Hospital · CCN 440148

Ascension Saint Thomas Dekalb

520 W Main St, Smithville, TN 37166 · DeKalb County
Part of Ascension Health · 18 beds · 2
Small town core: primary flow within an urban cluster of 2,500 to 9,999

3 admission types 9 outpatient services price file: ok

Billed per dollar paid, all admissions

1.85×

$1.1M billed against $576K paid across 42 Medicare discharges; the national figure is 5.03×.

5.1%

of adults in DeKalb County have medical debt in collections

13.7%

uninsured in the county · state 11.1%

$58K

median household income

1.8×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ

40.4%

obesity in the countyⓘ

15.9%

diagnosed diabetes (PLACES)

8.9%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

193

Simple pneumonia and pleurisy with mcc

$23,633

$13,178

1.8× st 4.7×

177

Respiratory infections and inflammations with mcc

$33,530

$15,313

2.2× st 4.2×

291

Heart failure and shock with mcc

$18,501

$12,607

1.5× st 4.5×

02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

8011

Comprehensive Observation Services

$12,696

$2,339

5.4×

5491

Level 1 Intraocular Procedures

$10,660

$1,940

5.5×

5112

Level 2 Musculoskeletal Procedures

—

5113

Level 3 Musculoskeletal Procedures

—

5114

Level 4 Musculoskeletal Procedures

—

5182

Level 2 Vascular Procedures

—

5183

Level 3 Vascular Procedures

—

5302

Level 2 Upper GI Procedures

—

5361

Level 1 Laparoscopy and Related Services

—

03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 01/01/2026, template 3.0.0, 514,012 rows scanned, 16,686 distinct code–setting items kept. No rule fires against it.

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Ascension Saint Thomas Dekalb — standard charges file · TN · updated 01/01/2026
· csv-tall · 121.2M bytes · fetched 2026-08-23 · sha256 6d8d876cca48…

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.