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Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Ascension Saint Thomas Three Rivers

451 HIGHWAY 13 S, Waverly, TN 37185

CMS Overall Rating No CMS Rating
Factual Overview

Ascension Saint Thomas Three Rivers is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Waverly, TN. Mapped commercial insurance prices across 23 procedures average 6.53x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 249

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 124 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 23 codes Avg Markup vs Medicare: 6.53x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
CT scan, head (no contrast)
CPT Code: 70450
 $364 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $488 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $481 Calc
CT scan, sinuses
CPT Code: 70486
 $327 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $322 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $78 Calc
X-ray, lower back
CPT Code: 72110
 $94 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $328 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $359 Calc
X-ray, pelvis
CPT Code: 72170
 $94 Calc
CT scan, pelvis
CPT Code: 72192
 $331 Calc
X-ray, shoulder
CPT Code: 73030
 $78 Calc
X-ray, hand
CPT Code: 73130
 $78 Calc
X-ray, ankle
CPT Code: 73610
 $78 Calc
X-ray, foot
CPT Code: 73630
 $78 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $681 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $944 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $154 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $196 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $154 Calc
Ultrasound, pelvis
CPT Code: 76856
 $175 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $268 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $1,485 Calc