▸ Hospital · TN · CCN 440200

Ascension Saint Thomas Stones River

324 DOOLITTLE ROAD, WOODBURY, TN, 37190

19 bedsAcute Care Hospitals1

Compliance grade

100/100

Rates published

43,281

last crawl 2026-05-24

Procedures tracked

197

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All TN hospitals JSON

Source MRF: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tn-csv/474063232_saint-thomas-stones-river-hospital-llc_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	21	—	—	$1,612.22	$11,792	$20,671
Psychiatric diagnostic evaluation	CPT	90791	18	—	—	$55.08	$153.87	$215.42
Psychiatric eval with medical services	CPT	90792	18	—	—	$55.08	$153.87	$215.42
Psychotherapy 30 minutes	CPT	90832	18	—	—	$41.43	$153.87	$215.42
Psychotherapy 45 minutes	CPT	90834	18	—	—	$55.08	$153.87	$215.42
Psychotherapy 60 minutes	CPT	90837	18	—	—	$55.08	$153.87	$215.42
Crisis psychotherapy 60 minutes	CPT	90839	18	—	—	$55.08	$153.87	$215.42
emergency
ED visit level 1	CPT	99281	18	$692.3	$207.69	$19.26	$88.55	$1,386
ED visit level 2	CPT	99282	18	$1,910	$573	$37.71	$156.97	$1,910
ED visit level 3	CPT	99283	18	$2,450	$735	$56.4	$274.46	$2,453
ED visit level 4	CPT	99284	18	$3,150	$945	$107.34	$415.97	$4,291
ED visit level 5	CPT	99285	18	$3,200.05	$960.02	$158.13	$598.91	$4,558
Critical care, first hour	CPT	99291	18	$3,253.4	$976.02	$232.88	$806.97	$1,483
imaging
CT head without contrast	CPT	70450	19	$2,707.45	$812.24	$86.77	$110.82	$1,407.87
CT head with contrast	CPT	70460	19	$2,939.6	$881.88	$120.17	$174.96	$1,528.59
CT head with and without contrast	CPT	70470	19	$2,953.15	$885.95	$148.64	$187.76	$1,535.64
CT neck with contrast	CPT	70491	19	$3,736.55	$1,120.97	$148.75	$179.01	$1,943.01
MRI brain without contrast	CPT	70551	19	$3,271.1	$981.33	$167.52	$243.08	$1,700.97
MRI brain with contrast	CPT	70552	19	$4,616.05	$1,384.82	$215.74	$359.12	$2,400.35
MRI brain with and without contrast	CPT	70553	19	$5,307.95	$1,592.39	$264.35	$375.93	$2,760.13
Chest X-ray single view	CPT	71045	18	$336.7	$101.01	$7.8	$84.33	$127.7
Chest X-ray 2 views	CPT	71046	18	$379.55	$113.87	$14.38	$84.33	$127.7
Chest X-ray 3 views	CPT	71047	18	—	—	$18.33	$84.33	$127.7
CT chest without contrast	CPT	71250	19	$2,569.45	$770.84	$91.66	$132.39	$1,336.11
CT chest with contrast	CPT	71260	19	$2,774.85	$832.46	$148.75	$194.57	$1,442.92
CT chest with and without contrast	CPT	71270	19	$3,187.2	$956.16	$153.44	$221.64	$1,657.34
MRI chest without contrast	CPT	71550	19	$2,518	$755.4	$167.52	$300.95	$1,309.36
MRI chest with contrast	CPT	71551	19	—	—	$215.74	$756.64	$1,380.32
MRI chest with and without contrast	CPT	71552	19	$4,152.05	$1,245.62	$264.35	$444.63	$2,159.07
Lumbosacral spine X-ray	CPT	72100	19	$603.2	$180.96	$19.13	$101.84	$179.33
CT cervical spine without contrast	CPT	72125	19	$2,960.6	$888.18	$91.66	$132.39	$1,539.51
CT thoracic spine without contrast	CPT	72128	19	$2,864.15	$859.25	$91.66	$132.39	$1,489.36
CT lumbar spine without contrast	CPT	72131	19	$3,114.7	$934.41	$91.66	$132.39	$1,619.64
MRI cervical spine without contrast	CPT	72141	19	$3,256.1	$976.83	$167.52	$243.08	$1,693.17
MRI thoracic spine without contrast	CPT	72146	19	$3,256.1	$976.83	$167.52	$243.08	$1,693.17
MRI lumbar spine without contrast	CPT	72148	19	$3,256.1	$976.83	$167.52	$243.08	$1,693.17
MRI lumbar spine with and without contrast	CPT	72149	19	$3,378.65	$1,013.6	$215.74	$359.12	$1,756.9
MRI cervical spine with and without contrast	CPT	72156	19	$4,858	$1,457.4	$264.35	$376.18	$2,526.16
MRI lumbar spine with contrast	CPT	72158	19	$4,749.45	$1,424.84	$264.35	$374.92	$2,469.71
CT pelvis without contrast	CPT	72192	19	$2,724.95	$817.49	$91.66	$119.66	$1,416.97
CT pelvis with contrast	CPT	72193	19	$2,793.5	$838.05	$148.75	$191.33	$1,452.62
Shoulder X-ray	CPT	73030	19	$500.95	$150.29	$16.3	$84.33	$130.25
Humerus X-ray	CPT	73060	19	$382.05	$114.62	$16.3	$84.33	$127.7
Hand X-ray 3 views	CPT	73130	19	$392.8	$117.84	$15.33	$84.33	$127.7
MRI upper extremity joint without contrast	CPT	73221	19	$3,120.5	$936.15	$167.52	$252.42	$1,622.66
MRI upper extremity joint with and without contrast	CPT	73223	19	$3,986	$1,195.8	$264.35	$444.63	$2,072.72
Knee X-ray 1-2 views	CPT	73560	19	$384.5	$115.35	$15.04	$84.33	$127.7
Ankle X-ray 3 views	CPT	73610	19	$464.4	$139.32	$15.33	$84.33	$127.7
MRI lower extremity joint without contrast	CPT	73721	19	$3,246.75	$974.03	$167.52	$252.67	$1,688.31
MRI lower extremity joint with and without contrast	CPT	73723	19	$3,405.05	$1,021.52	$264.35	$423.8	$1,770.63
CT abdomen without contrast	CPT	74150	19	$2,589.2	$776.76	$91.66	$119.66	$1,346.38
CT abdomen with contrast	CPT	74160	19	$2,828.7	$848.61	$148.75	$190.95	$1,470.92
CT abdomen with and without contrast	CPT	74170	19	$3,211.3	$963.39	$153.44	$221.39	$1,669.88
CT abdomen and pelvis without contrast	CPT	74176	19	$5,738.75	$1,721.63	$101.11	$231.5	$2,984.15
CT abdomen and pelvis with contrast	CPT	74177	19	$6,034.15	$1,810.25	$192.93	$348.86	$3,137.76
CT abdomen and pelvis with and without contrast	CPT	74178	19	$6,670.25	$2,001.08	$255.01	$353.99	$3,468.53
MRI abdomen without contrast	CPT	74181	19	$3,083.15	$924.95	$167.52	$291.42	$1,603.24
MRI abdomen with and without contrast	CPT	74183	19	$4,160.95	$1,248.29	$264.35	$439.56	$2,163.69
Abdominal ultrasound complete	CPT	76700	19	$1,563.35	$469.01	$47.68	$106.93	$406.47
Abdominal ultrasound limited	CPT	76705	19	$758.45	$227.54	$40.08	$103.88	$197.2
Retroperitoneal ultrasound complete	CPT	76770	19	$797.15	$239.15	$47.68	$103.88	$207.26
Obstetric ultrasound first trimester	CPT	76801	19	$843.85	$253.16	$29.75	$103.88	$219.4
Obstetric ultrasound after first trimester	CPT	76805	19	$1,207.65	$362.3	$47.68	$103.88	$313.99
Obstetric ultrasound with fetal anatomy	CPT	76811	19	$1,129.7	$338.91	$75.31	$231.5	$372.86
Transvaginal ultrasound	CPT	76830	19	$1,234.1	$370.23	$43.3	$103.88	$320.87
Pelvic ultrasound complete	CPT	76856	19	$1,236.9	$371.07	$43.3	$103.88	$321.59
Scrotal ultrasound	CPT	76870	19	$1,112.8	$333.84	$43.3	$101.84	$289.33
Diagnostic mammography unilateral	CPT	77065	19	$718.6	$215.58	$68.4	$98.8	$249.9
Diagnostic mammography bilateral	CPT	77066	19	$814.2	$244.26	$87.17	$125.92	$319.26
Screening mammography bilateral	CPT	77067	19	$631.8	$189.54	$72.15	$104.22	$263.95
EKG complete	CPT	93000	1	—	—	$23.94	$30.94	$35.58
EKG tracing only	CPT	93005	18	$356.2	$106.86	$13.36	$56.89	$181.66
EKG interpretation only	CPT	93010	1	—	—	$10.54	$11.06	$11.58
