▸ Hospital · TN · CCN 440082

Ascension Saint Thomas Hospital West

4220 HARDING ROAD, NASHVILLE, TN, 37202

704 bedsAcute Care Hospitals1

Compliance grade

100/100

Procedures tracked

197

of 209 target codes

Payers

with negotiated rates

Rates published

68,381

last crawl 2026-05-24

▸ Compare with other hospitals All TN hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tn-csv/620475842_saint-thomas-rutherford-hospital_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	22	—	—	$4,347.24	$11,860	$20,671
Psychiatric diagnostic evaluation	CPT	90791	18	—	—	$105	$153.87	$215.42
Psychiatric eval with medical services	CPT	90792	18	—	—	$135	$153.87	$215.42
Psychotherapy 30 minutes	CPT	90832	18	—	—	$48	$153.87	$215.42
Psychotherapy 45 minutes	CPT	90834	18	—	—	$80	$153.87	$215.42
Psychotherapy 60 minutes	CPT	90837	18	—	—	$92	$153.87	$215.42
Crisis psychotherapy 60 minutes	CPT	90839	18	—	—	$105	$153.87	$215.42
emergency
ED visit level 1	CPT	99281	19	$692.25	$207.68	$19.26	$88.55	$1,386
ED visit level 2	CPT	99282	19	$1,910	$573	$37.71	$159.24	$1,910
ED visit level 3	CPT	99283	19	$2,450	$735	$56.4	$278.44	$2,453
ED visit level 4	CPT	99284	19	$3,150	$945	$107.34	$428.2	$4,291
ED visit level 5	CPT	99285	19	$3,200	$960	$158.13	$616.53	$4,558
Critical care, first hour	CPT	99291	18	$3,253.4	$976.02	$326	$806.97	$1,483
imaging
CT head without contrast	CPT	70450	19	$1,939.3	$581.79	$86.77	$114.71	$1,008.44
CT head with contrast	CPT	70460	19	$2,486.75	$746.03	$120.17	$177.31	$1,293.11
CT head with and without contrast	CPT	70470	19	$2,673.95	$802.19	$148.64	$196.51	$1,390.45
CT neck with contrast	CPT	70491	19	$2,690.2	$807.06	$153.44	$188.12	$1,398.9
MRI brain without contrast	CPT	70551	19	$3,823.15	$1,146.95	$182.43	$243.08	$1,988.04
MRI brain with contrast	CPT	70552	19	$4,396.25	$1,318.88	$259.86	$359.12	$2,286.05
MRI brain with and without contrast	CPT	70553	19	$5,055.2	$1,516.56	$297.06	$392.73	$2,628.7
Chest X-ray single view	CPT	71045	19	$353.5	$106.05	$7.8	$84.33	$127.7
Chest X-ray 2 views	CPT	71046	19	$385.9	$115.77	$14.38	$84.33	$127.7
Chest X-ray 3 views	CPT	71047	19	$299.55	$89.87	$18.33	$84.33	$127.7
CT chest without contrast	CPT	71250	19	$2,723.7	$817.11	$91.66	$132.39	$1,416.32
CT chest with contrast	CPT	71260	19	$3,260.6	$978.18	$153.44	$200.25	$1,695.51
CT chest with and without contrast	CPT	71270	19	$3,481.85	$1,044.56	$153.44	$221.64	$1,810.56
MRI chest without contrast	CPT	71550	19	$2,990	$897	$208.35	$300.95	$1,719.13
MRI chest with contrast	CPT	71551	19	—	—	$380.82	$756.64	$1,863.09
MRI chest with and without contrast	CPT	71552	19	$3,954.25	$1,186.28	$307.82	$444.63	$2,344.08
Lumbosacral spine X-ray	CPT	72100	19	$409.9	$122.97	$19.13	$101.84	$179.33
