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SAINT THOMAS STONES RIVER HOSPITAL

Acute Care Hospitals

16

324 DOOLITTLE ROAD

WOODBURY, TN, 37190

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Emergency Services: Yes
Proprietary
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Procedure Prices at SAINT THOMAS STONES RIVER HOSPITAL

COLLECTION VENOUS BLOOD VENIPUNCTURE

CPT 36415

$8.72

Therapeutic Activities

CPT 97530

$49.94

Therapeutic Exercises

CPT 97110

$57.14

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

$119.38

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

OB Ultrasound

CPT 76805

$428.19

Abdominal Ultrasound

CPT 76700

$554.32

CT Chest

CPT 71250

$911.06

Echocardiogram w/ Doppler

CPT 93306

$951.26

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

Upper GI Endoscopy w/ Biopsy

CPT 43239

Appendectomy

CPT 44950

Colonoscopy

CPT 45378

Colonoscopy w/ Biopsy

CPT 45380

Laparoscopic Cholecystectomy

CPT 47562

Inguinal Hernia Repair

CPT 49505

Recurrent Inguinal Hernia Repair

CPT 49520

Laparoscopic Hernia Repair

CPT 49650

Vaginal Delivery

CPT 59400

C-Section

CPT 59510

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

MRI Brain w/o Contrast

CPT 70551

MRI Brain w/ Contrast

CPT 70553

MRI Joint of Lower Extremity

CPT 73721

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.