Does Claiborne Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Claiborne Medical Center. In a medical emergency, call 911.

Where is Claiborne Medical Center?

1850 Old Knoxville Highway, Tazewell, TN 37879, in Claiborne County, Tennessee.

What is the phone number of Claiborne Medical Center?

(423) 626-4211, as listed by Medicare (CMS).

What is the Medicare star rating of Claiborne Medical Center?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Claiborne Medical Center — Tazewell, TN

Quick answers

Does Claiborne Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Claiborne Medical Center. In a medical emergency, call 911.
Where is Claiborne Medical Center?: 1850 Old Knoxville Highway, Tazewell, TN 37879, in Claiborne County, Tennessee.
What is the phone number of Claiborne Medical Center?: (423) 626-4211, as listed by Medicare (CMS).
What is the Medicare star rating of Claiborne Medical Center?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4][5]

Emergency services
Critical care
Surgical services
Stroke care
Heart center (non-interventional cardiac diagnostics)
Breast center
Imaging services
Rehabilitation therapy
Women's care

Conditions treated^[4][5]

Stroke
Lung cancer (screening)
Lymphedema

Treatments^[4][5]

Cardiac rehabilitation
Physical therapy
Occupational therapy
Speech therapy
Pediatric rehabilitation
Lymphedema therapy
Short-term rehabilitation and long-term care (Health and Rehabilitation Center)
Virtual care

Procedures^[4][5]

Programs and centers^[4][5]

Acute Stroke-Ready Hospital program
Cardiac Rehabilitation
Claiborne EMS (ambulance service)

Emergency care (hospital website)^[4][5]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Acute Stroke-Ready Hospital (The Joint Commission)

Visiting and practical information

Patient portal	MyCovenantHealth

Recognition^[5]

Acute Stroke-Ready Hospital (The Joint Commission)
Breast Center certified by the American College of Radiology

Doctors and clinicians (128)

128 doctors and other clinicians list Claiborne Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 104 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Middlesboro Arh Hospital15 mi · Middlesboro, KY · Acute Care Hospital
Hancock County Hospital17 mi · Sneedville, TN · Critical Access Hospital
Morristown Hamblen Hospital Association21 mi · Morristown, TN · Acute Care Hospital
Pineville Community Health Center, Inc23 mi · Pineville, KY · Acute Care Hospital
Tennova Healthcare-Jefferson Memorial Hospital25 mi · Jefferson City, TN · Acute Care Hospital

Other hospitals nearby

Harlan Arh Hospital26 mi · Harlan, KY · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Claiborne Health and Rehabilitation Center3.6 mi · Tazewell, TN · 4 of 5 stars
Buchanan Place4.6 mi · New Tazewell, TN · 3 of 5 stars
Tri State Health and Rehabilitation Center10 mi · Harrogate, TN · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Beacon Hospice10 mi · New Tazewell, TN · 5 of 5 stars
University of TN Medical Center Home Care Services19 mi · Morristown, TN · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Amedisys Home Health of Tennessee0.0 mi · Tazewell, TN
Amedisys Home Health Care16 mi · Middlesboro, KY
Middlesboro Arh Home Health Agency16 mi · Middlesboro, KY · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Appalachian Dialysis10 mi · New Tazewell, TN · 3 of 5 stars
DaVita Morristown Dialysis19 mi · Morristown, TN · 1 of 5 stars
Dialysis Services of Pineville21 mi · Pineville, KY · 3 of 5 stars

All dialysis facilities in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

CHS New Tazewell Clinic (Claiborne County)7.5 mi · New Tazewell, TN · Community health center
Western Lee County Health Clinic12 mi · Ewing, VA · Community health center
CHS Washburn Clinic13 mi · Washburn, TN · Community health center

Clinics and urgent care

Harrogate Health Group LLC7.3 mi · Harrogate, TN · Rural health clinic
Mountain View Medical Center PLLC9.4 mi · Ewing, VA · Urgent care center
Fast Pace Health10 mi · New Tazewell, TN · Rural health clinic

Pharmacies

K-Va-T Food Stores Inc0.0 mi · Tazewell, TN · Community/retail pharmacy
Tazewell Drug & Health Inc0.0 mi · Tazewell, TN · Pharmacy
Value RX LLC0.0 mi · Tazewell, TN · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Claiborne Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	5 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	70%National average: 72%
Would definitely recommend the hospital	65%National average: 71%
Nurses “always” communicated well	88%National average: 80%
Doctors “always” communicated well	91%National average: 80%
Staff “always” explained medicines before giving them	63%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	87%National average: 74%
Area around the room “always” quiet at night	59%National average: 60%
Completed surveys	147Response rate: 22%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	22.6%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	12%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.97No different from the national rate
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21.7%
Readmitted within 30 days: pneumonia	17.9%
Readmitted within 30 days: COPD	19.7%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	126 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	52%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Tennessee Best hospitals in Tennessee

