Ascension Saint Thomas Dekalb
Smithville, Tennessee 37166-1138
Data last updated: 2026-02-20
Estimates assume 20% coinsurance after deductible. Actual costs depend on your plan's negotiated rates, coinsurance, and out-of-pocket maximum. .
Your Insurance Plan
Ascension Saint Thomas Dekalb in Smithville, Tennessee receives a BillKarma billing grade of F based on an average markup of 13.3x Medicare rates across 16 procedures in their published price transparency file. This places it among the 10 most expensive hospitals in Tennessee by markup ratio. The highest individual markups are for Joint Injection (drainage) (31.4x Medicare) and Egd biopsy single/multiple (24.3x Medicare). Patients with scheduled procedures at this hospital should review costs and compare nearby alternatives before confirming — charges at D and F grade hospitals are significantly above the national average.
Billing Profile
Last updated: 2026-02-20
Cash discount data sourced from hospital price transparency files. "Not reported" means the hospital did not include this in their posted file.
Billing Grade Position
This hospital is currently graded F based on markup vs Medicare.
Common Procedure Prices
Last updated: 2026-02-20
| CPT | Description | Hospital | Medicare | Markup |
|---|---|---|---|---|
| 20610 | Joint Injection (drainage) | $1250.00 | $39.75 | 31.4x |
| 43239 | Egd biopsy single/multiple | $3000.00 | $123.58 | 24.3x |
| 11042 | Wound Debridement | $1250.00 | $55.78 | 22.4x |
| 49650 | Lap ing hernia repair init | $7838.00 | $424.19 | 18.5x |
| 45378 | Diagnostic colonoscopy | $3000.00 | $164.67 | 18.2x |
| 27447 | Total Knee Replacement | $20000.00 | $1159.35 | 17.3x |
| 27130 | Total Hip Replacement | $20000.00 | $1162.02 | 17.2x |
| 23472 | Shoulder Replacement | $20000.00 | $1300.30 | 15.4x |
| 44970 | Laparoscopy appendectomy | $7838.00 | $578.17 | 13.6x |
| 45385 | Colonoscopy w/lesion removal | $3000.00 | $223.45 | 13.4x |
| 10060 | Abscess Drainage | $1250.00 | $100.54 | 12.4x |
| 47562 | Laparoscopic cholecystectomy | $7838.00 | $631.95 | 12.4x |
| 49505 | Prp i/hern init reduc >5 yr | $4959.00 | $508.03 | 9.8x |
| 29881 | Knee Arthroscopy | $4959.00 | $515.71 | 9.6x |
| 22551 | Cervical Spine Fusion | $7838.00 | $1604.91 | 4.9x |
| 27236 | Hip Fracture Repair | $2587.00 | $1089.87 | 2.4x |
| 22630 | Arthrd pst tq 1ntrspc lum | $2587.00 | $1510.72 | 1.7x |
Color key: green <2x · yellow 2–5x · red >5x Medicare
Location
Map shows Ascension Saint Thomas Dekalb at 520 W MAIN ST, Smithville, Tennessee, 37166-1138. Nearby hospitals within 50 miles include Ascension Saint Thomas Stones River (16.2 miles), Ascension Saint Thomas Highlands (19.7 miles), Saint Thomas River Park Hospital (21.8 miles).
Financial Assistance
Financial assistance policy: Not listed in current data
How to Dispute a Bill from Ascension Saint Thomas Dekalb
Last updated: 2026-02-20
Nearby Hospitals
Showing all hospitals within 50 miles with pricing data.
How we grade this hospital
BillKarma calculates billing grades by comparing each hospital's gross charges to the 2026 Medicare Outpatient Prospective Payment System (OPPS) rate for the same CPT codes. We download and parse each hospital's CMS-mandated price transparency file, match procedure codes to Medicare benchmarks, calculate a markup ratio for each matched procedure, and average those ratios across all matched procedures to produce the hospital's overall markup.
Grade thresholds: A = 2.0x Medicare or less · B = 2.1x–3.0x · C = 3.1x–5.0x · D = 5.1x–8.0x · F = More than 8.0x Medicare
Data sources: CMS Hospital Price Transparency files (updated annually), CMS OPPS 2026 Final Rule, CMS Hospital Compare (star ratings). Grades are recalculated when hospitals post updated price files. Last file parse date is shown above.