Does Dyersburg Regional Medical Center have an emergency room?

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

Where is Dyersburg Regional Medical Center?

400 East Tickle Street, Dyersburg, TN 38024, in Dyer County, Tennessee.

What is the phone number of Dyersburg Regional Medical Center?

(731) 285-2410, as listed by Medicare (CMS).

What is the Medicare star rating of Dyersburg Regional Medical Center?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Dyersburg Regional Medical Center

Quick answers

Does Dyersburg Regional Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Dyersburg Regional Medical Center. In a medical emergency, call 911.
Where is Dyersburg Regional Medical Center?: 400 East Tickle Street, Dyersburg, TN 38024, in Dyer County, Tennessee.
What is the phone number of Dyersburg Regional Medical Center?: (731) 285-2410, as listed by Medicare (CMS).
What is the Medicare star rating of Dyersburg Regional Medical Center?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Endocrinology
Gastroenterology
Neuroscience and spine
Urology
Women's health
Obstetrics
Intensive care unit
Hospitalist services
Respiratory care
Cardiac rehab
Sleep medicine
Physical therapy (outpatient)

Conditions treated^[4]

Stroke
Endocrine system disorders
Urinary tract conditions

Treatments^[4]

Cardiac rehab
Outpatient physical therapy
Respiratory care
Laboratory and pathology services

Procedures^[4]

Mammograms (screening and diagnostic)
Ultrasound
CT scan
X-ray

Programs and centers^[4]

Hospitalist services
Intensive care unit
Obstetrics unit

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Recognition^[4]

Accredited by The Joint Commission

Doctors and clinicians (280)

280 doctors and other clinicians list Dyersburg Regional 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

Doctors with a page on this site (280)

Adam L. Summerlin, MDDiagnostic Radiology
Adeyinka A. Agbetoyin, MDCardiovascular Disease (Cardiology)
Adil Ayub, MDSurgical Oncology
Adrean R. Stamper, NPNurse Practitioner
Adrian C. Sarli, MDGeneral Surgery
Ahmad Al Shyoukh, MDPulmonary Disease
Alexandra BurnsNurse Practitioner
Alfred O. Aiyanyor, DOInfectious Disease
Ali M. AbualhayjaaNeurology
Amanda B. TurnerNurse Practitioner
Amber A. SullivanNurse Practitioner
Amber C. Hamilton, PAPhysician Assistant
Amber E. Mejia, NPNurse Practitioner
Amber L. Stafford, CNACertified Registered Nurse Anesthetist (CRNA)
Amor Royer, MDGastroenterology
Amy M. Myers, NPNurse Practitioner
Anahita AndersonNurse Practitioner
Anastasios L. Georgiou, MDRadiation Oncology
Anastasiya V. Woodard, CNACertified Registered Nurse Anesthetist (CRNA)
Andrew G. Myers, MDGeneral Surgery
Angela C. Quick, NPNurse Practitioner
Angela Constant, NPNurse Practitioner
Angela D. Upchurch, NPNurse Practitioner
Ankit Kushwaha, MDPulmonary Disease

And 256 more: the button below opens the full list.

Other emergency rooms nearby

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

Pemiscot County Memorial Hospital24 mi · Hayti, MO · Acute Care Hospital
Lauderdale Community Hospital25 mi · Ripley, TN · Critical Access Hospital
Great River Medical Center31 mi · Blytheville, AR · Acute Care Hospital
Haywood County Community Hospital31 mi · Brownsville, TN · Acute Care Hospital
Baptist Memorial Hospital Union City32 mi · Union City, TN · Acute Care Hospital

Other hospitals nearby

West Tennessee Healthcare Rehabilitation Hospital35 mi · Martin, TN · Inpatient Rehabilitation 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

Dyersburg Health and Rehabilitation Center0.0 mi · Dyersburg, TN · 3 of 5 stars
Oakwood Community Living Center0.1 mi · Dyersburg, TN · 4 of 5 stars
Okeena Health and Rehabilitation Center LLC0.2 mi · Dyersburg, TN · 4 of 5 stars

All nursing homes in the state →

Home health agencies

Extendicare Home Health of West TN0.8 mi · Dyersburg, TN · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Lewis Creek Dialysis0.8 mi · Dyersburg, TN · 2 of 5 stars
FKC Dyersburg0.8 mi · Dyersburg, TN · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Cape Surgery Center, LLC0.8 mi · Dyersburg, TN

All outpatient surgery centers 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

Willliam B. Acree Clinic16 mi · Ridgely, TN · Community health center
Caruthersville Medical and Dental Center18 mi · Caruthersville, MO · Community health center
Lauderdale County Medical Clinic22 mi · Ripley, TN · Community health center

