PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Church

St Thomas Dekalb Hospital

Ascension Health ยท Smithville, TN

520 West Main Street, Smithville, TN 37166(615) 215-5000

32

In-network payers

404

Disclosed rate categories

71

Beds

About this hospital

St Thomas Dekalb Hospital is a 71-bed voluntary non-profit - church hospital in Smithville, TN, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 404 disclosed rate categories.

CCN (Medicare provider number)

440148

NPI

1649659582

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Church

Beds

71

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 St Thomas Dekalb 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.

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$2,817 - $4,908

from 4 insurers ยท median $3,155

Aetna$4,908
Insurer A*$2,817
Insurer B*$2,916
Insurer C*$3,394
Medicare $2,087Nearby hospitals $6,28350% below nearby hospitals

31 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$377 - $756

from 4 insurers ยท median $584

Blue Cross$377
Insurer A*$557
Insurer B*$611
Insurer C*$756
Medicare $315Nearby hospitals $1,27054% below nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$1,239 - $4,768

from 4 insurers ยท median $2,606

Cigna$1,239
Insurer A*$2,059
Insurer B*$3,152
Insurer C*$4,768
Medicare $1,082Nearby hospitals $3,31021% below nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$1,239 - $4,157

from 4 insurers ยท median $2,569

Cigna$1,239
Insurer A*$1,986
Insurer B*$3,152
Insurer C*$4,157
Medicare $1,082Nearby hospitals $3,31022% below nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$1,239 - $3,152

from 4 insurers ยท median $1,744

Cigna$1,239
Insurer A*$1,660
Insurer B*$1,827
Insurer C*$3,152
Medicare $820Nearby hospitals $3,14345% below nearby hospitals

Common here, based on CMS Medicare volume

Mammography

Screening mammography, bilateral

CPT 77067

$146 - $241

from 4 insurers ยท median $161

Blue Cross$162
Insurer A*$146
Insurer B*$160
Insurer C*$241
Medicare $82Nearby hospitals $12925% above nearby hospitals

Common here, based on CMS Medicare volume

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$246 - $1,954

from 4 insurers ยท median $559

Cigna$822
Insurer A*$246
Insurer B*$296
Insurer C*est.$1,954
Medicare $494Nearby hospitals $1,73168% below nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Diagnostic colonoscopy

CPT 45378

$425 - $3,152

from 4 insurers ยท median $1,533

Cigna$1,239
Insurer A*$425
Insurer B*$1,827
Insurer C*$3,152
Medicare $841Nearby hospitals $3,31054% below nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$209 - $980

from 4 insurers ยท median $388

Blue Cross$209
Insurer A*$373
Insurer B*$402
Insurer C*$980
Medicare $216Nearby hospitals $1,03262% below nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$136 - $260

from 4 insurers ยท median $161

Blue Cross$143
Insurer A*$136
Insurer B*$179
Insurer C*$260
Medicare $95Nearby hospitals $23030% below nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$3,142 - $7,355

from 4 insurers ยท median $4,745

Aetna$4,908
Insurer A*$3,142
Insurer B*$4,583
Insurer C*$7,355
Medicare $5,467Nearby hospitals $6,68729% 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

$3,142 - $7,355

from 4 insurers ยท median $5,503

UnitedHealthcare$7,355
Insurer A*$3,142
Insurer B*$5,348
Insurer C*$5,657
Medicare $10,860Nearby hospitals $7,32125% below nearby hospitals

Typical for a hospital with this service line

Nuclear imaging

Nuclear imaging of blood flow to the heart, multiple studies

CPT 78452

$492 - $2,036

from 4 insurers ยท median $824

UnitedHealthcare$2,036
Insurer A*$492
Insurer B*$653
Insurer C*$995
Medicare $1,171Nearby hospitals $1,48144% below nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT angiography of chest blood vessels

CPT 71275

$292 - $795

from 4 insurers ยท median $387

Blue Cross$449
Insurer A*$292
Insurer B*$325
Insurer C*$795
Medicare $159Nearby hospitals $3666% above nearby hospitals

Common here, based on CMS Medicare volume

MRI imaging

MRI brain before and after contrast

CPT 70553

$337 - $938

from 4 insurers ยท median $551

Aetna$337
Insurer A*$491
Insurer B*$611
Insurer C*$938
Medicare $315Nearby hospitals $1,52864% below nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$1,535 - $3,457

from 4 insurers ยท median $3,408

UnitedHealthcare$3,394
Insurer A*$1,535
Insurer B*$3,422
Insurer C*$3,457
Medicare $3,307Nearby hospitals $3,77110% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of an ovary or fallopian tube