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Claiborne Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: NEW OUTPT LEVEL III	$138	$38.64	Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 25 insurance plan rates Aetna — Commercial: 40% (a percentage in the contract, not a dollar amount) Ambetter — Exchange: 60% (a percentage in the contract, not a dollar amount) BCBS TN — Blue Care: 21% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network P: 62% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network S: 62% (a percentage in the contract, not a dollar amount) Beech Street — PPO: 85% (a percentage in the contract, not a dollar amount) CCN Managed Care — PPO: 85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 59.8% (a percentage in the contract, not a dollar amount) Cigna — IFP: 50.8% (a percentage in the contract, not a dollar amount) Cigna — Local Plus: 50.8% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: NEW OUTPT LEVEL IV	$252	$70.56	$52.92 – $226.80
New patient office visit (about 45–59 minutes): 10 of 25 insurance plan rates Aetna — Commercial: $100.80 Ambetter — Exchange: $151.20 BCBS TN — Blue Care: $52.92 BCBS TN — Commercial Network P: $156.24 BCBS TN — Commercial Network S: $156.24 Beech Street — PPO: $214.20 CCN Managed Care — PPO: $214.20 Cigna — HMO: $150.69 Cigna — IFP: $128.01 Cigna — Local Plus: $128.01
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 25 insurance plan rates Aetna — Commercial: 40% (a percentage in the contract, not a dollar amount) Ambetter — Exchange: 60% (a percentage in the contract, not a dollar amount) BCBS TN — Blue Care: 21% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network P: 62% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network S: 62% (a percentage in the contract, not a dollar amount) Beech Street — PPO: 85% (a percentage in the contract, not a dollar amount) CCN Managed Care — PPO: 85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 59.8% (a percentage in the contract, not a dollar amount) Cigna — IFP: 50.8% (a percentage in the contract, not a dollar amount) Cigna — Local Plus: 50.8% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: LIMITED OFFICE VISIT	$102	$28.56	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 25 insurance plan rates Aetna — Commercial: 40% (a percentage in the contract, not a dollar amount) Ambetter — Exchange: 60% (a percentage in the contract, not a dollar amount) BCBS TN — Blue Care: 21% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network P: 62% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network S: 62% (a percentage in the contract, not a dollar amount) Beech Street — PPO: 85% (a percentage in the contract, not a dollar amount) CCN Managed Care — PPO: 85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 59.8% (a percentage in the contract, not a dollar amount) Cigna — IFP: 50.8% (a percentage in the contract, not a dollar amount) Cigna — Local Plus: 50.8% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPLEX OFFICE VISIT	$156	$43.68	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 25 insurance plan rates Aetna — Commercial: 40% (a percentage in the contract, not a dollar amount) Ambetter — Exchange: 60% (a percentage in the contract, not a dollar amount) BCBS TN — Blue Care: 21% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network P: 62% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network S: 62% (a percentage in the contract, not a dollar amount) Beech Street — PPO: 85% (a percentage in the contract, not a dollar amount) CCN Managed Care — PPO: 85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 59.8% (a percentage in the contract, not a dollar amount) Cigna — IFP: 50.8% (a percentage in the contract, not a dollar amount) Cigna — Local Plus: 50.8% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$48.45
Office consultation with a specialist (moderate): 10 of 26 insurance plan rates United Healthcare — Tenncare: $48.45 Aetna — Commercial: 40% (a percentage in the contract, not a dollar amount) Ambetter — Exchange: 60% (a percentage in the contract, not a dollar amount) BCBS TN — Blue Care: 21% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network P: 62% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network S: 62% (a percentage in the contract, not a dollar amount) Beech Street — PPO: 85% (a percentage in the contract, not a dollar amount) CCN Managed Care — PPO: 85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 59.8% (a percentage in the contract, not a dollar amount) Cigna — IFP: 50.8% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$77.88
Office consultation with a specialist (moderate to high): 10 of 26 insurance plan rates United Healthcare — Tenncare: $77.88 Aetna — Commercial: 40% (a percentage in the contract, not a dollar amount) Ambetter — Exchange: 60% (a percentage in the contract, not a dollar amount) BCBS TN — Blue Care: 21% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network P: 62% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network S: 62% (a percentage in the contract, not a dollar amount) Beech Street — PPO: 85% (a percentage in the contract, not a dollar amount) CCN Managed Care — PPO: 85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 59.8% (a percentage in the contract, not a dollar amount) Cigna — IFP: 50.8% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$49.71
Preventive checkup, new patient, age 18–39: 10 of 26 insurance plan rates United Healthcare — Tenncare: $49.71 Aetna — Commercial: 40% (a percentage in the contract, not a dollar amount) Ambetter — Exchange: 60% (a percentage in the contract, not a dollar amount) BCBS TN — Blue Care: 21% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network P: 62% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network S: 62% (a percentage in the contract, not a dollar amount) Beech Street — PPO: 85% (a percentage in the contract, not a dollar amount) CCN Managed Care — PPO: 85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 59.8% (a percentage in the contract, not a dollar amount) Cigna — IFP: 50.8% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$60.47
Preventive checkup, new patient, age 40–64: 10 of 26 insurance plan rates United Healthcare — Tenncare: $60.47 Aetna — Commercial: 40% (a percentage in the contract, not a dollar amount) Ambetter — Exchange: 60% (a percentage in the contract, not a dollar amount) BCBS TN — Blue Care: 21% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network P: 62% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network S: 62% (a percentage in the contract, not a dollar amount) Beech Street — PPO: 85% (a percentage in the contract, not a dollar amount) CCN Managed Care — PPO: 85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 59.8% (a percentage in the contract, not a dollar amount) Cigna — IFP: 50.8% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ER VISIT LEVEL 3	$750	$210	$227 – $2,126
Emergency room visit (moderate): 10 of 54 insurance plan rates Aetna — Commercial: $1,312.50 Aetna — Medicare Advantage: $278.51 Ambetter — Exchange: $983 BCBS TN — Blue Care: $227 BCBS TN — Commercial Network P: $739 BCBS TN — Commercial Network S: $739 Beech Street — PPO: $637.50 Blue Cross of TN — BlueEssential DSNP: $278.51 Blue Cross of TN — BlueEssential HMO: $278.51 Blue Cross of TN — Med Adv Diamond: $278.51
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$357 – $2,126
Emergency room visit (moderate): rates for 9 insurance plans Ambetter — Exchange: $983 BCBS TN — Blue Care: $227 BCBS TN — Commercial Network P: $739 BCBS TN — Commercial Network S: $739 United Healthcare — All Other Plans: $1,483 United Healthcare — Heritage Select: $1,744 United Healthcare — Options PPO: $2,126 United Healthcare — Tenncare: $327 Wellpoint — Medicaid Tenncare: $357
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ER VIS LEV 3 W PROC	$750	$210	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ER VISIT LEVEL 4	$1,000	$280	$405.45 – $3,007
Emergency room visit (moderately high): 10 of 54 insurance plan rates Aetna — Commercial: $2,047.50 Aetna — Medicare Advantage: $425.72 Ambetter — Exchange: $1,035 BCBS TN — Blue Care: $408 BCBS TN — Commercial Network P: $938 BCBS TN — Commercial Network S: $938 Beech Street — PPO: $850 Blue Cross of TN — BlueEssential DSNP: $425.72 Blue Cross of TN — BlueEssential HMO: $425.72 Blue Cross of TN — Med Adv Diamond: $425.72
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$577.50 – $3,007
Emergency room visit (moderately high): rates for 9 insurance plans Ambetter — Exchange: $1,035 BCBS TN — Blue Care: $408 BCBS TN — Commercial Network P: $938 BCBS TN — Commercial Network S: $938 United Healthcare — All Other Plans: $2,096 United Healthcare — Heritage Select: $2,465 United Healthcare — Options PPO: $3,007 United Healthcare — Tenncare: $596 Wellpoint — Medicaid Tenncare: $577.50
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ER VIS LEV 4 W PROC	$1,000	$280	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ER VISIT LEVEL 5	$1,144	$320.32	$514.80 – $3,327
Emergency room visit (high): 10 of 54 insurance plan rates Aetna — Commercial: $2,310 Aetna — Medicare Advantage: $607.60 Ambetter — Exchange: $1,294 BCBS TN — Blue Care: $749 BCBS TN — Commercial Network P: $1,467 BCBS TN — Commercial Network S: $1,467 Beech Street — PPO: $972.40 Blue Cross of TN — BlueEssential DSNP: $607.60 Blue Cross of TN — BlueEssential HMO: $607.60 Blue Cross of TN — Med Adv Diamond: $607.60
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$682.50 – $3,327
Emergency room visit (high): rates for 9 insurance plans Ambetter — Exchange: $1,294 BCBS TN — Blue Care: $749 BCBS TN — Commercial Network P: $1,467 BCBS TN — Commercial Network S: $1,467 United Healthcare — All Other Plans: $2,320 United Healthcare — Heritage Select: $2,728 United Healthcare — Options PPO: $3,327 United Healthcare — Tenncare: $948 Wellpoint — Medicaid Tenncare: $682.50
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ER VIS LEV 5 W PROC	$1,144	$320.32	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: BASIC METABOLIC PANL	$112	$31.36	$3.81 – $100.80
Basic metabolic panel (blood test): 10 of 54 insurance plan rates Aetna — Commercial: $12.82 Aetna — Medicare Advantage: $9.51 Ambetter — Exchange: $15.31 BCBS TN — Blue Care: $11.75 BCBS TN — Commercial Network P: $17.86 BCBS TN — Commercial Network S: $17.86 Beech Street — PPO: $95.20 Blue Cross of TN — BlueEssential DSNP: $9.51 Blue Cross of TN — BlueEssential HMO: $9.51 Blue Cross of TN — Med Adv Diamond: $9.51
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$3.81 – $17.86
Basic metabolic panel (blood test): rates for 7 insurance plans BCBS TN — Blue Care: $11.75 BCBS TN — Commercial Network P: $17.86 BCBS TN — Commercial Network S: $17.86 United Healthcare — All Other Plans: $8.46 United Healthcare — Heritage Select: $8.46 United Healthcare — Options PPO: $8.46 Wellpoint — Medicaid Tenncare: $3.81
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: COMP METABOLIC PANEL	$205	$57.40	$4.75 – $184.50
Comprehensive metabolic panel (blood test): 10 of 54 insurance plan rates Aetna — Commercial: $16.01 Aetna — Medicare Advantage: $11.88 Ambetter — Exchange: $19.11 BCBS TN — Blue Care: $14.68 BCBS TN — Commercial Network P: $22.31 BCBS TN — Commercial Network S: $22.31 Beech Street — PPO: $174.25 Blue Cross of TN — BlueEssential DSNP: $11.88 Blue Cross of TN — BlueEssential HMO: $11.88 Blue Cross of TN — Med Adv Diamond: $11.88
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$4.75 – $22.31
Comprehensive metabolic panel (blood test): rates for 7 insurance plans BCBS TN — Blue Care: $14.68 BCBS TN — Commercial Network P: $22.31 BCBS TN — Commercial Network S: $22.31 United Healthcare — All Other Plans: $10.56 United Healthcare — Heritage Select: $10.56 United Healthcare — Options PPO: $10.56 Wellpoint — Medicaid Tenncare: $4.75
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$30.58 – $106.80
Obstetric blood test panel: 10 of 54 insurance plan rates Aetna — Commercial: $72.44 Aetna — Medicare Advantage: $53.76 Ambetter — Exchange: $86.54 BCBS TN — Blue Care: $66.40 BCBS TN — Commercial Network P: $100.93 BCBS TN — Commercial Network S: $100.93 Blue Cross of TN — BlueEssential DSNP: $53.76 Blue Cross of TN — BlueEssential HMO: $53.76 Blue Cross of TN — Med Adv Diamond: $53.76 Blue Cross of TN — Med Adv PPO: $53.76