Clinics and urgent care

Better Health Family Clinic Inc0.8 mi · Dyersburg, TN · Rural health clinic
Fast Pace Health0.8 mi · Dyersburg, TN · Rural health clinic
Fast Pace Medical Clinic PLLC0.8 mi · Dyersburg, TN · Urgent care center

Pharmacies

Danny B Dedmon0.8 mi · Dyersburg, TN · Community/retail pharmacy
Dyersburg Health0.8 mi · Dyersburg, TN · Community/retail pharmacy
James and Wilks Pharmacy LLC0.8 mi · Dyersburg, TN · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Maple Ridge Manor0.8 mi · Dyersburg, TN

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 Dyersburg Regional 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	3 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	68%National average: 72%
Would definitely recommend the hospital	61%National average: 71%
Nurses “always” communicated well	82%National average: 80%
Doctors “always” communicated well	82%National average: 80%
Staff “always” explained medicines before giving them	65%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	77%National average: 74%
Area around the room “always” quiet at night	65%National average: 60%
Completed surveys	321Response rate: 19%

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)	0.664No different from the national benchmark
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	0.284No 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	9.8%
Deaths within 30 days: pneumonia patients	20.7%
Deaths within 30 days: COPD patients	8.6%
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.98No 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%
Readmitted within 30 days: pneumonia	17.5%
Readmitted within 30 days: COPD	21.9%
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)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	177 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)	63%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 50 common services exactly as Dyersburg Regional 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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 30-44 MINUTES	$255	$76.50	$42.12 – $255
New patient office visit (about 30–44 minutes): rates for 9 insurance plans Aetna — Commercial: $163.71 Aetna — New Business Discount - Commercial: $130.31 Aetna — VHAN - Employee Networks: $137.44 Aetna — Whole Health: $124.69 Blue Cross Blue Shield of Tennessee — Network P: $107.10 Blue Cross Blue Shield of Tennessee — Network S/E: $107.10 Home State Health Plan — MO HealthNet Medicaid: $255 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $102 River Valley Plan — TennCare: $42.12
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 30-44 MINUTES	$255	$76.50	$130.31 – $255
New patient office visit (about 30–44 minutes): rates for 3 insurance plans Aetna — Commercial: $163.71 Aetna — New Business Discount - Commercial: $130.31 Home State Health Plan — MO HealthNet Medicaid: $255
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 45-59 MINUTES	$268	$80.40	$52.88 – $268
New patient office visit (about 45–59 minutes): rates for 9 insurance plans Aetna — Commercial: $172.06 Aetna — New Business Discount - Commercial: $136.95 Aetna — VHAN - Employee Networks: $144.45 Aetna — Whole Health: $131.05 Blue Cross Blue Shield of Tennessee — Network P: $112.56 Blue Cross Blue Shield of Tennessee — Network S/E: $112.56 Home State Health Plan — MO HealthNet Medicaid: $268 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $107.20 River Valley Plan — TennCare: $52.88
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 45-59 MINUTES	$268	$80.40	$136.95 – $268
New patient office visit (about 45–59 minutes): rates for 3 insurance plans Aetna — Commercial: $172.06 Aetna — New Business Discount - Commercial: $136.95 Home State Health Plan — MO HealthNet Medicaid: $268
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 60-74 MINUTES	$427	$128.10	$69.23 – $427
New patient office visit (about 60–74 minutes): rates for 9 insurance plans Aetna — Commercial: $274.13 Aetna — New Business Discount - Commercial: $218.20 Aetna — VHAN - Employee Networks: $230.15 Aetna — Whole Health: $208.80 Blue Cross Blue Shield of Tennessee — Network P: $179.34 Blue Cross Blue Shield of Tennessee — Network S/E: $179.34 Home State Health Plan — MO HealthNet Medicaid: $427 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $170.80 River Valley Plan — TennCare: $69.23
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 60-74 MINUTES	$427	$128.10	$218.20 – $427
New patient office visit (about 60–74 minutes): rates for 3 insurance plans Aetna — Commercial: $274.13 Aetna — New Business Discount - Commercial: $218.20 Home State Health Plan — MO HealthNet Medicaid: $427
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT 20-29 MINUTES	$180	$54	$31.73 – $180
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans Aetna — Commercial: $115.56 Aetna — New Business Discount - Commercial: $91.98 Aetna — VHAN - Employee Networks: $97.02 Aetna — Whole Health: $88.02 Blue Cross Blue Shield of Tennessee — Network P: $75.60 Blue Cross Blue Shield of Tennessee — Network S/E: $75.60 Home State Health Plan — MO HealthNet Medicaid: $180 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $72 River Valley Plan — TennCare: $31.73
