CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$411 - $756
from 4 insurers ยท median $584
Typical for a hospital with this service line
Ascension Health ยท Centerville, TN
30
In-network payers
388
Disclosed rate categories
25
Beds
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 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.





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
CPT 74177
$411 - $756
from 4 insurers ยท median $584
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,239 - $3,152
from 4 insurers ยท median $2,360
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$568 - $3,152
from 4 insurers ยท median $1,692
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$989 - $3,152
from 4 insurers ยท median $1,806
Typical for a hospital with this service line
Mammography
CPT 77067
$146 - $241
from 4 insurers ยท median $168
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$425 - $3,152
from 4 insurers ยท median $1,813
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$2,705 - $4,908
from 4 insurers ยท median $3,078
Typical for a hospital with this service line
CT imaging
CPT 74176
$227 - $747
from 4 insurers ยท median $388
Typical for a hospital with this service line
CT imaging
CPT 70450
$136 - $260
from 4 insurers ยท median $161
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,443 - $6,519
from 4 insurers ยท median $4,604
Typical for a hospital with this service line
Gynecology
CPT 58571
$3,443 - $6,519
from 4 insurers ยท median $5,410
Typical for a hospital with this service line
CT imaging
CPT 71275
$292 - $773
from 4 insurers ยท median $407
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$251 - $822
from 3 insurers ยท median $296
Typical for a hospital with this service line
MRI imaging
CPT 70553
$405 - $938
from 4 insurers ยท median $551
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$918 - $3,843
from 4 insurers ยท median $1,276
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$1,535 - $4,404
from 4 insurers ยท median $2,831
Typical for a hospital with this service line
Gynecology
CPT 58661
$2,286 - $6,519
from 4 insurers ยท median $5,068
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,571 - $3,422
from 4 insurers ยท median $3,260
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$1,535 - $5,052
from 4 insurers ยท median $3,853
Typical for a hospital with this service line
Gynecology
CPT 58662
$2,286 - $6,519
from 4 insurers ยท median $4,993
Typical for a hospital with this service line
Urology
CPT 50590
$3,368 - $6,519
from 4 insurers ยท median $4,922
Typical for a hospital with this service line
Medicine & Surgery
CPT 29881
$1,974 - $5,355
from 4 insurers ยท median $3,952
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$35 - $128
from 4 insurers ยท median $43
Typical for a hospital with this service line
Ultrasound
CPT 76705
$101 - $179
from 4 insurers ยท median $146
Typical for a hospital with this service line
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 168% | 16 | 6 |
| Insurer B* | 24 | 116% | 0 | 3 |
| Insurer C* | 24 | 115% | 12 | 5 |
| Insurer D* | 24 | 109% | 4 | 14 |
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.
135 East Swan Street, Centerville, TN 37033
(931) 729-4271
About Ascension Saint Thomas Hickman Hospital's rates and hospital price transparency.
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.
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.
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.
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.
Ascension Saint Thomas Hickman Hospital has 25 beds. Facility type: Critical Access Hospital.
Ascension Saint Thomas Hickman Hospital is located at 135 East Swan Street, Centerville, TN 37033. Its main phone number is (931) 729-4271.
Ascension Saint Thomas Hickman Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 441300.
The National Provider Identifier (NPI) on file for Ascension Saint Thomas Hickman Hospital is 1245275254.
Ascension Saint Thomas Hickman Hospital is affiliated with Ascension Health.
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.
388 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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