Ascension Saint Thomas Dekalb
Smithville, Tennessee 37166-1138
Billing Grade
F
Relative fairness percentile: P60
Avg Markup
14.4x
CMS Stars
N/A
Patient Experience
Not Reported
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Last updated: 2026-02-18
Average markup vs Medicare: 14.4x
Cash/self-pay discount avg: N/A
Charity care (% revenue): N/A
State rank by markup: 5
Billing Grade Position
This hospital marker
National avg marker
This hospital is currently graded F based on markup vs Medicare.
Markup Comparison
Benchmark comparisons are temporarily disabled while Medicare locality validation is in progress.
Common Procedure Prices
Last updated: 2026-02-18
| 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
Financial Assistance
Nonprofit status: Unknown
Financial assistance policy: Not listed in current data
How to Dispute a Bill from Ascension Saint Thomas Dekalb
Last updated: 2026-02-18
ASCENSION SAINT THOMAS DEKALB currently shows a billing grade of F with an average markup around 14.4x versus Medicare reference rates. In currently loaded benchmark samples, this is above the national average (8.3x). Use that benchmark when asking billing to review line items and justify large gaps.
If you are self-pay or high-deductible, still request the cash/self-pay schedule in writing. If no discount is offered, ask for a supervisor review, payment-plan options, and item-level justification.
Before paying, scan your bill with BillKarma to identify line-item issues and generate a dispute packet.
Related guides:
How to Dispute a Medical Bill
Medical Bill Negotiation Guide
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Data sourced from CMS and hospital-published pricing files. Actual charges vary. Not medical, legal, or financial advice.