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: LIPID PANEL	$96	$26.88	$6.03 – $86.40
Cholesterol panel (lipid panel): 10 of 54 insurance plan rates Aetna — Commercial: $20.28 Aetna — Medicare Advantage: $15.06 Ambetter — Exchange: $24.24 BCBS TN — Blue Care: $18.60 BCBS TN — Commercial Network P: $28.27 BCBS TN — Commercial Network S: $28.27 Beech Street — PPO: $81.60 Blue Cross of TN — BlueEssential DSNP: $15.06 Blue Cross of TN — BlueEssential HMO: $15.06 Blue Cross of TN — Med Adv Diamond: $15.06
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$6.03 – $28.27
Cholesterol panel (lipid panel): rates for 7 insurance plans BCBS TN — Blue Care: $18.60 BCBS TN — Commercial Network P: $28.27 BCBS TN — Commercial Network S: $28.27 United Healthcare — All Other Plans: $13.39 United Healthcare — Heritage Select: $13.39 United Healthcare — Options PPO: $13.39 Wellpoint — Medicaid Tenncare: $6.03
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$50	$14	$3.91 – $45
Kidney function panel: 10 of 54 insurance plan rates Aetna — Commercial: $13.15 Aetna — Medicare Advantage: $9.77 Ambetter — Exchange: $15.71 BCBS TN — Blue Care: $12.06 BCBS TN — Commercial Network P: $18.34 BCBS TN — Commercial Network S: $18.34 Beech Street — PPO: $42.50 Blue Cross of TN — BlueEssential DSNP: $9.77 Blue Cross of TN — BlueEssential HMO: $9.77 Blue Cross of TN — Med Adv Diamond: $9.77
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$3.91 – $18.34
Kidney function panel: rates for 7 insurance plans BCBS TN — Blue Care: $12.06 BCBS TN — Commercial Network P: $18.34 BCBS TN — Commercial Network S: $18.34 United Healthcare — All Other Plans: $8.68 United Healthcare — Heritage Select: $8.68 United Healthcare — Options PPO: $8.68 Wellpoint — Medicaid Tenncare: $3.91
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HEPATIC FUNCTION PAN	$109	$30.52	$3.68 – $98.10
Liver function panel: 10 of 54 insurance plan rates Aetna — Commercial: $12.37 Aetna — Medicare Advantage: $9.19 Ambetter — Exchange: $14.79 BCBS TN — Blue Care: $11.35 BCBS TN — Commercial Network P: $17.25 BCBS TN — Commercial Network S: $17.25 Beech Street — PPO: $92.65 Blue Cross of TN — BlueEssential DSNP: $9.19 Blue Cross of TN — BlueEssential HMO: $9.19 Blue Cross of TN — Med Adv Diamond: $9.19
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$3.68 – $17.25
Liver function panel: rates for 7 insurance plans BCBS TN — Blue Care: $11.35 BCBS TN — Commercial Network P: $17.25 BCBS TN — Commercial Network S: $17.25 United Healthcare — All Other Plans: $8.17 United Healthcare — Heritage Select: $8.17 United Healthcare — Options PPO: $8.17 Wellpoint — Medicaid Tenncare: $3.68
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: UA DIPSTICK W/ MICRO	$23	$6.44	$1.43 – $20.70
Urine test (automated, with microscope): 10 of 54 insurance plan rates Aetna — Commercial: $4.80 Aetna — Medicare Advantage: $3.57 Ambetter — Exchange: $5.74 BCBS TN — Blue Care: $4.40 BCBS TN — Commercial Network P: $6.69 BCBS TN — Commercial Network S: $6.69 Beech Street — PPO: $19.55 Blue Cross of TN — BlueEssential DSNP: $3.57 Blue Cross of TN — BlueEssential HMO: $3.57 Blue Cross of TN — Med Adv Diamond: $3.57
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$1.43 – $6.69
Urine test (automated, with microscope): rates for 7 insurance plans BCBS TN — Blue Care: $4.40 BCBS TN — Commercial Network P: $6.69 BCBS TN — Commercial Network S: $6.69 United Healthcare — All Other Plans: $3.17 United Healthcare — Heritage Select: $3.17 United Healthcare — Options PPO: $3.17 Wellpoint — Medicaid Tenncare: $1.43
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: ACETONE UA QL W/O MI	$18	$5.04	$1.57 – $16.20
Urine test (manual, without microscope): 10 of 54 insurance plan rates Aetna — Commercial: $5.26 Aetna — Medicare Advantage: $3.92 Ambetter — Exchange: $6.30 BCBS TN — Blue Care: $4.35 BCBS TN — Commercial Network P: $6.61 BCBS TN — Commercial Network S: $6.61 Beech Street — PPO: $15.30 Blue Cross of TN — BlueEssential DSNP: $3.92 Blue Cross of TN — BlueEssential HMO: $3.92 Blue Cross of TN — Med Adv Diamond: $3.92
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$1.57 – $6.61
Urine test (manual, without microscope): rates for 7 insurance plans BCBS TN — Blue Care: $4.35 BCBS TN — Commercial Network P: $6.61 BCBS TN — Commercial Network S: $6.61 United Healthcare — All Other Plans: $3.48 United Healthcare — Heritage Select: $3.48 United Healthcare — Options PPO: $3.48 Wellpoint — Medicaid Tenncare: $1.57
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: BILIRUBIN URINE QUAL	$16	$4.48	$1.01 – $14.40
Urine test (automated, without microscope): 10 of 54 insurance plan rates Aetna — Commercial: $3.42 Aetna — Medicare Advantage: $2.53 Ambetter — Exchange: $4.07 BCBS TN — Blue Care: $3.11 BCBS TN — Commercial Network P: $4.73 BCBS TN — Commercial Network S: $4.73 Beech Street — PPO: $13.60 Blue Cross of TN — BlueEssential DSNP: $2.53 Blue Cross of TN — BlueEssential HMO: $2.53 Blue Cross of TN — Med Adv Diamond: $2.53
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: GLUCOSE UA QL W/O MI	$16	$4.48	$1.01 – $14.40
Urine test (automated, without microscope): 10 of 54 insurance plan rates Aetna — Commercial: $3.42 Aetna — Medicare Advantage: $2.53 Ambetter — Exchange: $4.07 BCBS TN — Blue Care: $3.11 BCBS TN — Commercial Network P: $4.73 BCBS TN — Commercial Network S: $4.73 Beech Street — PPO: $13.60 Blue Cross of TN — BlueEssential DSNP: $2.53 Blue Cross of TN — BlueEssential HMO: $2.53 Blue Cross of TN — Med Adv Diamond: $2.53
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: UA AUTO W/O MICRO	$16	$4.48	$1.01 – $14.40
Urine test (automated, without microscope): 10 of 54 insurance plan rates Aetna — Commercial: $3.42 Aetna — Medicare Advantage: $2.53 Ambetter — Exchange: $4.07 BCBS TN — Blue Care: $3.11 BCBS TN — Commercial Network P: $4.73 BCBS TN — Commercial Network S: $4.73 Beech Street — PPO: $13.60 Blue Cross of TN — BlueEssential DSNP: $2.53 Blue Cross of TN — BlueEssential HMO: $2.53 Blue Cross of TN — Med Adv Diamond: $2.53
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA TOTAL	$25	$7	$8.28 – $40.90
PSA (prostate specific antigen) blood test: 10 of 54 insurance plan rates Aetna — Commercial: $27.86 Aetna — Medicare Advantage: $20.69 Ambetter — Exchange: $33.29 BCBS TN — Blue Care: $25.55 BCBS TN — Commercial Network P: $38.84 BCBS TN — Commercial Network S: $38.84 Beech Street — PPO: $21.25 Blue Cross of TN — BlueEssential DSNP: $20.69 Blue Cross of TN — BlueEssential HMO: $20.69 Blue Cross of TN — Med Adv Diamond: $20.69
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA TOTAL<	$53	$14.84	$8.28 – $47.70
PSA (prostate specific antigen) blood test: 10 of 54 insurance plan rates Aetna — Commercial: $27.86 Aetna — Medicare Advantage: $20.69 Ambetter — Exchange: $33.29 BCBS TN — Blue Care: $25.55 BCBS TN — Commercial Network P: $38.84 BCBS TN — Commercial Network S: $38.84 Beech Street — PPO: $45.05 Blue Cross of TN — BlueEssential DSNP: $20.69 Blue Cross of TN — BlueEssential HMO: $20.69 Blue Cross of TN — Med Adv Diamond: $20.69
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$8.28 – $38.84
PSA (prostate specific antigen) blood test: rates for 7 insurance plans BCBS TN — Blue Care: $25.55 BCBS TN — Commercial Network P: $38.84 BCBS TN — Commercial Network S: $38.84 United Healthcare — All Other Plans: $18.39 United Healthcare — Heritage Select: $18.39 United Healthcare — Options PPO: $18.39 Wellpoint — Medicaid Tenncare: $8.28
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH (THYROID STIMULA	$121	$33.88	$7.56 – $108.90
Thyroid stimulating hormone (TSH) test: 10 of 54 insurance plan rates Aetna — Commercial: $25.45 Aetna — Medicare Advantage: $18.89 Ambetter — Exchange: $30.41 BCBS TN — Blue Care: $23.34 BCBS TN — Commercial Network P: $35.47 BCBS TN — Commercial Network S: $35.47 Beech Street — PPO: $102.85 Blue Cross of TN — BlueEssential DSNP: $18.89 Blue Cross of TN — BlueEssential HMO: $18.89 Blue Cross of TN — Med Adv Diamond: $18.89
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$7.56 – $35.47
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans BCBS TN — Blue Care: $23.34 BCBS TN — Commercial Network P: $35.47 BCBS TN — Commercial Network S: $35.47 United Healthcare — All Other Plans: $16.80 United Healthcare — Heritage Select: $16.80 United Healthcare — Options PPO: $16.80 Wellpoint — Medicaid Tenncare: $7.56
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC WITH DIFF	$82	$22.96	$3.50 – $73.80
Complete blood count (CBC) with differential: 10 of 54 insurance plan rates Aetna — Commercial: $11.77 Aetna — Medicare Advantage: $8.74 Ambetter — Exchange: $14.06 BCBS TN — Blue Care: $10.79 BCBS TN — Commercial Network P: $16.40 BCBS TN — Commercial Network S: $16.40 Beech Street — PPO: $69.70 Blue Cross of TN — BlueEssential DSNP: $8.74 Blue Cross of TN — BlueEssential HMO: $8.74 Blue Cross of TN — Med Adv Diamond: $8.74
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$3.50 – $16.40
Complete blood count (CBC) with differential: rates for 7 insurance plans BCBS TN — Blue Care: $10.79 BCBS TN — Commercial Network P: $16.40 BCBS TN — Commercial Network S: $16.40 United Healthcare — All Other Plans: $7.77 United Healthcare — Heritage Select: $7.77 United Healthcare — Options PPO: $7.77 Wellpoint — Medicaid Tenncare: $3.50
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC W/OUT DIFF	$47	$13.16	$2.91 – $42.30
Complete blood count (CBC), automated: 10 of 54 insurance plan rates Aetna — Commercial: $9.81 Aetna — Medicare Advantage: $7.28 Ambetter — Exchange: $11.71 BCBS TN — Blue Care: $8.98 BCBS TN — Commercial Network P: $13.64 BCBS TN — Commercial Network S: $13.64 Beech Street — PPO: $39.95 Blue Cross of TN — BlueEssential DSNP: $7.28 Blue Cross of TN — BlueEssential HMO: $7.28 Blue Cross of TN — Med Adv Diamond: $7.28
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$2.91 – $13.64
Complete blood count (CBC), automated: rates for 7 insurance plans BCBS TN — Blue Care: $8.98 BCBS TN — Commercial Network P: $13.64 BCBS TN — Commercial Network S: $13.64 United Healthcare — All Other Plans: $6.47 United Healthcare — Heritage Select: $6.47 United Healthcare — Options PPO: $6.47 Wellpoint — Medicaid Tenncare: $2.91
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PROTHROMBIN TIME	$28	$7.84	$1.93 – $25.20
Blood clotting time test (prothrombin time, PT): 10 of 54 insurance plan rates Aetna — Commercial: $6.51 Aetna — Medicare Advantage: $4.82 Ambetter — Exchange: $7.76 BCBS TN — Blue Care: $5.46 BCBS TN — Commercial Network P: $8.30 BCBS TN — Commercial Network S: $8.30 Beech Street — PPO: $23.80 Blue Cross of TN — BlueEssential DSNP: $4.82 Blue Cross of TN — BlueEssential HMO: $4.82 Blue Cross of TN — Med Adv Diamond: $4.82
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$1.93 – $8.30
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans BCBS TN — Blue Care: $5.46 BCBS TN — Commercial Network P: $8.30 BCBS TN — Commercial Network S: $8.30 United Healthcare — All Other Plans: $4.29 United Healthcare — Heritage Select: $4.29 United Healthcare — Options PPO: $4.29 Wellpoint — Medicaid Tenncare: $1.93
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PTT PLASMA/WHOLE BLD	$43	$12.04	$2.70 – $38.70
Blood clotting test (partial thromboplastin time, PTT): 10 of 54 insurance plan rates Aetna — Commercial: $9.11 Aetna — Medicare Advantage: $6.76 Ambetter — Exchange: $10.88 BCBS TN — Blue Care: $8.34 BCBS TN — Commercial Network P: $12.67 BCBS TN — Commercial Network S: $12.67 Beech Street — PPO: $36.55 Blue Cross of TN — BlueEssential DSNP: $6.76 Blue Cross of TN — BlueEssential HMO: $6.76 Blue Cross of TN — Med Adv Diamond: $6.76
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$2.70 – $12.67
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans BCBS TN — Blue Care: $8.34 BCBS TN — Commercial Network P: $12.67 BCBS TN — Commercial Network S: $12.67 United Healthcare — All Other Plans: $6.01 United Healthcare — Heritage Select: $6.01 United Healthcare — Options PPO: $6.01 Wellpoint — Medicaid Tenncare: $2.70

