Visits & medical services prices at Ascension Saint Thomas Rutherford

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $6,179.09 $20,596.95 0.8×
Airway inhalation treatment (94640) $72 $240 0.3×
Arrhythmia induction (93618) $1,029.87 $3,432.90 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $536.34 $1,787.80 1.5×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$2,231.60 $7,438.65 0.3×
Capsule endoscopy (91110) $1,261.31 $4,204.35 1.4×
Cardiac Stress Tst,Tracing Only (93017) $614 $2,046.65 3.0×
Cardiopulmonary resuscitation (92950) $658.25 $2,194.15 3.2×
Cardioversion (92960) $1,045.46 $3,484.85 1.6×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $6,208.25 $20,694.15 2.0×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $7,147.97 $23,826.55 2.3×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $7,673.82 $25,579.40 2.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,673.82 $25,579.40 2.5×
Cbt 1st hour (94644) $62.96 $209.85 0.5×
Chemo Admin Peritoneal Cavity (96446) $201.21 $670.70 0.6×
Chemo Hormon Antineopl Sq/Im (96402) $81.69 $272.30 1.2×
Chemo IV push addl drug (96411) $181.83 $606.10 2.6×
Chemo Iv Push Sngl Drug (96409) $158.83 $529.42 0.5×
Chemother, IV infusion, 1 hr (96413) $251.42 $838.05 0.8×
Chemother, IV infusion, ea add hr (96415) $42.27 $140.90 0.6×
Chemother,Ia Push Technique (96420) $457.65 $1,525.50 1.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $92.25 $307.50 1.3×
Chemotx Admn Cns Req Spinal Puncture (96450) $527.49 $1,758.30 1.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $272.85 $909.50 3.9×
Color/duplex Doppler, complete (93975) $523.35 $1,744.50 2.3×
Color/duplex Doppler, limited (93976) $269.93 $899.75 2.7×
Computerized dynamic posturography (92548) $242.25 $807.50 1.9×
Continuous Glucose Monitoring (95250) $273.98 $913.25 2.1×
Coronary artery angio s&i (93454) $6,208.25 $20,694.15 2.0×
Cpap initiation and management (94660) $229.20 $764 1.1×
Cpt initial (94667) $75.56 $251.85 0.6×
Critical care (99291) $976.02 $3,253.40 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $92.49 $308.30 0.5×
Demo &/or eval,pt use,aerosol device (94664) $130.50 $435 0.6×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $753.99 $2,513.30 1.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $384.66 $1,282.20 1.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $352.11 $1,173.70 3.5×
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) $369.27 $1,230.90 3.7×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $384.66 $1,282.20 1.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $366.44 $1,221.45 3.7×
Dup-scan xtr veins unilateral/limited study (93971) $451.85 $1,506.15 4.5×
Duplex scan extracranial art compl bi study (93880) $461.81 $1,539.35 2.0×
Echo Heart Xthoracic,Limited (93308) $489.71 $1,632.35 2.1×
Echo transesophageal (93312) $1,149.95 $3,833.15 2.2×
Echo Transesophageal - Congenital Tee Complete (93315) $1,130.30 $3,767.65 2.2×
Echo Transthoracic - Congenital Tte Complete (93303) $859.97 $2,866.55 1.6×
Echo Transthoracic - Congenital Tte Limited (93304) $281.36 $937.85 0.5×
EEG awake asleep (95819) $356.55 $1,188.50 1.7×
EEG awake drowsy (95816) $297.45 $991.50 1.4×
EEG cerebral death evaluation (95824) $495.47 $1,651.55 1.4×
EEG coma or sleep only (95822) $342.32 $1,141.05 1.7×
EEG cont rec w/video by tech min 8 channels (95700) $598.17 $1,993.90 2.9×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $598.17 $1,993.90 2.9×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $598.17 $1,993.90 1.7×
EKG (93005) $106.86 $356.20 1.9×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $507.59 $1,691.95 2.5×
Endomyocardial biopsy (93505) $1,880.60 $6,268.65 0.6×
Ep & ablate supravent arrhyt (93653) $16,992.75 $56,642.50 0.7×
Ep & ablate ventric tachy (93654) $25,231.50 $84,105 1.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $6,179.09 $20,596.95 0.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $6,179.09 $20,596.95 0.8×
Ep Electrophysiologic F/U Study (93624) $6,179.09 $20,596.95 0.8×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,029.87 $3,432.90 0.9×
Ep Right Ventricular Recording (93603) $1,029.87 $3,432.90 0.9×
Er level 1 (99281) $207.68 $692.25 2.6×
Er level ii (99282) $573 $1,910 3.9×
Er level iii (99283) $735 $2,450 2.8×
Er level IV (99284) $945 $3,150 2.4×
Er level v (99285) $960 $3,200 1.7×
Ergonovine provocation test (93024) $558.56 $1,861.85 1.3×
Evaluation of swallowing function (92610) $98.93 $329.75 1.2×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $185.87 $619.55 0.9×
Flow volume loop (94375) $308.69 $1,028.95 1.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $546.59 $1,821.95 0.7×
Group Therapeutic Procedures (97150) $37.01 $123.35 2.1×
Hypoxia Response Curve (94450) $80.40 $268 0.7×
Immunization Admin (90471) $43.88 $146.25 0.6×
Injection intra arterial (96373) $293.46 $978.20 1.4×
Ins swan ganz bedside (93503) $1,880.60 $6,268.65 1.2×
Interrogation of vad (93750) $98.48 $328.25 1.1×
Intra Atrial Recording (93602)
likely a partial charge, not the full procedure
$623.19 $2,077.30 0.1×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$2,231.60 $7,438.65 0.3×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$2,231.60 $7,438.65 0.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $46.80 $156 0.8×
IV infusion hydration each additional hour (96361) $36.92 $123.05 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $148.43 $494.75 0.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $148.43 $494.75 2.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $148.43 $494.75 0.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $36.92 $123.05 0.8×
IV push initial (96374) $127.74 $425.80 0.6×
Manual therapy 15 min (97140) $46.82 $156.05 1.7×
Massage 15 min (97124) $39.66 $132.20 1.3×
Maximum voluntary ventilation (94200) $147.30 $491 2.6×
Mechanical chest wall oscillation (94669) $229.95 $766.50 1.1×
Mechanical traction (97012) $47.09 $156.95 3.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $30.08 $100.25 0.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $30.08 $100.25 0.8×
Methacholine challenge (94070) $536.54 $1,788.45 1.5×
Mnt Group Ea 30 Min (97804) $45.56 $151.85 2.7×
Motility study esophagus (91010) $546.59 $1,821.95 1.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $212.36 $707.85 2.3×
Nasopharyngoscopy (92511) $127.26 $424.20 0.7×
Neg press wnd tx </=50 sq cm (97607) $930.90 $3,102.98 2.4×
Neg press wound tx >50 cm (97608) $644.97 $2,149.90 1.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $197.89 $659.62 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $569.01 $1,896.70 1.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $278.94 $929.78 2.2×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $246.02 $820.05 1.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $207.78 $692.60 1.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $50.82 $169.40 1.1×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $36.70 $122.30 1.1×
Ot Contrast Bath Ea 15 Min (97034) $40.50 $135 2.9×
Ot eval high complex 60 min (97167) $69.56 $231.85 0.7×
Ot eval low complex 30 min (97165) $69.56 $231.85 0.7×
Ot eval mod complex 45 min (97166) $69.56 $231.85 0.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $42.50 $141.65 0.8×
Ot Prosthetic Training, Each 15 Min (97761) $39.26 $130.85 1.0×
Ot re-eval est plan care (97168) $42.05 $140.15 0.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $166.04 $553.45 1.3×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $92.81 $309.35 0.8×
Paraffin bath (97018) $32.24 $107.45 5.4×
Peripheral arterial disease rehab per session (93668) $151.17 $503.90 2.7×
Phy/qhp op pulm rhb w/o mntr (94625) $105.44 $351.45 1.9×
Pm device progr eval multi (93281) $107.28 $357.60 3.0×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $107.28 $357.60 3.0×
Prq card revasc chronic 1vsl (92943) $23,357.04 $77,856.80 2.1×
Prq Card Stent W/Angio 1 Vsl (92928) $13,239.59 $44,131.95 1.2×
Prq Card Stent/Ath/Angio (92933) $20,854.53 $69,515.10 1.2×
Prq revasc byp graft 1 vsl (92937) $23,357.04 $77,856.80 2.1×
Prq trluml coronary angio/atherect one art/brnch (92924) $14,166.38 $47,221.25 1.3×
Prq trluml coronary angioplasty one art/branch (92920) $6,299.64 $20,998.80 1.2×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $10,361.27 $34,537.55 0.9×
Pt Aquatic Therapy/Exercises (97113) $59.49 $198.30 1.6×
Pt Electric Current Therapy (97033) $39.26 $130.85 2.1×
Pt Electrical Stimulation (97032) $42.15 $140.50 2.9×
Pt eval high complex 45 min (97163) $69.56 $231.85 0.7×
Pt eval low complex 20 min (97161) $69.56 $231.85 0.7×
Pt Gait Training Therapy (97116) $39.26 $130.85 1.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $44.80 $149.32 1.4×
Pt Physical Performance Test (97750) $35.63 $118.75 1.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $69.56 $231.85 0.7×
Pt re-evaluation (97164) $43.76 $145.88 0.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $38.34 $127.80 1.2×
Pt Ultrasound Therapy (97035) $30.15 $100.50 2.1×
Pt Whirlpool Therapy (97022) $102.89 $342.95 6.6×
Pulm function test by gas (94727) $289.08 $963.60 1.4×
Pulmonary stress testing (94618) $98.05 $326.82 0.8×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $7,759.22 $25,864.05 2.5×
R hrt art/grft angio (93457) $7,147.97 $23,826.55 2.3×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $7,324.91 $24,416.35 2.4×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $7,759.22 $25,864.05 2.5×
Right heart cath (93451) $7,324.91 $24,416.35 2.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $96.99 $323.30 0.5×
Rt Chest Wall Manipulation,Subsequent (94668) $72 $240 0.6×
Smoking cessation > 10 min (99407) $36.39 $121.30 1.0×
Speech group therapy (92508) $56.60 $188.65 2.4×
Speech sound lang comprehen (92523) $102.36 $341.20 0.5×
Stress echo (93350) $902.61 $3,008.70 1.7×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $36.90 $123 0.8×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $148.30 $494.35 0.7×
Surfactant Admin Thru Tube (94610) $130.50 $435 0.6×
Temp transcutaneous pacing (92953) $856.44 $2,854.80 1.4×
Ther/Proph/Diag Inj Sc/Im (96372) $55.98 $186.60 0.8×
Therapeutic Activities (97530) $42.15 $140.50 1.2×
Therapeutic phlebotomy (99195) $151.64 $505.45 1.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $20.19 $67.30 0.6×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $330.20 $1,100.65 1.4×
Transcranial Doppler Limited (93888) $192.15 $640.50 1.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,384.81 $4,616.02 2.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $859.97 $2,866.55 3.8×
Tx atrial fib pulm vein isol (93656) $22,914.50 $76,381.65 0.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $82.21 $274.02 1.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $93.59 $311.95 1.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $55.98 $186.60 1.2×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $1,149.95 $3,833.15 2.2×
Ultraviolet Light Therapy (96900) $102.66 $342.20 2.9×
Vasc Duplex Extrem Venous,Bilat (93970) $552.62 $1,842.05 2.4×
Vasc Duplex Scan Extracranial,Limited (93882) $352.11 $1,173.70 3.5×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $246.02 $820.05 1.2×
Vasopneumatic device (97016) $32.24 $107.45 2.7×
Veeg by tech 2-12 hours unmonitored (95711) $598.17 $1,993.90 2.9×
Veeg Ea 12-26 Hr Unmntr (95714) $598.17 $1,993.90 1.7×
Ventilation assist & mgmt inpatient 1st 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) $46.79 $155.95 1.5×