Visits & medical services prices at Ascension Saint Thomas Stones River
Woodbury, TN · every code in this section with a posted price and a Medicare benchmark.
117 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$72–$75.56 | $240–$251.85 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 4 matching MRF lines |
$41.91–$46.82 | $139.70–$156.05 | varies |
| Assessment of aphasia per hr (96105) | $199.26 | $664.20 | 2.1× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $42.50 | $141.65 | 0.5× |
| Bfb training ea addl 15 min (90913) | $42.50 | $141.65 | 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–$713.28 | $2,046.85–$2,377.60 | varies |
| Cardiopulmonary resuscitation (92950) | $656.27 | $2,187.55 | 3.2× |
| Cardioversion (92960) range across 2 matching MRF lines |
$968.87–$1,045.47 | $3,229.55–$3,484.90 | varies |
| Cbt 1st hour (94644) | $66.14 | $220.45 | 0.5× |
| Chest Wall Manipulation (94668) | $75.56 | $251.85 | 0.6× |
| Color/duplex Doppler, complete (93975) | $523.35 | $1,744.50 | 2.3× |
| Color/duplex Doppler, limited (93976) | $440.79 | $1,469.30 | 4.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 4 matching MRF lines |
$35.85–$56.19 | $119.50–$187.30 | varies |
| Continuous Pulse Ox (94762) | $218.19 | $727.30 | 1.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $240.77 | $802.55 | 1.1× |
| Cpt initial (94667) | $79.35 | $264.50 | 0.6× |
| Critical care first hour (99291) | $976.02 | $3,253.40 | 1.2× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$46.82–$61.97 | $156.05–$206.55 | varies |
| Dialysis One Evaluation (90945) | $753.99 | $2,513.30 | 1.9× |
| 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 2 matching MRF lines |
$369.29–$418.47 | $1,230.95–$1,394.90 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$460.56–$634.37 | $1,535.20–$2,114.55 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$376.55–$444.86 | $1,255.15–$1,482.85 | varies |
| Duplex up extrem art bilat (93930) | $384.66 | $1,282.20 | 1.7× |
| Duplex up extrem art unilat/ltd (93931) | $366.44 | $1,221.45 | 3.7× |
| Echo Heart Xthoracic,Limited (93308) | $489.71 | $1,632.35 | 2.1× |
| Echo transesophageal (93312) | $1,149.95 | $3,833.15 | 2.2× |
| Eeg 41-60 Minutes (95812) | $507.59 | $1,691.95 | 2.5× |
| EEG awake and asleep (95819) | $356.55 | $1,188.50 | 1.7× |
| EEG awake drowsy (95816) | $297.48 | $991.60 | 1.4× |
| EEG cerebral death evaluation (95824) | $495.47 | $1,651.55 | 1.4× |
| Eeg Sleep Only (95822) | $342.33 | $1,141.10 | 1.7× |
| 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) | $207.69 | $692.30 | 2.6× |
| Er level v (99285) | $960.02 | $3,200.05 | 1.7× |
| Evaluate pt use of inhaler (94664) | $130.50 | $435 | 0.6× |
| Evaluate Swallowing Function (92610) | $154.29 | $514.30 | 1.8× |
| External Ecg Scanning Analysis Report (93226) | $589.04 | $1,963.45 | 10.4× |
| Extracranial Bilat Study (93880) | $571.19 | $1,903.95 | 2.5× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $546.59 | $1,821.95 | 0.7× |
| Gi tract capsule endoscopy (91110) | $1,261.31 | $4,204.35 | 1.4× |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$28.13–$33.29 | $93.75–$110.95 | varies |
| Holter monitor recording (93225) | $395.99 | $1,319.95 | 3.1× |
| Immunization administration (90471) | $43.88 | $146.25 | 0.6× |
| Insert/Place Heart Catheter (93503) | $1,880.60 | $6,268.65 | 1.2× |
| Iontophoresis 15 min (97033) range across 4 matching MRF lines |
$41.24–$64.86 | $137.45–$216.20 | varies |
| Irrig Drug Delivery Device (96523) | $46.80 | $156 | 0.8× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$36.92–$36.93 | $123.05–$123.10 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $148.43 | $494.75 | 0.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$148.43–$148.44 | $494.75–$494.80 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$36.92–$36.93 | $123.05–$123.10 | varies |
