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Critical Access HospitalVoluntary Non-Profit - Private

Ascension Saint Thomas Hickman Hospital

Ascension Health ยท Centerville, TN

135 East Swan Street, Centerville, TN 37033(931) 729-4271

30

In-network payers

388

Disclosed rate categories

25

Beds

About this hospital

Ascension Saint Thomas Hickman Hospital is a 25-bed voluntary non-profit - private hospital in Centerville, TN, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 388 disclosed rate categories.

CCN (Medicare provider number)

441300

NPI

1245275254

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Private

Beds

25

Insurance Accepted

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

Prices for common services

The 24 services Ascension Saint Thomas Hickman Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$411 - $756

from 4 insurers ยท median $584

Aetna$557
Insurer A*$411
Insurer B*$611
Insurer C*$756
Medicare $356Nearby hospitals $617In line with nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$1,239 - $3,152

from 4 insurers ยท median $2,360

Blue Cross$2,231
Insurer A*$1,239
Insurer B*$2,488
Insurer C*$3,152
Medicare $1,223Nearby hospitals $1,56351% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$568 - $3,152

from 4 insurers ยท median $1,692

Blue Cross$2,138
Insurer A*$568
Insurer B*$1,246
Insurer C*$3,152
Medicare $927Nearby hospitals $1,667In line with nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$989 - $3,152

from 4 insurers ยท median $1,806

Blue Cross$2,367
Insurer A*$989
Insurer B*$1,246
Insurer C*$3,152
Medicare $1,223Nearby hospitals $1,9467% below nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$146 - $241

from 4 insurers ยท median $168

Aetna$146
Insurer A*$160
Insurer B*$176
Insurer C*$241
Medicare $92Nearby hospitals $19313% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Diagnostic colonoscopy

CPT 45378

$425 - $3,152

from 4 insurers ยท median $1,813

Blue Cross$2,387
Insurer A*$425
Insurer B*$1,239
Insurer C*$3,152
Medicare $950Nearby hospitals $1,54218% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$2,705 - $4,908

from 4 insurers ยท median $3,078

Cigna$2,916
Insurer A*$2,705
Insurer B*$3,241
Insurer C*$4,908
Medicare $2,358Nearby hospitals $2,8508% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$227 - $747

from 4 insurers ยท median $388

Aetna$747
Insurer A*$227
Insurer B*$373
Insurer C*$402
Medicare $244Nearby hospitals $31424% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$136 - $260

from 4 insurers ยท median $161

Aetna$136
Insurer A*$143
Insurer B*$179
Insurer C*$260
Medicare $107Nearby hospitals $155In line with nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$3,443 - $6,519

from 4 insurers ยท median $4,604

Cigna$3,443
Insurer A*$4,465
Insurer B*$4,742
Insurer C*$6,519
Medicare $6,176Nearby hospitals $7,48739% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$3,443 - $6,519

from 4 insurers ยท median $5,410

UnitedHealthcare$6,519
Insurer A*$3,443
Insurer B*$5,162
Insurer C*$5,657
Medicare $10,860Nearby hospitals $6,65619% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$292 - $773

from 4 insurers ยท median $407

Aetna$325
Insurer A*$292
Insurer B*$489
Insurer C*$773
Medicare $179Nearby hospitals $34119% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$251 - $822

from 3 insurers ยท median $296

Blue Cross$296
Insurer A*$251
Insurer B*$822
Medicare $558Nearby hospitals $1,57681% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$405 - $938

from 4 insurers ยท median $551

Cigna$938
Insurer A*$405
Insurer B*$491
Insurer C*$611
Medicare $356Nearby hospitals $70522% below nearby hospitals

Typical for a hospital with this service line

Orthopedics and pain

Aspiration or injection of a major joint, without ultrasound

CPT 20610

$918 - $3,843

from 4 insurers ยท median $1,276

UnitedHealthcare$1,194
Insurer A*$918
Insurer B*$1,358
Insurer C*$3,843
Medicare $314Nearby hospitals $84551% above nearby hospitals

Typical for a hospital with this service line

Ear, nose and throat

Ear-tube insertion under general anesthesia

CPT 69436

$1,535 - $4,404

from 4 insurers ยท median $2,831

Aetna$4,404
Insurer A*$1,535
Insurer B*$2,511
Insurer C*$3,152
Medicare $1,585Nearby hospitals $2,03739% above nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of an ovary or fallopian tube