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT HEAD - STROKE WO	$1,245	$348.60	$52.56 – $1,146
CT scan of the head or brain, without contrast: 10 of 54 insurance plan rates Aetna — Commercial: $415.80 Aetna — Medicare Advantage: $106.67 Ambetter — Exchange: $639 BCBS TN — Blue Care: $83.04 BCBS TN — Commercial Network P: $548 BCBS TN — Commercial Network S: $548 Beech Street — PPO: $1,058.25 Blue Cross of TN — BlueEssential DSNP: $106.67 Blue Cross of TN — BlueEssential HMO: $106.67 Blue Cross of TN — Med Adv Diamond: $106.67
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT HEAD WO CON	$1,245	$348.60	$52.56 – $1,146
CT scan of the head or brain, without contrast: 10 of 54 insurance plan rates Aetna — Commercial: $415.80 Aetna — Medicare Advantage: $106.67 Ambetter — Exchange: $639 BCBS TN — Blue Care: $83.04 BCBS TN — Commercial Network P: $548 BCBS TN — Commercial Network S: $548 Beech Street — PPO: $1,058.25 Blue Cross of TN — BlueEssential DSNP: $106.67 Blue Cross of TN — BlueEssential HMO: $106.67 Blue Cross of TN — Med Adv Diamond: $106.67
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$83.04 – $1,146
CT scan of the head or brain, without contrast: rates for 7 insurance plans Ambetter — Exchange: $639 BCBS TN — Blue Care: $83.04 BCBS TN — Commercial Network P: $548 BCBS TN — Commercial Network S: $548 United Healthcare — All Other Plans: $833 United Healthcare — Heritage Select: $980 United Healthcare — Options PPO: $1,146
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MR IAC'S W&WO CON	$2,526	$707.28	$198.87 – $2,273.40
MRI of the brain, before and after contrast: 10 of 54 insurance plan rates Aetna — Commercial: $619.77 Aetna — Medicare Advantage: $355.95 Ambetter — Exchange: $1,022 BCBS TN — Blue Care: $291.90 BCBS TN — Commercial Network P: $864 BCBS TN — Commercial Network S: $864 Beech Street — PPO: $2,147.10 Blue Cross of TN — BlueEssential DSNP: $355.95 Blue Cross of TN — BlueEssential HMO: $355.95 Blue Cross of TN — Med Adv Diamond: $355.95
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MR PITUITARY WW CON	$2,526	$707.28	$198.87 – $2,273.40
MRI of the brain, before and after contrast: 10 of 54 insurance plan rates Aetna — Commercial: $619.77 Aetna — Medicare Advantage: $355.95 Ambetter — Exchange: $1,022 BCBS TN — Blue Care: $291.90 BCBS TN — Commercial Network P: $864 BCBS TN — Commercial Network S: $864 Beech Street — PPO: $2,147.10 Blue Cross of TN — BlueEssential DSNP: $355.95 Blue Cross of TN — BlueEssential HMO: $355.95 Blue Cross of TN — Med Adv Diamond: $355.95
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MR SP	$2,526	$707.28	$198.87 – $2,273.40
MRI of the brain, before and after contrast: 10 of 54 insurance plan rates Aetna — Commercial: $619.77 Aetna — Medicare Advantage: $355.95 Ambetter — Exchange: $1,022 BCBS TN — Blue Care: $291.90 BCBS TN — Commercial Network P: $864 BCBS TN — Commercial Network S: $864 Beech Street — PPO: $2,147.10 Blue Cross of TN — BlueEssential DSNP: $355.95 Blue Cross of TN — BlueEssential HMO: $355.95 Blue Cross of TN — Med Adv Diamond: $355.95
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR CHEST 2 VIEWS	$248	$69.44	$17.98 – $223.20
Chest X-ray, 2 views: 10 of 49 insurance plan rates Aetna — Commercial: $32.66 Aetna — Medicare Advantage: $88.79 Ambetter — Exchange: $104.16 BCBS TN — Blue Care: $17.98 Beech Street — PPO: $210.80 Blue Cross of TN — BlueEssential DSNP: $88.79 Blue Cross of TN — BlueEssential HMO: $88.79 Blue Cross of TN — Med Adv Diamond: $88.79 Blue Cross of TN — Med Adv PPO: $88.79 Blue Cross of TN — Med Adv Ruby: $88.79
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR CHEST 2V%	$248	$69.44	$17.98 – $223.20
Chest X-ray, 2 views: 10 of 49 insurance plan rates Aetna — Commercial: $32.66 Aetna — Medicare Advantage: $88.79 Ambetter — Exchange: $104.16 BCBS TN — Blue Care: $17.98 Beech Street — PPO: $210.80 Blue Cross of TN — BlueEssential DSNP: $88.79 Blue Cross of TN — BlueEssential HMO: $88.79 Blue Cross of TN — Med Adv Diamond: $88.79 Blue Cross of TN — Med Adv PPO: $88.79 Blue Cross of TN — Med Adv Ruby: $88.79
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR CHEST DECUB BI	$248	$69.44	$17.98 – $223.20
Chest X-ray, 2 views: 10 of 49 insurance plan rates Aetna — Commercial: $32.66 Aetna — Medicare Advantage: $88.79 Ambetter — Exchange: $104.16 BCBS TN — Blue Care: $17.98 Beech Street — PPO: $210.80 Blue Cross of TN — BlueEssential DSNP: $88.79 Blue Cross of TN — BlueEssential HMO: $88.79 Blue Cross of TN — Med Adv Diamond: $88.79 Blue Cross of TN — Med Adv PPO: $88.79 Blue Cross of TN — Med Adv Ruby: $88.79
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR SPINE LUM MIN 4 V	$416	$116.48	$32.34 – $374.40
X-ray of the lower spine, at least 4 views: 10 of 49 insurance plan rates Aetna — Commercial: $54.24 Aetna — Medicare Advantage: $106.67 Ambetter — Exchange: $158.91 BCBS TN — Blue Care: $32.34 Beech Street — PPO: $353.60 Blue Cross of TN — BlueEssential DSNP: $106.67 Blue Cross of TN — BlueEssential HMO: $106.67 Blue Cross of TN — Med Adv Diamond: $106.67 Blue Cross of TN — Med Adv PPO: $106.67 Blue Cross of TN — Med Adv Ruby: $106.67
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$32.34
X-ray of the lower spine, at least 4 views: rates for 6 insurance plans BCBS TN — Blue Care: $32.34 BCBS TN — Commercial Network P: $141 BCBS TN — Commercial Network S: $141 United Healthcare — All Other Plans: $229.76 United Healthcare — Heritage Select: $229.76 United Healthcare — Options PPO: $229.76
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MR SPINE LUMB WO CON	$2,350	$658	$105.33 – $2,115
MRI of the lower back (lumbar spine), without contrast: 10 of 54 insurance plan rates Aetna — Commercial: $355.82 Aetna — Medicare Advantage: $243.44 Ambetter — Exchange: $1,022 BCBS TN — Blue Care: $166.65 BCBS TN — Commercial Network P: $864 BCBS TN — Commercial Network S: $864 Beech Street — PPO: $1,997.50 Blue Cross of TN — BlueEssential DSNP: $243.44 Blue Cross of TN — BlueEssential HMO: $243.44 Blue Cross of TN — Med Adv Diamond: $243.44
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$166.65
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans Ambetter — Exchange: $1,022 BCBS TN — Blue Care: $166.65 BCBS TN — Commercial Network P: $864 BCBS TN — Commercial Network S: $864 United Healthcare — All Other Plans: $477.73 United Healthcare — Heritage Select: $477.73 United Healthcare — Options PPO: $477.73
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT PELVIS W CON	$1,320	$369.60	$123.57 – $1,188
CT scan of the pelvis, with contrast: 10 of 54 insurance plan rates Aetna — Commercial: $415.80 Aetna — Medicare Advantage: $178.96 Ambetter — Exchange: $639 BCBS TN — Blue Care: $199.94 BCBS TN — Commercial Network P: $548 BCBS TN — Commercial Network S: $548 Beech Street — PPO: $1,122 Blue Cross of TN — BlueEssential DSNP: $178.96 Blue Cross of TN — BlueEssential HMO: $178.96 Blue Cross of TN — Med Adv Diamond: $178.96
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$199.94 – $1,146
CT scan of the pelvis, with contrast: rates for 7 insurance plans Ambetter — Exchange: $639 BCBS TN — Blue Care: $199.94 BCBS TN — Commercial Network P: $548 BCBS TN — Commercial Network S: $548 United Healthcare — All Other Plans: $833 United Healthcare — Heritage Select: $980 United Healthcare — Options PPO: $1,146
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$105.33 – $482
MRI of a leg joint (such as the knee), without contrast: 10 of 54 insurance plan rates Aetna — Commercial: $400.50 Aetna — Medicare Advantage: $243.44 Ambetter — Exchange: $1,022 BCBS TN — Blue Care: $187.59 BCBS TN — Commercial Network P: $864 BCBS TN — Commercial Network S: $864 Blue Cross of TN — BlueEssential DSNP: $243.44 Blue Cross of TN — BlueEssential HMO: $243.44 Blue Cross of TN — Med Adv Diamond: $243.44 Blue Cross of TN — Med Adv PPO: $243.44
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MR ANKLE BIL WO CON	$3,101	$868.28	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MR ANKLE LEFT WO CON	$1,551	$434.28	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT ABD/PEL W CON	$2,640	$739.20	$123.57 – $2,376
CT scan of the abdomen and pelvis, with contrast: 10 of 54 insurance plan rates Aetna — Commercial: $415.80 Aetna — Medicare Advantage: $355.95 Ambetter — Exchange: $639 BCBS TN — Blue Care: $259.20 BCBS TN — Commercial Network P: $548 BCBS TN — Commercial Network S: $548 Beech Street — PPO: $2,244 Blue Cross of TN — BlueEssential DSNP: $355.95 Blue Cross of TN — BlueEssential HMO: $355.95 Blue Cross of TN — Med Adv Diamond: $355.95
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT ENT A/P W CONT	$2,640	$739.20	$123.57 – $2,376
CT scan of the abdomen and pelvis, with contrast: 10 of 54 insurance plan rates Aetna — Commercial: $415.80 Aetna — Medicare Advantage: $355.95 Ambetter — Exchange: $639 BCBS TN — Blue Care: $259.20 BCBS TN — Commercial Network P: $548 BCBS TN — Commercial Network S: $548 Beech Street — PPO: $2,244 Blue Cross of TN — BlueEssential DSNP: $355.95 Blue Cross of TN — BlueEssential HMO: $355.95 Blue Cross of TN — Med Adv Diamond: $355.95
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST	Not listed in the file	Not listed in the file	$259.20 – $1,146
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Ambetter — Exchange: $639 BCBS TN — Blue Care: $259.20 BCBS TN — Commercial Network P: $548 BCBS TN — Commercial Network S: $548 United Healthcare — All Other Plans: $833 United Healthcare — Heritage Select: $980 United Healthcare — Options PPO: $1,146
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US ABDOMEN COMP	$894	$250.32	$52.56 – $804.60
Ultrasound of the abdomen, complete: 10 of 54 insurance plan rates Aetna — Commercial: $119.02 Aetna — Medicare Advantage: $106.67 Ambetter — Exchange: $369.06 BCBS TN — Blue Care: $69.61 BCBS TN — Commercial Network P: $347 BCBS TN — Commercial Network S: $347 Beech Street — PPO: $759.90 Blue Cross of TN — BlueEssential DSNP: $106.67 Blue Cross of TN — BlueEssential HMO: $106.67 Blue Cross of TN — Med Adv Diamond: $106.67
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$69.61
Ultrasound of the abdomen, complete: rates for 1 insurance plan BCBS TN — Blue Care: $69.61
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US OB 14> SING/1ST G	$662	$185.36	$52.56 – $595.80
Pregnancy ultrasound (after the first trimester): 10 of 54 insurance plan rates Aetna — Commercial: $132.28 Aetna — Medicare Advantage: $106.67 Ambetter — Exchange: $424.51 BCBS TN — Blue Care: $74.34 BCBS TN — Commercial Network P: $347 BCBS TN — Commercial Network S: $347 Beech Street — PPO: $562.70 Blue Cross of TN — BlueEssential DSNP: $106.67 Blue Cross of TN — BlueEssential HMO: $106.67 Blue Cross of TN — Med Adv Diamond: $106.67
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$74.34
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan BCBS TN — Blue Care: $74.34
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US TRANSVAGINAL	$279	$78.12	$52.56 – $375.76
Transvaginal ultrasound: 10 of 54 insurance plan rates Aetna — Commercial: $130.30 Aetna — Medicare Advantage: $106.67 Ambetter — Exchange: $375.76 BCBS TN — Blue Care: $54.13 BCBS TN — Commercial Network P: $347 BCBS TN — Commercial Network S: $347 Beech Street — PPO: $237.15 Blue Cross of TN — BlueEssential DSNP: $106.67 Blue Cross of TN — BlueEssential HMO: $106.67 Blue Cross of TN — Med Adv Diamond: $106.67
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$54.13
Transvaginal ultrasound: rates for 1 insurance plan BCBS TN — Blue Care: $54.13
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$44.35 – $392.60
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates Aetna — Commercial: $128.34 Ambetter — Exchange: $392.60 BCBS TN — Blue Care: $86.79 BCBS TN — Commercial Network P: $275 BCBS TN — Commercial Network S: $275 Cigna — HMO: $191 Cigna — IFP: $163 Cigna — Local Plus: $163 Cigna — OAP: $191 Cigna — POS: $191
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MA MAM DX LT W CAD	$271	$75.88	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MA MAM DX RT W CAD	$271	$75.88	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MA MAM DX BIL W CAD	$348	$97.44	$56.73 – $495.83
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial: $164.17 Ambetter — Exchange: $495.83 BCBS TN — Blue Care: $111.06 BCBS TN — Commercial Network P: $275 BCBS TN — Commercial Network S: $275 Beech Street — PPO: $295.80 CCN Managed Care — PPO: $295.80 Cigna — HMO: $208.10 Cigna — IFP: $176.78 Cigna — Local Plus: $176.78
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MA POST PR MA DFMD B	$309	$86.52	$56.73 – $495.83
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial: $164.17 Ambetter — Exchange: $495.83 BCBS TN — Blue Care: $111.06 BCBS TN — Commercial Network P: $275 BCBS TN — Commercial Network S: $275 Beech Street — PPO: $262.65 CCN Managed Care — PPO: $262.65 Cigna — HMO: $184.78 Cigna — IFP: $156.97 Cigna — Local Plus: $156.97
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$111.06
Diagnostic mammogram, both breasts: rates for 6 insurance plans BCBS TN — Blue Care: $111.06 BCBS TN — Commercial Network P: $275 BCBS TN — Commercial Network S: $275 United Healthcare — All Other Plans: $247.11 United Healthcare — Heritage Select: $247.11 United Healthcare — Options PPO: $247.11
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MA MAM SCR BIL W CAD	$234	$65.52	$46.86 – $399.14
Screening mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial: $135.71 Ambetter — Exchange: $399.14 BCBS TN — Blue Care: $91.70 BCBS TN — Commercial Network P: $275 BCBS TN — Commercial Network S: $275 Beech Street — PPO: $198.90 CCN Managed Care — PPO: $198.90 Cigna — HMO: $191 Cigna — IFP: $163 Cigna — Local Plus: $163
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$91.70
Screening mammogram, both breasts: rates for 6 insurance plans BCBS TN — Blue Care: $91.70 BCBS TN — Commercial Network P: $275 BCBS TN — Commercial Network S: $275 United Healthcare — All Other Plans: $204.94 United Healthcare — Heritage Select: $204.94 United Healthcare — Options PPO: $204.94
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MA MAM SCR LT W CAD	$234	$65.52	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$19.10 – $23.88
Electrocardiogram (ECG/EKG) with reading: 10 of 25 insurance plan rates Aetna — Commercial: $25.50 BCBS TN — Blue Care: $19.10 BCBS TN — Commercial Network P: $23.88 BCBS TN — Commercial Network S: $23.88 United Healthcare — All Other Plans: $169 United Healthcare — Heritage Select: $199 United Healthcare — Options PPO: $244 Ambetter — Exchange: 60% (a percentage in the contract, not a dollar amount) Beech Street — PPO: 85% (a percentage in the contract, not a dollar amount) CCN Managed Care — PPO: 85% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$3,150.16 – $9,765
Left heart catheterization (diagnostic): 10 of 54 insurance plan rates Aetna — Commercial: $9,765 Aetna — Medicare Advantage: $3,307.67 Ambetter — Exchange: $2,009 BCBS TN — Commercial Network P: $6,192 BCBS TN — Commercial Network S: $6,192 Blue Cross of TN — BlueEssential DSNP: $3,307.67 Blue Cross of TN — BlueEssential HMO: $3,307.67 Blue Cross of TN — Med Adv Diamond: $3,307.67 Blue Cross of TN — Med Adv PPO: $3,307.67 Blue Cross of TN — Med Adv Ruby: $3,307.67
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$348.47 – $7,957.80
Heart rhythm study (electrophysiology evaluation): 10 of 54 insurance plan rates Aetna — Commercial: $4,558.52 Aetna — Medicare Advantage: $7,957.80 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $348.47 BCBS TN — Commercial Network P: $435.59 BCBS TN — Commercial Network S: $435.59 Blue Cross of TN — BlueEssential DSNP: $7,957.80 Blue Cross of TN — BlueEssential HMO: $7,957.80 Blue Cross of TN — Med Adv Diamond: $7,957.80 Blue Cross of TN — Med Adv PPO: $7,957.80
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$4,558.52 – $26,667.82
Heart rhythm study with ablation for atrial fibrillation: 10 of 54 insurance plan rates Aetna — Commercial: $4,558.52 Aetna — Medicare Advantage: $26,667.82 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $12,206 BCBS TN — Commercial Network P: $19,659 BCBS TN — Commercial Network S: $19,659 Blue Cross of TN — BlueEssential DSNP: $26,667.82 Blue Cross of TN — BlueEssential HMO: $26,667.82 Blue Cross of TN — Med Adv Diamond: $26,667.82 Blue Cross of TN — Med Adv PPO: $26,667.82
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$432.27 – $907.72
Sleep study (overnight, in a sleep lab): 10 of 54 insurance plan rates Aetna — Commercial: $836.52 Aetna — Medicare Advantage: $876.15 BCBS TN — Blue Care: $540.16 BCBS TN — Commercial Network P: $675.20 BCBS TN — Commercial Network S: $675.20 Blue Cross of TN — BlueEssential DSNP: $876.15 Blue Cross of TN — BlueEssential HMO: $876.15 Blue Cross of TN — Med Adv Diamond: $876.15 Blue Cross of TN — Med Adv PPO: $876.15 Blue Cross of TN — Med Adv Ruby: $876.15

