,023.64 $10,078.80 0.4×
Perc d-e cor revasc chro sin (C9607) $20,854.53 $69,515.10 1.2×
Perc d-e cor revasc t cabg s (C9604) $20,854.53 $69,515.10 1.9×
Perc d-e cor stent ather s (C9602) $20,854.53 $69,515.10 1.2×
Perc drug-el cor stent sing (C9600) $13,239.59 $44,131.95 1.2×
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×
Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) $87.84 $292.80 0.1×
Screen pap by tech w md supv (P3000) $27.65 $92.15 1.5×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $13,520.76 $45,069.20 2.5×
Therapeutic procd strg endur (G0237) $68.93 $229.75 2.5×
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×
Trluml perip athrc abd aorta (0236T) $6,310.47 $21,034.90 0.6×
Trluml Perip Athrc Brchiocph (0237T) $6,310.47 $21,034.90 0.6×
Trluml Perip Athrc Iliac Art (0238T)
unusually low: confirm this is the full procedure
$7,657.76 $25,525.85 0.4×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $6,310.47 $21,034.90 0.6×
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×

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.