Transthoracic echocardiogram complete	CPT	93306	18	$4,070.75	$1,221.23	$148.77	$525.11	$2,076.08
Transthoracic echocardiogram	CPT	93307	18	$2,866.55	$859.97	$117.72	$231.5	$1,461.94
Stress echocardiogram	CPT	93350	18	—	—	$105.21	$525.11	$735.15
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	21	—	—	$3,657.7	$11,915	$30,699
COPD w MCC	MS-DRG	190	21	—	—	$2,097.75	$11,679	$20,300
COPD w CC	MS-DRG	191	21	—	—	$1,494.35	$9,836.43	$20,300
COPD w/o CC/MCC	MS-DRG	192	21	—	—	$1,112.18	$8,685	$20,300
Simple pneumonia & pleurisy w CC	MS-DRG	194	21	—	—	$1,410.09	$9,550.36	$20,300
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	21	—	—	$990.17	$8,369.45	$20,300
AMI discharged alive w MCC	MS-DRG	280	21	—	—	$4,518.26	$12,203	$24,837
AMI discharged alive w CC	MS-DRG	281	21	—	—	$3,424.49	$11,122	$20,300
AMI discharged alive w/o CC/MCC	MS-DRG	282	21	—	—	$2,810.24	$9,726.58	$20,300
Heart failure & shock w MCC	MS-DRG	291	21	—	—	$2,435.94	$11,888	$20,445
Heart failure & shock w CC	MS-DRG	292	21	—	—	$1,562.49	$9,744.36	$20,300
Heart failure & shock w/o CC/MCC	MS-DRG	293	21	—	—	$1,153.85	$8,355.95	$20,300
Cardiac arrhythmia w MCC	MS-DRG	308	21	—	—	$3,198.19	$11,884	$26,842
Cardiac arrhythmia w CC	MS-DRG	309	21	—	—	$1,877.89	$9,621.77	$20,300
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	21	—	—	$1,363.12	$7,693.48	$20,300
GI hemorrhage w CC	MS-DRG	378	21	—	—	$1,572.16	$10,491	$20,300
GI hemorrhage w/o CC/MCC	MS-DRG	379	21	—	—	$1,234.66	$8,257.17	$20,300
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	21	—	—	$1,047.49	$9,282.22	$20,300
Fractures of femur w/o MCC	MS-DRG	533	21	—	—	$5,327.08	$11,926	$33,949
Kidney/UTI w MCC	MS-DRG	689	21	—	—	$1,647.9	$11,520	$20,300
Kidney/UTI w/o MCC	MS-DRG	690	21	—	—	$989.02	$9,823.5	$20,300
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	21	—	—	$3,130.73	$14,777	$28,188
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	21	—	—	$1,618.89	$11,027	$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	19	$250.3	$75.09	$5.93	$8.46	$130.16
General health panel	CPT	80050	5	—	—	$19.54	$57.36	$149.01
Electrolyte panel	CPT	80051	19	$187.5	$56.25	$4.92	$7.01	$97.5
Comprehensive metabolic panel	CPT	80053	19	$597.25	$179.18	$7.42	$10.57	$310.57
Lipid panel	CPT	80061	19	$338.1	$101.43	$9.4	$13.39	$175.81
Renal function panel	CPT	80069	19	$242.4	$72.72	$6.09	$8.69	$126.05
Hepatic function panel	CPT	80076	19	$350.85	$105.26	$5.73	$8.17	$182.44
Urinalysis non-automated	CPT	81002	19	—	—	$1.79	$3.48	$11.28
Urinalysis automated	CPT	81003	19	$116	$34.8	$1.57	$2.25	$60.32
Glucose quantitative	CPT	82947	19	$169.4	$50.82	$2.75	$3.93	$88.09
Hemoglobin A1c	CPT	83036	19	$139.85	$41.96	$6.81	$9.71	$72.72
Thyroid stimulating hormone (TSH)	CPT	84443	19	$247.55	$74.27	$11.78	$16.8	$128.73
Complete blood count with automated differential	CPT	85025	19	$249.15	$74.75	$5.45	$7.77	$129.56
Complete blood count without differential	CPT	85027	19	$174.75	$52.43	$4.54	$6.47	$90.87
Urine culture bacterial	CPT	87086	19	$121.85	$36.56	$5.66	$8.07	$63.36
Urine culture identification	CPT	87088	19	—	—	$5.68	$8.09	$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	—	—	$7.2	$192.66	$5,600
Routine obstetric care including vaginal delivery	CPT	59400	1	—	—	$2,118	$2,215	$5,600