CT cervical spine without contrast	CPT	72125	19	$2,613.15	$783.95	$91.66	$132.39	$1,358.84
CT thoracic spine without contrast	CPT	72128	19	$2,366.15	$709.85	$91.66	$132.39	$1,230.4
CT lumbar spine without contrast	CPT	72131	19	$2,488.75	$746.63	$91.66	$132.39	$1,294.15
MRI cervical spine without contrast	CPT	72141	19	$3,339.6	$1,001.88	$179.77	$243.08	$1,736.59
MRI thoracic spine without contrast	CPT	72146	19	$3,339.6	$1,001.88	$179.77	$243.08	$1,736.59
MRI lumbar spine without contrast	CPT	72148	19	$3,339.6	$1,001.88	$179.77	$243.08	$1,736.59
MRI lumbar spine with and without contrast	CPT	72149	19	—	—	$256.45	$359.12	$1,168.12
MRI cervical spine with and without contrast	CPT	72156	19	$4,416.35	$1,324.91	$297.44	$393.23	$2,296.5
MRI lumbar spine with contrast	CPT	72158	19	$4,416.35	$1,324.91	$295.54	$390.71	$2,296.5
CT pelvis without contrast	CPT	72192	19	$2,085.25	$625.58	$91.66	$132.39	$1,084.33
CT pelvis with contrast	CPT	72193	19	$2,728.3	$818.49	$153.44	$193.78	$1,418.72
Shoulder X-ray	CPT	73030	19	$313.55	$94.07	$16.3	$84.33	$127.7
Humerus X-ray	CPT	73060	19	$324.2	$97.26	$16.3	$84.33	$127.7
Hand X-ray 3 views	CPT	73130	19	$288.9	$86.67	$15.33	$84.33	$127.7
MRI upper extremity joint without contrast	CPT	73221	19	$2,870.6	$861.18	$197.99	$261.75	$1,492.71
MRI upper extremity joint with and without contrast	CPT	73223	19	$3,796.1	$1,138.83	$307.82	$444.63	$1,973.97
Knee X-ray 1-2 views	CPT	73560	19	$314.8	$94.44	$15.04	$84.33	$127.7
Ankle X-ray 3 views	CPT	73610	19	$276	$82.8	$15.33	$84.33	$127.7
MRI lower extremity joint without contrast	CPT	73721	19	$2,452.45	$735.74	$198.37	$262.25	$1,275.27
MRI lower extremity joint with and without contrast	CPT	73723	19	$3,242.9	$972.87	$307.82	$444.63	$1,822.21
CT abdomen without contrast	CPT	74150	19	$2,613.95	$784.19	$91.66	$132.39	$1,359.25
CT abdomen with contrast	CPT	74160	19	$2,914.55	$874.37	$153.44	$193.78	$1,515.57
CT abdomen with and without contrast	CPT	74170	19	$3,400.3	$1,020.09	$153.44	$221.64	$1,768.16
CT abdomen and pelvis without contrast	CPT	74176	19	$4,699.4	$1,409.82	$101.11	$231.5	$2,443.69
CT abdomen and pelvis with contrast	CPT	74177	19	$5,642.95	$1,692.89	$192.93	$359.12	$2,934.33
CT abdomen and pelvis with and without contrast	CPT	74178	19	$6,487.35	$1,946.21	$255.01	$359.12	$3,373.42
MRI abdomen without contrast	CPT	74181	19	$3,146.5	$943.95	$208.35	$281.88	$1,636.18
MRI abdomen with and without contrast	CPT	74183	19	$4,161.4	$1,248.42	$307.82	$444.63	$2,163.93
Abdominal ultrasound complete	CPT	76700	19	$754.25	$226.28	$55.69	$107.29	$218.95
Abdominal ultrasound limited	CPT	76705	19	$758.45	$227.54	$40.08	$106.93	$197.2
Retroperitoneal ultrasound complete	CPT	76770	19	$933.9	$280.17	$55.69	$106.93	$242.81