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$35.51 – $190
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $158 Ambetter — Exchange: $161 BCBS TN — Blue Care: $35.51 BCBS TN — Commercial Network P: $44.39 BCBS TN — Commercial Network S: $44.39 Cigna — HMO: $190 Cigna — IFP: $144 Cigna — Local Plus: $162 Cigna — OAP: $190 Cigna — POS: $190
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: ROM EXERCISE	$50	$14	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: ROM EXERCISE 15M CQ	$50	$14	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$97.85 – $190
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates Aetna — Commercial: $158 Ambetter — Exchange: $161 BCBS TN — Blue Care: $97.85 BCBS TN — Commercial Network P: $122.31 BCBS TN — Commercial Network S: $122.31 Cigna — HMO: $190 Cigna — IFP: $144 Cigna — Local Plus: $162 Cigna — OAP: $190 Cigna — POS: $190
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVALUATION LOW	$182	$50.96	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$97.85 – $190
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates Aetna — Commercial: $158 Ambetter — Exchange: $161 BCBS TN — Blue Care: $97.85 BCBS TN — Commercial Network P: $122.31 BCBS TN — Commercial Network S: $122.31 Cigna — HMO: $190 Cigna — IFP: $144 Cigna — Local Plus: $162 Cigna — OAP: $190 Cigna — POS: $190
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVALUATION MOD	$182	$50.96	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$97.85 – $190
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates Aetna — Commercial: $158 Ambetter — Exchange: $161 BCBS TN — Blue Care: $97.85 BCBS TN — Commercial Network P: $122.31 BCBS TN — Commercial Network S: $122.31 Cigna — HMO: $190 Cigna — IFP: $144 Cigna — Local Plus: $162 Cigna — OAP: $190 Cigna — POS: $190
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVALUATION HIGH	$182	$50.96	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$35.13 – $181.09
Psychotherapy, 30 minutes: 10 of 54 insurance plan rates Aetna — Medicare Advantage: $181.09 Blue Cross of TN — BlueEssential DSNP: $181.09 Blue Cross of TN — BlueEssential HMO: $181.09 Blue Cross of TN — Med Adv Diamond: $181.09 Blue Cross of TN — Med Adv PPO: $181.09 Blue Cross of TN — Med Adv Ruby: $181.09 Blue Cross of TN — Med Adv Sapphire: $181.09 Cigna — Medicare HMO: $181.09 Cigna — Medicare HMO-POS: $181.09 Cigna — Medicare PPO: $181.09
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$63.01 – $181.09
Psychotherapy, 45 minutes: 10 of 54 insurance plan rates Aetna — Medicare Advantage: $181.09 Blue Cross of TN — BlueEssential DSNP: $181.09 Blue Cross of TN — BlueEssential HMO: $181.09 Blue Cross of TN — Med Adv Diamond: $181.09 Blue Cross of TN — Med Adv PPO: $181.09 Blue Cross of TN — Med Adv Ruby: $181.09 Blue Cross of TN — Med Adv Sapphire: $181.09 Cigna — Medicare HMO: $181.09 Cigna — Medicare HMO-POS: $181.09 Cigna — Medicare PPO: $181.09
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$63.01 – $181.09
Psychotherapy, 60 minutes: 10 of 54 insurance plan rates Aetna — Medicare Advantage: $181.09 Blue Cross of TN — BlueEssential DSNP: $181.09 Blue Cross of TN — BlueEssential HMO: $181.09 Blue Cross of TN — Med Adv Diamond: $181.09 Blue Cross of TN — Med Adv PPO: $181.09 Blue Cross of TN — Med Adv Ruby: $181.09 Blue Cross of TN — Med Adv Sapphire: $181.09 Cigna — Medicare HMO: $181.09 Cigna — Medicare HMO-POS: $181.09 Cigna — Medicare PPO: $181.09
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$63.01 – $181.09
Family psychotherapy, without the patient: 10 of 54 insurance plan rates Aetna — Medicare Advantage: $181.09 Blue Cross of TN — BlueEssential DSNP: $181.09 Blue Cross of TN — BlueEssential HMO: $181.09 Blue Cross of TN — Med Adv Diamond: $181.09 Blue Cross of TN — Med Adv PPO: $181.09 Blue Cross of TN — Med Adv Ruby: $181.09 Blue Cross of TN — Med Adv Sapphire: $181.09 Cigna — Medicare HMO: $181.09 Cigna — Medicare HMO-POS: $181.09 Cigna — Medicare PPO: $181.09
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$63.01 – $181.09
Family psychotherapy, with the patient: 10 of 54 insurance plan rates Aetna — Medicare Advantage: $181.09 Blue Cross of TN — BlueEssential DSNP: $181.09 Blue Cross of TN — BlueEssential HMO: $181.09 Blue Cross of TN — Med Adv Diamond: $181.09 Blue Cross of TN — Med Adv PPO: $181.09 Blue Cross of TN — Med Adv Ruby: $181.09 Blue Cross of TN — Med Adv Sapphire: $181.09 Cigna — Medicare HMO: $181.09 Cigna — Medicare HMO-POS: $181.09 Cigna — Medicare PPO: $181.09
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$35.13 – $103.65
Group psychotherapy: 10 of 54 insurance plan rates Aetna — Medicare Advantage: $103.65 Blue Cross of TN — BlueEssential DSNP: $103.65 Blue Cross of TN — BlueEssential HMO: $103.65 Blue Cross of TN — Med Adv Diamond: $103.65 Blue Cross of TN — Med Adv PPO: $103.65 Blue Cross of TN — Med Adv Ruby: $103.65 Blue Cross of TN — Med Adv Sapphire: $103.65 Cigna — Medicare HMO: $103.65 Cigna — Medicare HMO-POS: $103.65 Cigna — Medicare PPO: $103.65