CPT 58661

$2,286 - $6,519

from 4 insurers ยท median $5,068

UnitedHealthcare$6,519
Insurer A*$2,286
Insurer B*$4,507
Insurer C*$5,629
Medicare $6,176Nearby hospitals $4,46514% above nearby hospitals

Typical for a hospital with this service line

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$1,571 - $3,422

from 4 insurers ยท median $3,260

UnitedHealthcare$3,241
Insurer A*$1,571
Insurer B*$3,279
Insurer C*$3,422
Medicare $3,307Nearby hospitals $3,233In line with nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Tonsillectomy and adenoidectomy, patient under age 12

CPT 42820

$1,535 - $5,052

from 4 insurers ยท median $3,853

Cigna$1,535
Insurer A*$3,241
Insurer B*$4,465
Insurer C*$5,052
Medicare $6,048Nearby hospitals $4,27410% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of pelvic lesions

CPT 58662

$2,286 - $6,519

from 4 insurers ยท median $4,993

UnitedHealthcare$6,519
Insurer A*$2,286
Insurer B*$4,908
Insurer C*$5,078
Medicare $6,176Nearby hospitals $5,61011% below nearby hospitals

Typical for a hospital with this service line

Urology

Shock-wave treatment of kidney stones

CPT 50590

$3,368 - $6,519

from 4 insurers ยท median $4,922

Blue Cross$3,368
Insurer A*$3,908
Insurer B*$5,935
Insurer C*$6,519
Medicare $3,601Nearby hospitals $5,63913% below nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Arthroscopic knee meniscectomy

CPT 29881

$1,974 - $5,355

from 4 insurers ยท median $3,952

Cigna$1,974
Insurer A*$3,457
Insurer B*$4,447
Insurer C*$5,355
Medicare $3,343Nearby hospitals $3,6967% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$35 - $128

from 4 insurers ยท median $43

Cigna$47
Insurer A*$35
Insurer B*$39
Insurer C*$128
Medicare $89Nearby hospitals $9153% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$101 - $179

from 4 insurers ยท median $146

UnitedHealthcare$179
Insurer A*$101
Insurer B*$140
Insurer C*$151
Medicare $107Nearby hospitals $18823% below nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Ascension Saint Thomas Hickman Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
168%
166
Insurer B*24
116%
03
Insurer C*24
115%
125
Insurer D*24
109%
414

How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ascension Saint Thomas Hickman Hospital.

Location

135 East Swan Street, Centerville, TN 37033

(931) 729-4271

Get directions

Frequently asked questions

About Ascension Saint Thomas Hickman Hospital's rates and hospital price transparency.

How much does an MRI cost at Ascension Saint Thomas Hickman Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ascension Saint Thomas Hickman Hospital range from $405 to $938 across 4 insurers. Cigna's rate is $938. The median at nearby comparable hospitals is $705. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Ascension Saint Thomas Hickman Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ascension Saint Thomas Hickman Hospital range from $411 to $756 across 4 insurers. Aetna's rate is $557. The median at nearby comparable hospitals is $617. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Ascension Saint Thomas Hickman Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Ascension Saint Thomas Hickman Hospital range from $1,239 to $3,152 across 4 insurers. Blue Cross Blue Shield's rate is $2,231. The median at nearby comparable hospitals is $1,563. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Ascension Saint Thomas Hickman Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ascension Saint Thomas Hickman Hospital range from $146 to $241 across 4 insurers. Aetna's rate is $146. The median at nearby comparable hospitals is $193. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Ascension Saint Thomas Hickman Hospital have?

Ascension Saint Thomas Hickman Hospital has 25 beds. Facility type: Critical Access Hospital.

Where is Ascension Saint Thomas Hickman Hospital and what is its phone number?

Ascension Saint Thomas Hickman Hospital is located at 135 East Swan Street, Centerville, TN 37033. Its main phone number is (931) 729-4271.

What is Ascension Saint Thomas Hickman Hospital's CCN (Medicare provider number)?

Ascension Saint Thomas Hickman Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 441300.

What is Ascension Saint Thomas Hickman Hospital's NPI number?

The National Provider Identifier (NPI) on file for Ascension Saint Thomas Hickman Hospital is 1245275254.

What health system is Ascension Saint Thomas Hickman Hospital part of?

Ascension Saint Thomas Hickman Hospital is affiliated with Ascension Health.

Which insurance plans are in network at Ascension Saint Thomas Hickman Hospital?

Ascension Saint Thomas Hickman Hospital lists 30 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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