Obstetric ultrasound first trimester	CPT	76801	19	$1,013.35	$304.01	$29.75	$106.93	$263.47
Obstetric ultrasound after first trimester	CPT	76805	19	$843.85	$253.16	$59.47	$106.93	$245.22
Obstetric ultrasound with fetal anatomy	CPT	76811	19	—	—	$95.88	$231.5	$372.86
Transvaginal ultrasound	CPT	76830	19	$650.95	$195.29	$43.3	$106.93	$233.01
Pelvic ultrasound complete	CPT	76856	19	$956.45	$286.94	$43.3	$106.93	$248.68
Scrotal ultrasound	CPT	76870	19	$880.35	$264.11	$43.3	$101.84	$228.89
Diagnostic mammography unilateral	CPT	77065	20	$718.6	$215.58	$68.4	$99.82	$249.9
Diagnostic mammography bilateral	CPT	77066	20	$814.2	$244.26	$87.17	$127.48	$319.26
Screening mammography bilateral	CPT	77067	20	$631.8	$189.54	$72.15	$105.39	$263.95
EKG complete	CPT	93000	1	—	—	$23.94	$33.03	$41.77
EKG tracing only	CPT	93005	18	$356.2	$106.86	$13.36	$56.89	$181.66
EKG interpretation only	CPT	93010	1	—	—	$10.54	$10.54	$10.54
Transthoracic echocardiogram complete	CPT	93306	18	$5,394.4	$1,618.32	$148.77	$525.11	$2,751.14
Transthoracic echocardiogram	CPT	93307	18	$2,866.55	$859.97	$117.72	$231.5	$1,461.94
Stress echocardiogram	CPT	93350	18	$3,008.7	$902.61	$105.21	$525.11	$1,534.44
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	22	—	—	$6,855.93	$11,915	$34,669
COPD w MCC	MS-DRG	190	22	—	—	$4,269.82	$11,566	$20,300
COPD w CC	MS-DRG	191	22	—	—	$3,399.26	$9,681.86	$20,300
COPD w/o CC/MCC	MS-DRG	192	22	—	—	$2,691.32	$9,230	$20,300
Simple pneumonia & pleurisy w CC	MS-DRG	194	22	—	—	$3,457.05	$9,564	$20,300
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	22	—	—	$2,629.83	$8,344.4	$20,300
AMI discharged alive w MCC	MS-DRG	280	22	—	—	$6,140.96	$13,261	$42,826
AMI discharged alive w CC	MS-DRG	281	22	—	—	$3,648.2	$11,555	$32,459
AMI discharged alive w/o CC/MCC	MS-DRG	282	22	—	—	$2,810.24	$10,631	$31,383
Heart failure & shock w MCC	MS-DRG	291	22	—	—	$5,467.48	$11,915	$23,089
Heart failure & shock w CC	MS-DRG	292	22	—	—	$3,551.88	$9,744.36	$20,300
Heart failure & shock w/o CC/MCC	MS-DRG	293	22	—	—	$2,495.36	$8,812.71	$20,300
Cardiac arrhythmia w MCC	MS-DRG	308	22	—	—	$4,402.81	$11,915	$30,314
Cardiac arrhythmia w CC	MS-DRG	309	22	—	—	$2,859.88	$10,120	$20,300
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	22	—	—	$2,083.79	$8,343	$20,300
GI hemorrhage w CC	MS-DRG	378	22	—	—	$3,594.48	$10,901	$20,300
GI hemorrhage w/o CC/MCC	MS-DRG	379	22	—	—	$2,387.93	$9,230	$20,300
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	22	—	—	$2,812.83	$9,230	$20,300
Fractures of femur w/o MCC	MS-DRG	533	22	—	—	$5,327.08	$13,261	$56,233
Kidney/UTI w MCC	MS-DRG	689	22	—	—	$3,998.27	$11,776	$20,300
Kidney/UTI w/o MCC	MS-DRG	690	22	—	—	$2,919.13	$9,374.3	$20,300
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	22	—	—	$6,752.95	$13,332	$29,674