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$1,921 – $3,994.82
Removal of breast growth (open surgery): 10 of 54 insurance plan rates Aetna — Commercial: $2,074.32 Aetna — Medicare Advantage: $3,994.82 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $1,890 BCBS TN — Commercial Network P: $4,238 BCBS TN — Commercial Network S: $4,238 Blue Cross of TN — BlueEssential DSNP: $3,994.82 Blue Cross of TN — BlueEssential HMO: $3,994.82 Blue Cross of TN — Med Adv Diamond: $3,994.82 Blue Cross of TN — Med Adv PPO: $3,994.82
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,372 – $13,125
Total hip replacement: 10 of 54 insurance plan rates Aetna — Commercial: $4,136.74 Aetna — Medicare Advantage: $13,098.99 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $11,500 BCBS TN — Commercial Network P: $21,350 BCBS TN — Commercial Network S: $21,350 Blue Cross of TN — BlueEssential DSNP: $13,098.99 Blue Cross of TN — BlueEssential HMO: $13,098.99 Blue Cross of TN — Med Adv Diamond: $13,098.99 Blue Cross of TN — Med Adv PPO: $13,098.99
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,372 – $13,125.50
Total knee replacement: 10 of 54 insurance plan rates Aetna — Commercial: $4,136.74 Aetna — Medicare Advantage: $13,098.99 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $11,500 BCBS TN — Commercial Network P: $22,018 BCBS TN — Commercial Network S: $22,018 Blue Cross of TN — BlueEssential DSNP: $13,098.99 Blue Cross of TN — BlueEssential HMO: $13,098.99 Blue Cross of TN — Med Adv Diamond: $13,098.99 Blue Cross of TN — Med Adv PPO: $13,098.99
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$307.90 – $2,769
Shoulder arthroscopy: shaving of shoulder bone: 10 of 27 insurance plan rates Aetna — Commercial: $2,074.32 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $3,885 BCBS TN — Commercial Network P: $154 BCBS TN — Commercial Network S: $154 Cigna — HMO: $2,769 Cigna — IFP: $1,921 Cigna — Local Plus: $2,354 Cigna — OAP: $2,769 Cigna — POS: $2,769
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$2,372 – $3,379
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 54 insurance plan rates Aetna — Commercial: $2,560.99 Aetna — Medicare Advantage: $3,338.34 Ambetter — Exchange: $2,480 BCBS TN — Blue Care: $3,885 BCBS TN — Commercial Network P: $4,238 BCBS TN — Commercial Network S: $4,238 Blue Cross of TN — BlueEssential DSNP: $3,338.34 Blue Cross of TN — BlueEssential HMO: $3,338.34 Blue Cross of TN — Med Adv Diamond: $3,338.34 Blue Cross of TN — Med Adv PPO: $3,338.34
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$1,921 – $6,039.86
Removal of tonsils and adenoids (under age 12): 10 of 54 insurance plan rates Aetna — Commercial: $2,074.32 Aetna — Medicare Advantage: $6,039.86 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $2,730 BCBS TN — Commercial Network P: $7,191 BCBS TN — Commercial Network S: $7,191 Blue Cross of TN — BlueEssential DSNP: $6,039.86 Blue Cross of TN — BlueEssential HMO: $6,039.86 Blue Cross of TN — Med Adv Diamond: $6,039.86 Blue Cross of TN — Med Adv PPO: $6,039.86
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$881.31 – $1,802
Upper GI endoscopy (diagnostic): 10 of 54 insurance plan rates Aetna — Commercial: $1,349.71 Aetna — Medicare Advantage: $925.38 Ambetter — Exchange: $1,308 BCBS TN — Blue Care: $1,155 BCBS TN — Commercial Network P: $2,945 BCBS TN — Commercial Network S: $2,945 Blue Cross of TN — BlueEssential DSNP: $925.38 Blue Cross of TN — BlueEssential HMO: $925.38 Blue Cross of TN — Med Adv Diamond: $925.38 Blue Cross of TN — Med Adv PPO: $925.38
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$881.31 – $2,416
Upper GI endoscopy with biopsy: 10 of 54 insurance plan rates Aetna — Commercial: $1,808.27 Aetna — Medicare Advantage: $925.38 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $2,945 BCBS TN — Commercial Network S: $2,945 Blue Cross of TN — BlueEssential DSNP: $925.38 Blue Cross of TN — BlueEssential HMO: $925.38 Blue Cross of TN — Med Adv Diamond: $925.38 Blue Cross of TN — Med Adv PPO: $925.38
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$903.63 – $2,416
Colonoscopy (diagnostic): 10 of 54 insurance plan rates Aetna — Commercial: $1,808.27 Aetna — Medicare Advantage: $948.81 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $2,945 BCBS TN — Commercial Network S: $2,945 Blue Cross of TN — BlueEssential DSNP: $948.81 Blue Cross of TN — BlueEssential HMO: $948.81 Blue Cross of TN — Med Adv Diamond: $948.81 Blue Cross of TN — Med Adv PPO: $948.81
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$1,162.77 – $2,416
Colonoscopy with biopsy: 10 of 54 insurance plan rates Aetna — Commercial: $1,808.27 Aetna — Medicare Advantage: $1,220.91 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $2,945 BCBS TN — Commercial Network S: $2,945 Blue Cross of TN — BlueEssential DSNP: $1,220.91 Blue Cross of TN — BlueEssential HMO: $1,220.91 Blue Cross of TN — Med Adv Diamond: $1,220.91 Blue Cross of TN — Med Adv PPO: $1,220.91
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$1,162.77 – $2,416
Colonoscopy with removal of polyps (snare): 10 of 54 insurance plan rates Aetna — Commercial: $1,808.27 Aetna — Medicare Advantage: $1,220.91 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $2,945 BCBS TN — Commercial Network S: $2,945 Blue Cross of TN — BlueEssential DSNP: $1,220.91 Blue Cross of TN — BlueEssential HMO: $1,220.91 Blue Cross of TN — Med Adv Diamond: $1,220.91 Blue Cross of TN — Med Adv PPO: $1,220.91
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$1,162.77 – $2,416
Ultrasound of the lower bowel by endoscope: 10 of 54 insurance plan rates Aetna — Commercial: $1,808.27 Aetna — Medicare Advantage: $1,220.91 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $2,945 BCBS TN — Commercial Network S: $2,945 Blue Cross of TN — BlueEssential DSNP: $1,220.91 Blue Cross of TN — BlueEssential HMO: $1,220.91 Blue Cross of TN — Med Adv Diamond: $1,220.91 Blue Cross of TN — Med Adv PPO: $1,220.91
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND	Not listed in the file	Not listed in the file	$903.63 – $2,416
Screening colonoscopy (not high risk): 10 of 54 insurance plan rates Aetna — Commercial: $1,808.27 Aetna — Medicare Advantage: $948.81 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,155 BCBS TN — Commercial Network P: $2,945 BCBS TN — Commercial Network S: $2,945 Blue Cross of TN — BlueEssential DSNP: $948.81 Blue Cross of TN — BlueEssential HMO: $948.81 Blue Cross of TN — Med Adv Diamond: $948.81 Blue Cross of TN — Med Adv PPO: $948.81
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$2,934.11 – $6,168.10
Gallbladder removal by laparoscope: 10 of 54 insurance plan rates Aetna — Commercial: $2,934.11 Aetna — Medicare Advantage: $6,168.10 Ambetter — Exchange: $3,332 BCBS TN — Blue Care: $8,610 BCBS TN — Commercial Network P: $7,191 BCBS TN — Commercial Network S: $7,191 Blue Cross of TN — BlueEssential DSNP: $6,168.10 Blue Cross of TN — BlueEssential HMO: $6,168.10 Blue Cross of TN — Med Adv Diamond: $6,168.10 Blue Cross of TN — Med Adv PPO: $6,168.10
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$2,372 – $3,652.99
Groin (inguinal) hernia repair, age 5 or older: 10 of 54 insurance plan rates Aetna — Commercial: $2,560.99 Aetna — Medicare Advantage: $3,652.99 Ambetter — Exchange: $2,480 BCBS TN — Blue Care: $2,310 BCBS TN — Commercial Network P: $4,238 BCBS TN — Commercial Network S: $4,238 Blue Cross of TN — BlueEssential DSNP: $3,652.99 Blue Cross of TN — BlueEssential HMO: $3,652.99 Blue Cross of TN — Med Adv Diamond: $3,652.99 Blue Cross of TN — Med Adv PPO: $3,652.99
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$1,391 – $2,416
Prostate biopsy: 10 of 27 insurance plan rates Aetna — Commercial: $1,808.27 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $2,945 BCBS TN — Commercial Network S: $2,945 Cigna — HMO: $2,416 Cigna — IFP: $1,674 Cigna — Local Plus: $2,053 Cigna — OAP: $2,416 Cigna — POS: $2,416
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$2,372 – $10,845.36
Prostate removal by laparoscope (radical prostatectomy): 10 of 54 insurance plan rates Aetna — Commercial: $2,934.11 Aetna — Medicare Advantage: $10,845.36 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $2,310 BCBS TN — Commercial Network P: $8,989 BCBS TN — Commercial Network S: $8,989 Blue Cross of TN — BlueEssential DSNP: $10,845.36 Blue Cross of TN — BlueEssential HMO: $10,845.36 Blue Cross of TN — Med Adv Diamond: $10,845.36 Blue Cross of TN — Med Adv PPO: $10,845.36
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,921 – $3,302.76
Hysteroscopy with biopsy of the uterus lining: 10 of 54 insurance plan rates Aetna — Commercial: $2,074.32 Aetna — Medicare Advantage: $3,302.76 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $1,890 BCBS TN — Commercial Network P: $4,238 BCBS TN — Commercial Network S: $4,238 Blue Cross of TN — BlueEssential DSNP: $3,302.76 Blue Cross of TN — BlueEssential HMO: $3,302.76 Blue Cross of TN — Med Adv Diamond: $3,302.76 Blue Cross of TN — Med Adv PPO: $3,302.76
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$685.90 – $1,802
Spinal injection, lower back (epidural), with imaging guidance: 10 of 54 insurance plan rates Aetna — Commercial: $1,349.71 Aetna — Medicare Advantage: $720.20 Ambetter — Exchange: $1,308 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $2,356 BCBS TN — Commercial Network S: $2,356 Blue Cross of TN — BlueEssential DSNP: $720.20 Blue Cross of TN — BlueEssential HMO: $720.20 Blue Cross of TN — Med Adv Diamond: $720.20 Blue Cross of TN — Med Adv PPO: $720.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$859.43 – $1,802
Nerve root injection, lower back, with imaging guidance: 10 of 54 insurance plan rates Aetna — Commercial: $1,349.71 Aetna — Medicare Advantage: $902.40 Ambetter — Exchange: $1,308 BCBS TN — Blue Care: $1,155 BCBS TN — Commercial Network P: $2,356 BCBS TN — Commercial Network S: $2,356 Blue Cross of TN — BlueEssential DSNP: $902.40 Blue Cross of TN — BlueEssential HMO: $902.40 Blue Cross of TN — Med Adv Diamond: $902.40 Blue Cross of TN — Med Adv PPO: $902.40
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,674 – $2,416
Carpal tunnel release: 10 of 54 insurance plan rates Aetna — Commercial: $1,808.27 Aetna — Medicare Advantage: $1,992.32 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $3,680 BCBS TN — Commercial Network S: $3,680 Blue Cross of TN — BlueEssential DSNP: $1,992.32 Blue Cross of TN — BlueEssential HMO: $1,992.32 Blue Cross of TN — Med Adv Diamond: $1,992.32 Blue Cross of TN — Med Adv PPO: $1,992.32
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$534.43 – $2,416
Laser treatment of clouding after cataract surgery: 10 of 54 insurance plan rates Aetna — Commercial: $1,808.27 Aetna — Medicare Advantage: $561.15 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $2,356 BCBS TN — Commercial Network S: $2,356 Blue Cross of TN — BlueEssential DSNP: $561.15 Blue Cross of TN — BlueEssential HMO: $561.15 Blue Cross of TN — Med Adv Diamond: $561.15 Blue Cross of TN — Med Adv PPO: $561.15
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,242.49 – $5,312
Cataract removal with lens implant: 10 of 54 insurance plan rates Aetna — Commercial: $2,934.11 Aetna — Medicare Advantage: $2,354.61 Ambetter — Exchange: $3,854 BCBS TN — Blue Care: $4,200 BCBS TN — Commercial Network P: $3,680 BCBS TN — Commercial Network S: $3,680 Blue Cross of TN — BlueEssential DSNP: $2,354.61 Blue Cross of TN — BlueEssential HMO: $2,354.61 Blue Cross of TN — Med Adv Diamond: $2,354.61 Blue Cross of TN — Med Adv PPO: $2,354.61

