Medicine & Surgery
Cataract removal with lens insertion
CPT 66984
$2,817 - $4,908
from 4 insurers ยท median $3,155
31 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Ascension Health ยท Smithville, TN
32
In-network payers
404
Disclosed rate categories
71
Beds
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 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 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
CPT 66984
$2,817 - $4,908
from 4 insurers ยท median $3,155
31 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74177
$377 - $756
from 4 insurers ยท median $584
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,239 - $4,768
from 4 insurers ยท median $2,606
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,239 - $4,157
from 4 insurers ยท median $2,569
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,239 - $3,152
from 4 insurers ยท median $1,744
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$146 - $241
from 4 insurers ยท median $161
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$246 - $1,954
from 4 insurers ยท median $559
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$425 - $3,152
from 4 insurers ยท median $1,533
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$209 - $980
from 4 insurers ยท median $388
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$136 - $260
from 4 insurers ยท median $161
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$3,142 - $7,355
from 4 insurers ยท median $4,745
Typical for a hospital with this service line
Gynecology
CPT 58571
$3,142 - $7,355
from 4 insurers ยท median $5,503
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$492 - $2,036
from 4 insurers ยท median $824
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$292 - $795
from 4 insurers ยท median $387
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$337 - $938
from 4 insurers ยท median $551
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,535 - $3,457
from 4 insurers ยท median $3,408
Typical for a hospital with this service line
Gynecology
CPT 58661
$2,286 - $7,355
from 4 insurers ยท median $5,068
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$1,535 - $4,404
from 4 insurers ยท median $2,587
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$1,535 - $5,052
from 4 insurers ยท median $3,891
Typical for a hospital with this service line
MRI imaging
CPT 72148
$297 - $534
from 4 insurers ยท median $341
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$2,286 - $7,355
from 4 insurers ยท median $4,745
Typical for a hospital with this service line
MRI imaging
CPT 70551
$252 - $597
from 4 insurers ยท median $337
Common here, based on CMS Medicare volume
Urology
CPT 50590
$3,457 - $7,355
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 $3,966
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* | 24 | 158% | 9 | 8 |
| Insurer B* | 24 | 127% | 1 | 22 |
| Insurer C* | 24 | 116% | 1 | 23 |
| Insurer D* | 24 | 113% | 8 | 15 |
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.
520 West Main Street, Smithville, TN 37166
(615) 215-5000
About St Thomas Dekalb Hospital's rates and hospital price transparency.
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.
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.
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.
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.
St Thomas Dekalb Hospital has 71 beds. Facility type: Short Term Acute Care Hospital.
St Thomas Dekalb Hospital is located at 520 West Main Street, Smithville, TN 37166. Its main phone number is (615) 215-5000.
St Thomas Dekalb Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 440148.
The National Provider Identifier (NPI) on file for St Thomas Dekalb Hospital is 1649659582.
St Thomas Dekalb Hospital is affiliated with Ascension Health.
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.
404 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