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	22	—	—	$3,906.77	$11,154	$20,300
Initial hospital care, low complexity	CPT	99221	2	—	—	$57.98	$91.84	$97.29
Initial hospital care, moderate complexity	CPT	99222	2	—	—	$95.75	$124.98	$131.9
Initial hospital care, high complexity	CPT	99223	2	—	—	$123.3	$184.51	$195.88
Hospital discharge, <30 min	CPT	99238	2	—	—	$53.19	$65.76	$70.44
Hospital discharge, >30 min	CPT	99239	2	—	—	$73.5	$97.13	$104
lab
Basic metabolic panel (BMP)	CPT	80048	20	$250.3	$75.09	$7.61	$8.74	$130.16
General health panel	CPT	80050	5	—	—	$23.82	$66.99	$149.01
Electrolyte panel	CPT	80051	20	$187.5	$56.25	$6.31	$7.26	$97.5
Comprehensive metabolic panel	CPT	80053	20	$597.25	$179.18	$9.5	$10.92	$310.57
Lipid panel	CPT	80061	20	$338.1	$101.43	$12.05	$13.93	$175.81
Renal function panel	CPT	80069	20	$242.4	$72.72	$7.81	$8.94	$126.05
Hepatic function panel	CPT	80076	20	$350.85	$105.26	$7.35	$8.46	$182.44
Urinalysis non-automated	CPT	81002	20	—	—	$3.13	$3.58	$11.28
Urinalysis automated	CPT	81003	20	$116	$34.8	$1.79	$2.32	$60.32
Glucose quantitative	CPT	82947	20	$98.05	$29.42	$3.54	$4.07	$50.99
Hemoglobin A1c	CPT	83036	20	$236.65	$71	$8.74	$10.05	$123.06
Thyroid stimulating hormone (TSH)	CPT	84443	20	$247.55	$74.27	$15.12	$17.39	$128.73
Complete blood count with automated differential	CPT	85025	20	$249.15	$74.75	$6.99	$8.04	$129.56
Complete blood count without differential	CPT	85027	20	$174.75	$52.43	$5.82	$6.7	$90.87
Urine culture bacterial	CPT	87086	20	$121.85	$36.56	$7.26	$8.35	$63.36
Urine culture identification	CPT	87088	20	—	—	$7.28	$8.33	$31.6
Tissue exam by pathologist level IV	CPT	88305	19	$374	$112.2	$15.18	$51.17	$194.48
maternity
Fetal non-stress test	CPT	59025	19	$1,706.75	$512.03	$7.2	$192.66	$6,105
Routine obstetric care including vaginal delivery	CPT	59400	2	—	—	$2,118	$2,266.2	$6,105
Vaginal delivery only	CPT	59409	2	$4,931.95	$1,479.59	$2,118	$2,266.2	$6,105
Vaginal delivery with postpartum	CPT	59410	2	—	—	$1,869.19	$2,220.25	$6,105
Routine obstetric care with C-section	CPT	59510	2	—	—	$2,118	$2,427.41	$6,105
C-section delivery only	CPT	59514	2	—	—	$2,118	$2,427.41	$6,105
C-section with postpartum	CPT	59515	2	—	—	$2,118	$2,937.05	$6,105
office
Office visit, new patient, 15-29 min	CPT	99202	2	—	—	$41.04	$45.55	$48.58
Office visit, new patient, 30-44 minutes	CPT	99203	2	—	—	$56.39	$69.16	$73.37
Office visit, new patient, 45-59 min	CPT	99204	2	—	—	$83.5	$118.41	$124.32
Office visit, new patient, 60-74 min	CPT	99205	2	—	—	$105.04	$153.26	$162.31
Office visit, established patient, 5 min	CPT	99211	1	—	—	$8.47	$8.47	$8.93
Office visit, established patient, 10-19 min	CPT	99212	1	—	—	$22.92	$22.92	$24.51