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$1,587.60 – $3,419
Vaginal delivery, with care before and after: 10 of 27 insurance plan rates Aetna — Commercial: $2,811.90 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $2,310 BCBS TN — Commercial Network P: $2,945 BCBS TN — Commercial Network S: $2,945 Cigna — HMO: $3,419 Cigna — IFP: $2,372 Cigna — Local Plus: $2,857 Cigna — OAP: $3,419 Cigna — POS: $3,419
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$1,587.60 – $3,419
Cesarean delivery (C-section), with care before and after: 10 of 27 insurance plan rates Aetna — Commercial: $2,811.90 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $2,945 BCBS TN — Commercial Network S: $2,945 Cigna — HMO: $3,419 Cigna — IFP: $2,372 Cigna — Local Plus: $2,857 Cigna — OAP: $3,419 Cigna — POS: $3,419
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$1,587.60 – $3,419
Vaginal delivery after a previous C-section, with care before and after: 10 of 27 insurance plan rates Aetna — Commercial: $2,811.90 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $2,310 BCBS TN — Commercial Network P: $2,945 BCBS TN — Commercial Network S: $2,945 Cigna — HMO: $3,419 Cigna — IFP: $2,372 Cigna — Local Plus: $2,857 Cigna — OAP: $3,419 Cigna — POS: $3,419

