Ascension Saint Thomas Dekalb billing

520 W Main St, Smithville, Tennessee 37166-1138

1. Call billing

Have your account number ready. Ask for an itemized bill and ask whether you can apply for financial assistance.

We don't have a phone number for this hospital yet. The billing office number is printed on your bill.

2. See if you qualify for free or discounted care

Hospitals that aren't nonprofit don't have to offer financial assistance, but many do. Ask billing for their policy, and check your income below.

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3. Send it in writing

A written request creates a record. Fill in your details, then print, email or mail it to Ascension Saint Thomas Dekalb billing.

  • Request an itemized bill
    Every charge, with its billing code. Start here.
    Get letter
  • Apply for financial assistance
    Cover letter for the hospital's application, with a request to pause collections.
    Create letter
  • Dispute a charge
    For duplicate lines, services you didn't get, or prices you want explained.
    Start dispute

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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 12 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.

Common procedure prices

Last updated: 2026-10-21

Code Description Hospital charge Medicare pays Markup
20610 Joint Injection (drainage) $1250.00 $39.75 31.4×
43239 Egd biopsy single/multiple $3000.00 $123.58 24.3×
11042 Wound Debridement $1250.00 $55.78 22.4×
45378 Diagnostic colonoscopy $3000.00 $164.67 18.2×
27447 Total Knee Replacement $20000.00 $1159.35 17.3×
27130 Total Hip Replacement $20000.00 $1162.02 17.2×
23472 Shoulder Replacement $20000.00 $1300.30 15.4×
44970 Laparoscopy appendectomy $7838.00 $578.17 13.6×
10060 Abscess Drainage $1250.00 $100.54 12.4×
29881 Knee Arthroscopy $4959.00 $515.71 9.6×
22551 Cervical Spine Fusion $7838.00 $1604.91 4.9×
27236 Hip Fracture Repair $2587.00 $1089.87 2.4×
22630 Arthrd pst tq 1ntrspc lum $2587.00 $1510.72 1.7×

Highlighted: charged at 5× or more what Medicare pays for the same code.

How to dispute a bill from Ascension Saint Thomas Dekalb

Last updated: 2026-10-21

ASCENSION SAINT THOMAS DEKALB currently shows a billing grade of F with an average markup around 13.3x versus Medicare reference rates. In currently loaded benchmark samples, this is above the national average (8.0x). 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.

Location

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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, Encompass Health Rehabilitation Hospital of Kingsport, Riverview Regional Medical Center.

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