Office visit, established patient, 20-29 minutes	CPT	99213	1	—	—	$46.61	$46.61	$49.51
Office visit, established patient, 30-39 minutes	CPT	99214	1	—	—	$71.66	$71.66	$75.95
Office visit, established patient, 40-54 min	CPT	99215	1	—	—	$100.98	$100.98	$107.26
preventive
Upper GI endoscopy diagnostic	CPT	43235	19	$3,643.85	$1,093.16	$808.11	$897.9	$2,183
Upper GI endoscopy with biopsy	CPT	43239	19	$3,643.85	$1,093.16	$808.11	$897.9	$3,638
Sigmoidoscopy diagnostic	CPT	45330	19	$2,242.35	$672.71	$37.88	$873.14	$2,183
Sigmoidoscopy with biopsy	CPT	45331	19	$2,242.35	$672.71	$48.71	$873.14	$2,183
Colonoscopy diagnostic	CPT	45378	19	$4,204.35	$1,261.31	$785.83	$873.14	$3,638
Colonoscopy with biopsy	CPT	45380	2	$4,204.35	$1,261.31	$1,185	$1,441.53	$3,638
Colonoscopy with polyp removal	CPT	45385	2	$4,204.35	$1,261.31	$1,185	$1,441.53	$3,638
surgery
Total shoulder arthroplasty	CPT	23472	4	—	—	$2,118	$19,804	$28,151
Hip hemiarthroplasty	CPT	27125	4	—	—	$2,118	$21,670	$28,151
Total hip replacement	CPT	27130	4	—	—	$1,869.19	$21,555	$28,151
Total knee replacement	CPT	27447	4	—	—	$2,118	$22,181	$28,151
Knee revision arthroplasty single component	CPT	27486	2	—	—	$2,118	$12,850	$23,491
Knee revision arthroplasty all components	CPT	27487	2	—	—	$2,118	$12,850	$23,491
Shoulder arthroscopy with decompression	CPT	29826	2	—	—	$1,468.5	$1,706.35	$4,319
Shoulder arthroscopy with rotator cuff repair	CPT	29827	2	—	—	$2,187	$2,973.55	$6,189
Knee arthroscopy with meniscectomy	CPT	29881	2	—	—	$1,889.5	$2,146.2	$5,268
ACL reconstruction	CPT	29888	2	—	—	$1,468.5	$1,925.2	$4,319
Major small/large bowel procedures w MCC	MS-DRG	329	22	—	—	$8,343	$23,086	$79,317
Major small/large bowel procedures w CC	MS-DRG	330	22	—	—	$8,343	$15,669	$43,177
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	22	—	—	$6,208.01	$11,915	$29,465
CABG single arterial graft	CPT	33533	1	—	—	$2,118	$2,225.5	$6,105
CABG 2 arterial grafts	CPT	33534	1	—	—	$2,118	$2,225.5	$6,105
CABG 3 arterial grafts	CPT	33535	1	—	—	$2,118	$2,225.5	$6,105
CABG 4+ arterial grafts	CPT	33536	1	—	—	$2,118	$2,225.5	$6,105
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	22	—	—	$6,172.45	$12,538	$40,264
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	22	—	—	$4,835.12	$11,915	$23,204
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	22	—	—	$8,343	$18,832	$51,492
Open appendectomy	CPT	44950	2	—	—	$1,217.22	$2,220.25	$6,105
Laparoscopic appendectomy	CPT	44970	2	—	—	$1,889.5	$2,307.41	$5,268
Major joint replacement w MCC	MS-DRG	469	22	—	—	$8,343	$19,826	$69,341
Major joint replacement w/o MCC	MS-DRG	470	22	—	—	$7,610.17	$13,695	$58,345
Laparoscopic cholecystectomy	CPT	47562	2	—	—	$3,006	$4,123	$7,457.39
Lap cholecystectomy with cholangiography	CPT	47563	2	—	—	$3,006	$4,123	$6,650