Vaginal delivery only	CPT	59409	2	—	—	$923.1	$2,214.25	$5,600
Vaginal delivery with postpartum	CPT	59410	1	—	—	$2,118	$2,215	$5,600
Routine obstetric care with C-section	CPT	59510	1	—	—	$2,118	$2,215	$5,600
C-section delivery only	CPT	59514	1	—	—	$2,118	$2,215	$5,600
C-section with postpartum	CPT	59515	1	—	—	$2,118	$2,215	$5,600
office
Office visit, new patient, 15-29 min	CPT	99202	3	—	—	$36.06	$45.33	$48.58
Office visit, new patient, 30-44 minutes	CPT	99203	3	—	—	$47.56	$65.57	$73.37
Office visit, new patient, 45-59 min	CPT	99204	3	—	—	$65.21	$105.09	$124.32
Office visit, new patient, 60-74 min	CPT	99205	3	—	—	$88.26	$134.35	$162.31
Office visit, established patient, 5 min	CPT	99211	2	—	—	$8.47	$8.7	$26.9
Office visit, established patient, 10-19 min	CPT	99212	2	—	—	$22.92	$23.72	$36.06
Office visit, established patient, 20-29 minutes	CPT	99213	2	—	—	$36.06	$46.61	$49.51
Office visit, established patient, 30-39 minutes	CPT	99214	2	—	—	$47.56	$71.66	$75.95
Office visit, established patient, 40-54 min	CPT	99215	2	—	—	$65.21	$100.98	$107.26
preventive
Upper GI endoscopy diagnostic	CPT	43235	19	$3,643.85	$1,093.16	$372.8	$897.9	$1,467
Upper GI endoscopy with biopsy	CPT	43239	19	$3,643.85	$1,093.16	$372.8	$897.9	$2,984
Sigmoidoscopy diagnostic	CPT	45330	19	$2,242.5	$672.75	$37.88	$873.14	$1,467
Sigmoidoscopy with biopsy	CPT	45331	19	$2,242.5	$672.75	$48.71	$873.14	$1,467
Colonoscopy diagnostic	CPT	45378	19	$4,204.35	$1,261.31	$394.93	$873.14	$2,984
Colonoscopy with biopsy	CPT	45380	2	$4,204.35	$1,261.31	$394.93	$1,239	$2,984
Colonoscopy with polyp removal	CPT	45385	2	$4,204.35	$1,261.31	$394.93	$1,239	$2,984
surgery
Total shoulder arthroplasty	CPT	23472	4	—	—	$2,118	$19,793	$28,151
Hip hemiarthroplasty	CPT	27125	4	—	—	$2,118	$20,763	$28,151
Total hip replacement	CPT	27130	4	—	—	$2,118	$20,763	$28,151
Total knee replacement	CPT	27447	4	—	—	$2,118	$21,555	$28,151
Knee revision arthroplasty single component	CPT	27486	2	—	—	$2,118	$5,600	$23,491
Knee revision arthroplasty all components	CPT	27487	2	—	—	$2,118	$5,600	$23,491
Shoulder arthroscopy with decompression	CPT	29826	1	—	—	$1,468.5	$1,535	$3,099
Shoulder arthroscopy with rotator cuff repair	CPT	29827	2	—	—	$2,172.78	$2,285.5	$4,888
Knee arthroscopy with meniscectomy	CPT	29881	2	—	—	$1,075.79	$1,974	$3,580
ACL reconstruction	CPT	29888	2	—	—	$1,468.5	$1,539.25	$3,161.4
Major small/large bowel procedures w MCC	MS-DRG	329	21	—	—	$8,001	$20,384	$71,071
Major small/large bowel procedures w CC	MS-DRG	330	21	—	—	$4,555.32	$16,617	$38,232
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	21	—	—	$3,108.63	$12,803	$25,058
CABG single arterial graft	CPT	33533	1	—	—	$2,118	$2,215	$5,600
CABG 2 arterial grafts	CPT	33534	1	—	—	$2,118	$2,215	$5,600
CABG 3 arterial grafts	CPT	33535	1	—	—	$2,118	$2,215	$5,600
CABG 4+ arterial grafts	CPT	33536	1	—	—	$2,118	$2,215	$5,600
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	21	—	—	$4,247.98	$12,869	$35,653
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	21	—	—	$2,448.14	$11,888	$20,547
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	21	—	—	$3,310.07	$18,163	$51,492
Open appendectomy	CPT	44950	2	—	—	$1,142.96	$2,214.25	$5,600
Laparoscopic appendectomy	CPT	44970	2	—	—	$1,889.5	$1,974	$3,580
Major joint replacement w MCC	MS-DRG	469	21	—	—	$7,315.64	$18,292	$61,400
Major joint replacement w/o MCC	MS-DRG	470	21	—	—	$6,155.57	$14,674	$43,688
Laparoscopic cholecystectomy	CPT	47562	2	—	—	$1,889.7	$3,142	$5,086
Lap cholecystectomy with cholangiography	CPT	47563	2	—	—	$1,889.7	$3,142	$5,086
Hip & femur procedures except major joint w MCC	MS-DRG	480	21	—	—	$6,334.68	$16,675	$44,318
Hip & femur procedures except major joint w CC	MS-DRG	481	21	—	—	$5,631.82	$15,934	$47,267
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	21	—	—	$4,256.27	$12,408	$24,131
Open umbilical hernia repair	CPT	49560	2	—	—	$1,337.72	$2,214.25	$5,600
Umbilical hernia repair age 5+	CPT	49585	2	—	—	$1,337.72	$2,214.25	$5,600
Lap inguinal hernia repair	CPT	49650	2	—	—	$1,889.5	$1,974	$3,580
Lap incisional hernia repair	CPT	49652	2	—	—	$2,118	$2,220.25	$5,600
Total abdominal hysterectomy	CPT	58150	2	—	—	$2,118	$2,225.5	$5,600
Vaginal hysterectomy	CPT	58260	3	—	—	$1,989.59	$3,151	$5,086
Lap-assisted vaginal hysterectomy	CPT	58550	2	—	—	$2,739.57	$3,142	$5,086
Lap-assisted vaginal hysterectomy >250g	CPT	58552	2	—	—	$1,889.7	$2,285.5	$4,888
Lap salpingo-oophorectomy	CPT	58661	2	—	—	$1,889.7	$2,285.5	$4,888
OR procedure for obesity w MCC	MS-DRG	619	21	—	—	$6,359.77	$18,292	$53,377
OR procedure for obesity w CC	MS-DRG	620	21	—	—	$4,601.14	$12,174	$42,515
OR procedure for obesity w/o CC/MCC	MS-DRG	621	21	—	—	$3,936.04	$11,915	$42,515
Complex cataract surgery	CPT	66982	2	—	—	$876.31	$2,915.5	$3,339
Cataract surgery with lens implant	CPT	66984	2	—	—	$876.31	$2,915.5	$3,339
Intravitreal injection	CPT	67028	19	—	—	$157.21	$317.66	$1,467
Vitrectomy mechanical	CPT	67042	2	—	—	$1,561.28	$3,142	$5,086
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	21	—	—	$1,632.25	$11,805	$20,300
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	21	—	—	$2,332.57	$15,588	$26,966
PCI single major coronary artery	CPT	92920	5	—	—	$440.44	$13,663	$16,976
PCI with drug-eluting stent	CPT	92928	5	—	—	$489.99	$13,569	$16,976
PCI bypass graft	CPT	92937	5	—	—	$489.68	$13,569	$16,976
Left heart catheterization	CPT	93452	4	—	—	$462.57	$8,875	$11,857
Coronary angiography with cath	CPT	93455	4	—	—	$550.37	$8,669	$11,857
Coronary angiography with bypass cath	CPT	93458	4	—	—	$560.1	$8,875	$11,857

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 21)

Payer	Codes covered	Median rate
Cigna	170	$2,215
community plan	165	$165.38
Aetna	162	$348.86
Blue Cross Blue Shield	158	$266.81
UnitedHealthcare	147	$610.96
Ambetter	136	$221.64
centurion of tn	136	$170.49
amerigroup mcr replacement	136	$192.66
smart health	136	$778.6
ascension complete	136	$170.49
healthspring mcr replacement	136	$170.49
Humana	136	$170.49
Medicare	136	$170.49
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
amerigroup mcaid replacement	40	$5,199.22
health 2 business	40	$17,332

Related data on other Healthparse brands

Explore this hospital across cost reports, quality ratings, and non-profit filings.

HCRIS.io

Medicare cost reports, margins, utilization

Stetho.io

SNF, HHA, hospice, dialysis cost reports + ownership

990Health

IRS Form 990 financials, executive compensation

CareLens

CMS quality ratings, inspections, staffing