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$5,306 – $156,417.19
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 54 insurance plan rates Aetna — Commercial: $4,016.25 Aetna — Medicare Advantage: $103,733.08 Ambetter — Exchange: $3,022 BCBS TN — Blue Care: $46,708.18 BCBS TN — Commercial Network P: $95,756.68 BCBS TN — Commercial Network S: $95,756.68 Blue Cross of TN — BlueEssential DSNP: $103,733.08 Blue Cross of TN — BlueEssential HMO: $103,733.08 Blue Cross of TN — Med Adv Diamond: $103,733.08 Blue Cross of TN — Med Adv PPO: $103,733.08
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without MCC	Not listed in the file	Not listed in the file	$24,118.84
Spinal fusion (not neck), without major complications: rates for 1 insurance plan Wellpoint — Medicaid Tenncare: $24,118.84
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$2,651 – $30,841.18
Hip or knee replacement (major joint of the leg), without major complications: 10 of 54 insurance plan rates Aetna — Commercial: $4,016.25 Aetna — Medicare Advantage: $20,453.32 Ambetter — Exchange: $3,022 BCBS TN — Blue Care: $12,700.55 BCBS TN — Commercial Network P: $26,037.46 BCBS TN — Commercial Network S: $26,037.46 Blue Cross of TN — BlueEssential DSNP: $20,453.32 Blue Cross of TN — BlueEssential HMO: $20,453.32 Blue Cross of TN — Med Adv Diamond: $20,453.32 Blue Cross of TN — Med Adv PPO: $20,453.32
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$2,651 – $39,033.95
Neck (cervical) spinal fusion, without complications: 10 of 54 insurance plan rates Aetna — Commercial: $4,016.25 Aetna — Medicare Advantage: $25,886.62 Ambetter — Exchange: $3,022 BCBS TN — Blue Care: $11,600.93 BCBS TN — Commercial Network P: $23,783.12 BCBS TN — Commercial Network S: $23,783.12 Blue Cross of TN — BlueEssential DSNP: $25,886.62 Blue Cross of TN — BlueEssential HMO: $25,886.62 Blue Cross of TN — Med Adv Diamond: $25,886.62 Blue Cross of TN — Med Adv PPO: $25,886.62
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$2,651 – $19,837.55
Uterus and ovary surgery (not for cancer), without complications: 10 of 54 insurance plan rates Aetna — Commercial: $4,016.25 Aetna — Medicare Advantage: $13,155.91 Ambetter — Exchange: $3,022 BCBS TN — Blue Care: $3,367.75 BCBS TN — Commercial Network P: $6,904.24 BCBS TN — Commercial Network S: $6,904.24 Blue Cross of TN — BlueEssential DSNP: $13,155.91 Blue Cross of TN — BlueEssential HMO: $13,155.91 Blue Cross of TN — Med Adv Diamond: $13,155.91 Blue Cross of TN — Med Adv PPO: $13,155.91

Source: Claiborne Medical Center’s standard charges file (mrfs.hyvehealthcare.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 5, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	1850 Old Knoxville Highway, Tazewell, TN 37879
County	Claiborne County
State	Tennessee
Phone	(423) 626‑4211
Emergency services	Yes
Ownership	Government - Local
Medicare overall rating	Not rated by CMS
CMS Certification Number	440057
Name in Medicare records	CLAIBORNE MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	Covenant Health Claiborne (Claiborne Medical Center)
Official website	covenanthealth.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

About Us - Covenant Health Claiborne — covenanthealth.com
Services - Claiborne Medical Center — covenanthealth.com

Claiborne Medical Center

Summary

Profile from official sources

At a glance