Hip & femur procedures except major joint w MCC	MS-DRG	480	22	—	—	$8,343	$18,832	$60,043
Hip & femur procedures except major joint w CC	MS-DRG	481	22	—	—	$7,594.61	$14,375	$53,381
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	22	—	—	$6,183.56	$12,563	$40,343
Open umbilical hernia repair	CPT	49560	2	—	—	$2,118	$2,266.2	$6,105
Umbilical hernia repair age 5+	CPT	49585	2	—	—	$2,118	$2,266.2	$6,105
Lap inguinal hernia repair	CPT	49650	2	—	—	$1,889.5	$2,307.41	$5,268
Lap incisional hernia repair	CPT	49652	2	—	—	$2,118	$2,427.41	$6,105
Total abdominal hysterectomy	CPT	58150	3	—	—	$2,118	$4,693	$9,354
Vaginal hysterectomy	CPT	58260	3	—	—	$3,006	$4,693	$9,354
Lap-assisted vaginal hysterectomy	CPT	58550	2	—	—	$3,006	$3,648.6	$9,354
Lap-assisted vaginal hysterectomy >250g	CPT	58552	2	—	—	$2,187	$3,648.6	$9,354
Lap salpingo-oophorectomy	CPT	58661	2	—	—	$2,187	$2,302.7	$6,189
OR procedure for obesity w MCC	MS-DRG	619	22	—	—	$8,343	$18,853	$60,281
OR procedure for obesity w CC	MS-DRG	620	22	—	—	$6,799.25	$13,421	$43,611
OR procedure for obesity w/o CC/MCC	MS-DRG	621	22	—	—	$5,862.75	$12,366	$42,515
Complex cataract surgery	CPT	66982	2	—	—	$2,789.5	$3,135.5	$5,518
Cataract surgery with lens implant	CPT	66984	2	—	—	$2,789.5	$3,135.5	$5,518
Intravitreal injection	CPT	67028	19	—	—	$285.89	$317.66	$2,183
Vitrectomy mechanical	CPT	67042	2	—	—	$3,006	$3,404.3	$6,650
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	22	—	—	$3,980.49	$11,555	$20,300
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	22	—	—	$6,295.44	$13,394	$26,966
PCI single major coronary artery	CPT	92920	5	$20,999	$6,299.64	$440.44	$14,250	$18,117
PCI with drug-eluting stent	CPT	92928	5	$44,132	$13,240	$489.99	$14,250	$18,117
PCI bypass graft	CPT	92937	5	$77,857	$23,357	$489.68	$14,250	$18,117
Left heart catheterization	CPT	93452	4	$22,776	$6,832.68	$462.57	$9,492	$11,857
Coronary angiography with cath	CPT	93455	4	$20,694	$6,208.25	$550.37	$10,223	$12,416
Coronary angiography with bypass cath	CPT	93458	4	$25,579	$7,673.82	$560.1	$9,492	$11,857

Payer mix (top 22)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	186	$297.44
Cigna	170	$2,344.08
Aetna	162	$551.54
UnitedHealthcare	147	$610.96
Humana	143	$231.5
amerigroup mcr replacement	136	$198.44
centurion of tn	136	$170.49
Ambetter	136	$221.64
smart health	136	$778.6
triwest va pccc	136	$170.49
ascension complete	136	$170.49
healthspring mcr replacement	136	$170.49
Medicare	136	$179.01
Medicare Advantage	136	$170.49
nhc advantage	136	$170.49
optum va	136	$170.49
Oscar Health	136	$778.6
point comfort underwriters	136	$153.44
Self-Pay (Cash)	136	$231.5
community plan	58	$2,793
health 2 business	40	$17,332
amerigroup mcaid replacement	40	$5,199.22