Ascension Saint Thomas West
4220 Harding Pike, Nashville, TN 37205
Data may be outdated
This hospital's pricing file has not been updated since 01/01/2026 (287 days ago). Prices may not reflect current charges. Contact the hospital directly for current pricing.
About This Data
Ascension Saint Thomas West publishes this pricing data as required by the CMS Price Transparency Rule (45 CFR § 180). The hospital's machine-readable file is published in CSV format and includes gross charges, cash/self-pay discounts, and payer-specific negotiated rates.
We are not affiliated with Ascension Saint Thomas West. This page presents publicly available pricing data published by the hospital in compliance with federal regulations.
File last updated: 01/01/2026. Accessed by us: 2026-10-15. We check for changes twice weekly (Monday and Thursday). Attested by Shubhada Jagasia.
If you believe any information is incorrect, please contact us. We'll review it against the source file within 5 business days.
Published Prices by Procedure
Echocardiogram
Compare across Nashville →| Procedure | Cash Price |
|---|---|
| Transthoracic Echocardiogram with Doppler (93306) | $900.90 |
Colonoscopy
Compare across Nashville →| Procedure | Cash Price |
|---|---|
| Screening Colonoscopy (45378) | $1,261.31 |
| Colonoscopy with Biopsy (45380) | $1,261.31 |
ER Visit
Compare across Nashville →| Procedure | Cash Price |
|---|---|
| ER Visit Level 3 (Moderate) (99283) | $735 |
| ER Visit Level 4 (High/Urgent) (99284) | $945 |
| ER Visit Level 5 (Critical) (99285) | $960 |
| Procedure | Cash Price |
|---|---|
| MRI Brain Without Contrast (70551) | $1,146.95 |
| MRI Lumbar Spine Without Contrast (72148) | $1,002.12 |
Chest X-ray
Compare across Nashville →| Procedure | Cash Price |
|---|---|
| Chest X-ray, 2 Views (71046) | $115.77 |
CT Scan
Compare across Nashville →| Procedure | Cash Price |
|---|---|
| CT Abdomen and Pelvis without Contrast (74176) | $1,409.82 |
| CT Abdomen and Pelvis with Contrast (74177) | $1,692.89 |
Ultrasound
Compare across Nashville →| Procedure | Cash Price |
|---|---|
| Abdominal Ultrasound, Complete (76700) | $226.31 |
| Pelvic Ultrasound, Complete (76856) | $286.97 |
Lab Work
Compare across Nashville →| Procedure | Cash Price |
|---|---|
| Comprehensive Metabolic Panel (CMP) (80053) | $179.18 |
| Complete Blood Count (CBC) with Differential (85025) | $74.75 |
Pricing Patterns at Ascension Saint Thomas West
At Ascension Saint Thomas West, cash prices are consistently set at 30% of gross charges, a 70% discount across every listed service, such as $1,261.31 for a screening colonoscopy against a $4,204.35 gross charge and $1,146.95 for a brain MRI without contrast against $3,823.15. Insured rates vary widely, with the CT abdomen and pelvis without contrast ranging from $101.11 to $2,443.69 depending on the payer. In several cases the cash price falls below the top of the insured range, including the CMP ($179.18 cash versus up to $310.57 insured), the transthoracic echocardiogram ($900.90 cash versus up to $2,751.14), and all three ER visit levels, where the highest insured rate for a Level 5 visit ($4,558) exceeds the $3,200 gross charge.
Ascension Saint Thomas West vs Nashville Hospitals
How Ascension Saint Thomas West's cash prices compare to the median across hospitals in the Nashville area with published prices for each procedure.
| Procedure | Ascension Saint Thomas West | vs Median |
|---|---|---|
| Echocardiogram 14 hospitals | $900.90 | 79% below median |
| Colonoscopy 6 hospitals | $1,261.31 | near median |
| ER Visit 14 hospitals | $735 | 62% below median |
| MRI 14 hospitals | $1,002.12 | 75% below median |
| Chest X-ray 14 hospitals | $115.77 | 81% below median |
| CT Scan 14 hospitals | $1,409.82 | 77% below median |
| Ultrasound 14 hospitals | $226.31 | 85% below median |
| Lab Work 14 hospitals | $74.75 | 87% below median |
"Cash price" is each hospital's published self-pay/discounted rate. Median is calculated across Nashville hospitals that publish a cash price for the same procedure. Multi-code procedures use each hospital's lowest valid price as its representative value.
Using Ascension Saint Thomas West's Published Prices
Where Ascension Saint Thomas West sits in Nashville. Across the 8 procedures with a Nashville comparison, 0 are above the median, 7 are below and 1 is near the median. Labels from the table include:
- Echocardiogram: 79% below median
- ER Visit: 62% below median
- MRI: 75% below median
- Ultrasound: 85% below median
- Colonoscopy: near median
Cash against insured rates. Cash is 30% of gross on every price row. Of the 15 rows, 13 have a cash price within the insured range, 2 have cash above every insured rate (both ultrasounds) and 0 have cash below every insured rate. For example, the 71046 chest X-ray lists cash of $115.77 against an insured range from $14.38 to $127.70.
Asking before you book. A reader can ask the billing office these questions:
- Quote the billing code, such as 45378 or 74176, and ask for the cash or self-pay price along with an itemized estimate.
- Ask what the quote includes and what it leaves out, such as contrast, supplies or follow-up services.
- Ask whether separate professional bills apply, for example a radiologist for imaging, a gastroenterologist and anesthesia for a colonoscopy, a cardiologist for an echocardiogram, or an ER physician for an ER visit.
Data gaps and the file's date. No rows carry a $0, blank or likely-error note. The file was updated 01/01/2026 and we accessed it on 2026-10-09. Prices shown are facility charges only.
General information about using published prices, not medical, legal or financial advice. Confirm your own cost with the hospital and your insurer. Our methodology
Understanding the Columns
Gross Charge: The chargemaster price before any discounts. Rarely what patients pay. It is primarily a starting point for insurance negotiations.
Cash/Self-Pay: The discounted rate hospitals offer to uninsured patients. Ask about financial assistance programs for further reductions.
Insured Range: Lowest to highest negotiated rates across all payers. Medicare rates are typically lowest; commercial plan rates highest.
About Facility Fees
Prices shown are facility fees only. You'll also receive separate bills from the physician performing the procedure.
Imaging procedures include a facility fee plus a radiologist's reading fee. Surgical procedures add surgeon, anesthesia, and pathology fees.
For a more complete estimate, contact the hospital's financial counselling office or your insurer to request a pre-service cost estimate that includes all expected professional fees.
Other Hospitals in Nashville
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Data Source
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Ascension Saint Thomas West
File updated: 01/01/2026 · Accessed by us: 2026-10-15
Attested by: Shubhada Jagasia
We are not affiliated with Ascension Saint Thomas West. Published prices may not reflect your actual cost. Disclaimer
⚠ Large file, opens in new tab