| IV push initial (96374) | $127.74 | $425.80 | 0.6× |
| Lung Function Test (Mbc/Mvv) (94200) | $147.30 | $491 | 2.6× |
| 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) | $161.94 | $539.80 | 1.8× |
| Neurobehavioral Status Exam (96116) | $199.26 | $664.20 | 1.0× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$42.80–$46.65 | $142.65–$155.50 | varies |
| Oral Function Therapy (92526) | $112.47 | $374.90 | 1.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 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–$54.56 | $141.65–$181.85 | varies |
| Ot Contrast Bath Ea 15 Min (97034) range across 3 matching MRF lines |
$40.16–$42.54 | $133.85–$141.80 | varies |
| Ot eval high complexity (97167) | $129.60 | $432 | 1.3× |
| Ot Eval Low Complex (97165) | $129.60 | $432 | 1.3× |
| Ot Eval Moderate Complexity (97166) | $129.60 | $432 | 1.3× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$42.78–$54.83 | $142.60–$182.75 | varies |
| Ot paraffin bath (97018) range across 3 matching MRF lines |
$25.59–$56.54 | $85.30–$188.45 | varies |
| Ot Re-Eval Est Plan Care (97168) | $48.26 | $160.85 | 0.7× |
| Ot rom hand (95852) range across 2 matching MRF lines |
$10.71–$14.28 | $35.70–$47.60 | varies |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$32.49–$37.43 | $108.30–$124.75 | varies |
| Pt Eval High Complex (97163) | $129.60 | $432 | 1.3× |
| Pt eval low complex 20 min (97161) | $129.60 | $432 | 1.3× |
| Pt Eval Mod Complex (97162) | $129.60 | $432 | 1.3× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$37.95–$46.82 | $126.50–$156.05 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$55.32–$68.27 | $184.40–$227.55 | varies |
| Pt Re-Eval Est Plan Care (97164) | $48.26 | $160.85 | 0.7× |
| Pulmonary service/procedure (94799) | $482.84 | $1,609.45 | 3.9× |
| Pulmonary Stress Testing (94618) | $77.70 | $259 | 0.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $200.19 | $667.30 | 5.6× |
| Respiratory flow volume loop (94375) | $324.14 | $1,080.45 | 1.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$32.30–$121.70 | $107.65–$405.65 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 2 matching MRF lines |
$10.71–$14.28 | $35.70–$47.60 | varies |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$37.44–$44.01 | $124.80–$146.70 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$41.73–$43.83 | $139.10–$146.10 | varies |
| Speech sound lang comprehen (92523) | $148.26 | $494.20 | 0.7× |
| Spirometry (94010) | $170.06 | $566.85 | 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× |
| 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–$49.46 | $149.80–$164.85 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$55.98–$56 | $186.60–$186.65 | 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–$58.22 | $119.15–$194.05 | 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) | $1,221.23 | $4,070.75 | 2.3× |
| Tte W/O Doppler Complete (93307) | $859.97 | $2,866.55 | 3.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $76.77 | $255.90 | 1.0× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $50.36 | $167.85 | 2.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $55.98 | $186.60 | 1.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $272.97 | $909.90 | 2.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $272.97 | $909.90 | 1.3× |
| Vent Mgmt Inpat Init Day (94002) | $509.54 | $1,698.45 | 0.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$451.82–$474.42 | $1,506.05–$1,581.40 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$43.02–$46.82 | $143.40–$156.05 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$32.15–$103.70 | $107.15–$345.65 | 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.