CPT 58661

$2,286 - $7,355

from 4 insurers ยท median $5,068

UnitedHealthcare$7,355
Insurer A*$2,286
Insurer B*$4,507
Insurer C*$5,629
Medicare $5,467Nearby hospitals $5,122In line with 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 $2,587

Aetna$4,404
Insurer A*$1,535
Insurer B*$2,023
Insurer C*$3,152
Medicare $1,585Nearby hospitals $2,96013% below 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 $3,891

Aetna$5,052
Insurer A*$1,535
Insurer B*$3,394
Insurer C*$4,387
Medicare $6,048Nearby hospitals $4,2689% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$297 - $534

from 4 insurers ยท median $341

Aetna$310
Insurer A*$297
Insurer B*$373
Insurer C*$534
Medicare $216Nearby hospitals $99366% below nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Laparoscopic removal of pelvic lesions

CPT 58662

$2,286 - $7,355

from 4 insurers ยท median $4,745

UnitedHealthcare$7,355
Insurer A*$2,286
Insurer B*$4,583
Insurer C*$4,908
Medicare $5,467Nearby hospitals $5,25810% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the brain, without contrast

CPT 70551

$252 - $597

from 4 insurers ยท median $337

Aetna$252
Insurer A*$301
Insurer B*$373
Insurer C*$597
Medicare $216Nearby hospitals $58642% below nearby hospitals

Common here, based on CMS Medicare volume

Urology

Shock-wave treatment of kidney stones

CPT 50590

$3,457 - $7,355

from 4 insurers ยท median $4,922

Blue Cross$3,457
Insurer A*$3,908
Insurer B*$5,935
Insurer C*$7,355
Medicare $3,601Nearby hospitals $6,67026% 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 $3,966

Aetna$5,355
Insurer A*$1,974
Insurer B*$3,279
Insurer C*$4,653
Medicare $2,959Nearby hospitals $4,47511% below nearby hospitals

Typical for a hospital with this service line

How the insurers pay at St Thomas Dekalb 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*24
158%
98
Insurer B*24
127%
122
Insurer C*24
116%
123
Insurer D*24
113%
815

How we chose these services: 1 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 9 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 St Thomas Dekalb Hospital.

Location

520 West Main Street, Smithville, TN 37166

(615) 215-5000

Get directions

Frequently asked questions

About St Thomas Dekalb Hospital's rates and hospital price transparency.

How much does an MRI cost at St Thomas Dekalb Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at St Thomas Dekalb Hospital range from $337 to $938 across 4 insurers. Aetna's rate is $337. The median at nearby comparable hospitals is $1,528. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at St Thomas Dekalb Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St Thomas Dekalb Hospital range from $377 to $756 across 4 insurers. Blue Cross Blue Shield's rate is $377. The median at nearby comparable hospitals is $1,270. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at St Thomas Dekalb Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at St Thomas Dekalb Hospital range from $1,239 to $4,768 across 4 insurers. Cigna's rate is $1,239. The median at nearby comparable hospitals is $3,310. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at St Thomas Dekalb Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at St Thomas Dekalb Hospital range from $146 to $241 across 4 insurers. Blue Cross Blue Shield's rate is $162. The median at nearby comparable hospitals is $129. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does St Thomas Dekalb Hospital have?

St Thomas Dekalb Hospital has 71 beds. Facility type: Short Term Acute Care Hospital.

Where is St Thomas Dekalb Hospital and what is its phone number?

St Thomas Dekalb Hospital is located at 520 West Main Street, Smithville, TN 37166. Its main phone number is (615) 215-5000.

What is St Thomas Dekalb Hospital's CCN (Medicare provider number)?

St Thomas Dekalb Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 440148.

What is St Thomas Dekalb Hospital's NPI number?

The National Provider Identifier (NPI) on file for St Thomas Dekalb Hospital is 1649659582.

What health system is St Thomas Dekalb Hospital part of?

St Thomas Dekalb Hospital is affiliated with Ascension Health.

Which insurance plans are in network at St Thomas Dekalb Hospital?

St Thomas Dekalb Hospital lists 32 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
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster