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SAINT THOMAS HIGHLANDS HOSPITAL

Acute Care Hospitals

16

401 SEWELL DR

SPARTA, TN, 38583

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Emergency Services: Yes
Proprietary
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Procedure Prices at SAINT THOMAS HIGHLANDS HOSPITAL

COLLECTION VENOUS BLOOD VENIPUNCTURE

CPT 36415

$8.72

Therapeutic Exercises

CPT 97110

$57.14

Therapeutic Activities

CPT 97530

$62.1

BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC

CPT 85025

$63.02

ER Visit — Low-Moderate Complexity

CPT 99283

$87.77

EKG Tracing

CPT 93005

$90.1

Chest X-Ray (1 view)

CPT 71045

$119.63

Chest X-Ray (2 views)

CPT 71046

$134.58

ER Visit — Moderate Complexity

CPT 99284

$135.64

COMPREHENSIVE METABOLIC PANEL

CPT 80053

$168.54

Screening Mammogram (bilateral)

CPT 77067

$202.18

Thoracic Spine X-Ray

CPT 72072

$225.09

Diagnostic Mammogram (unilateral)

CPT 77065

$229.95

ER Visit — High Complexity

CPT 99285

$255.3

Diagnostic Mammogram (bilateral)

CPT 77066

$260.54

Abdominal Ultrasound — Limited

CPT 76705

$268.93

Retroperitoneal Ultrasound

CPT 76770

$282.64

Abdominal Ultrasound

CPT 76700

$554.32

CT Chest

CPT 71250

$911.06

Upper GI Endoscopy w/ Biopsy

CPT 43239

$921.81

Echocardiogram w/ Doppler

CPT 93306

$951.26

Colonoscopy

CPT 45378

$1,063.6

Colonoscopy w/ Biopsy

CPT 45380

$1,063.6

MRI Joint of Lower Extremity

CPT 73721

$1,151.2

MRI Brain w/o Contrast

CPT 70551

$1,355.58

MRI Brain w/ Contrast

CPT 70553

$1,882.05

CT Abdomen & Pelvis

CPT 74177

$2,139.54

Hip Replacement

CPT 27130

$17,340

Knee Replacement

CPT 27447

$17,340

TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW

CPT 27245

ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR

CPT 29827

Knee Arthroscopy

CPT 29881

Tonsillectomy & Adenoidectomy (under 12)

CPT 42820

Tonsillectomy & Adenoidectomy (12+)

CPT 42821

Appendectomy

CPT 44950

Laparoscopic Cholecystectomy

CPT 47562

Inguinal Hernia Repair

CPT 49505

Recurrent Inguinal Hernia Repair

CPT 49520

Laparoscopic Hernia Repair

CPT 49650

Vaginal Delivery

CPT 59400

VBAC Delivery

CPT 59610

NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL

CPT 64483

Cataract Surgery — Complex

CPT 66982

Cataract Surgery

CPT 66984

OB Ultrasound

CPT 76805

PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES

CPT 90837

EKG

CPT 93000

EKG Interpretation

CPT 93010

Echocardiogram

CPT 93307

Mechanical Traction

CPT 97012

OFFICE OUTPATIENT VISIT 15 MINUTES

CPT 99213

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.