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT 20-29 MINUTES	$180	$54	$91.98 – $180
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans Aetna — Commercial: $115.56 Aetna — New Business Discount - Commercial: $91.98 Home State Health Plan — MO HealthNet Medicaid: $180
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT 30-39 MINUTES	$225	$67.50	$42.12 – $225
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans Aetna — Commercial: $144.45 Aetna — New Business Discount - Commercial: $114.97 Aetna — VHAN - Employee Networks: $121.28 Aetna — Whole Health: $110.03 Blue Cross Blue Shield of Tennessee — Network P: $94.50 Blue Cross Blue Shield of Tennessee — Network S/E: $94.50 Home State Health Plan — MO HealthNet Medicaid: $225 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $90 River Valley Plan — TennCare: $42.12
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT 30-39 MINUTES	$225	$67.50	$114.97 – $225
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans Aetna — Commercial: $144.45 Aetna — New Business Discount - Commercial: $114.97 Home State Health Plan — MO HealthNet Medicaid: $225
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$1,480	$444	$247.67 – $1,480
Emergency room visit (moderate): 10 of 14 insurance plan rates Aetna — Commercial: $950.16 Aetna — New Business Discount - Commercial: $756.28 Aetna — VHAN - Employee Networks: $748 Aetna — Whole Health: $723.72 Blue Cross Blue Shield of Tennessee — BlueCare: $255.10 Blue Cross Blue Shield of Tennessee — Network P: $1,407 Blue Cross Blue Shield of Tennessee — Network S/E: $1,327 Celtic Insurance Company — Commercial-Exchange: $383.89 Cigna — HMO/Network/Open Access Plus: $279.87 Cigna — IFP/LocalPlus: $279.87
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$1,480	$444	$756.28 – $1,480
Emergency room visit (moderate): rates for 3 insurance plans Aetna — Commercial: $950.16 Aetna — New Business Discount - Commercial: $756.28 Home State Health Plan — MO HealthNet Medicaid: $1,480
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$4,553	$1,365.90	$378.57 – $4,553
Emergency room visit (moderately high): 10 of 14 insurance plan rates Aetna — Commercial: $2,923.03 Aetna — New Business Discount - Commercial: $2,326.58 Aetna — VHAN - Employee Networks: $1,976 Aetna — Whole Health: $2,226.42 Blue Cross Blue Shield of Tennessee — BlueCare: $389.93 Blue Cross Blue Shield of Tennessee — Network P: $4,231 Blue Cross Blue Shield of Tennessee — Network S/E: $3,966 Celtic Insurance Company — Commercial-Exchange: $586.78 Cigna — HMO/Network/Open Access Plus: $427.78 Cigna — IFP/LocalPlus: $427.78
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$4,553	$1,365.90	$2,326.58 – $4,553
Emergency room visit (moderately high): rates for 3 insurance plans Aetna — Commercial: $2,923.03 Aetna — New Business Discount - Commercial: $2,326.58 Home State Health Plan — MO HealthNet Medicaid: $4,553
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$5,122	$1,536.60	$540.31 – $6,200
Emergency room visit (high): 10 of 14 insurance plan rates Aetna — Commercial: $3,288.32 Aetna — New Business Discount - Commercial: $2,617.34 Aetna — VHAN - Employee Networks: $2,134 Aetna — Whole Health: $2,504.66 Blue Cross Blue Shield of Tennessee — BlueCare: $556.52 Blue Cross Blue Shield of Tennessee — Network P: $6,200 Blue Cross Blue Shield of Tennessee — Network S/E: $5,799 Celtic Insurance Company — Commercial-Exchange: $837.48 Cigna — HMO/Network/Open Access Plus: $610.55 Cigna — IFP/LocalPlus: $610.55
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$5,122	$1,536.60	$2,617.34 – $5,122
Emergency room visit (high): rates for 3 insurance plans Aetna — Commercial: $3,288.32 Aetna — New Business Discount - Commercial: $2,617.34 Home State Health Plan — MO HealthNet Medicaid: $5,122

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$124	$37.20	$5.92 – $124
Basic metabolic panel (blood test): 10 of 14 insurance plan rates Aetna — Commercial: $79.61 Aetna — New Business Discount - Commercial: $63.36 Aetna — VHAN - Employee Networks: $66.84 Aetna — Whole Health: $60.64 Blue Cross Blue Shield of Tennessee — BlueCare: $8.71 Blue Cross Blue Shield of Tennessee — Network P: $26.23 Blue Cross Blue Shield of Tennessee — Network S/E: $16.92 Celtic Insurance Company — Commercial-Exchange: $13.11 Cigna — HMO/Network/Open Access Plus: $9.56 Cigna — IFP/LocalPlus: $9.56
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$124	$37.20	$63.36 – $124
Basic metabolic panel (blood test): rates for 3 insurance plans Aetna — Commercial: $79.61 Aetna — New Business Discount - Commercial: $63.36 Home State Health Plan — MO HealthNet Medicaid: $124
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE	$180	$54	$7.38 – $180
Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates Aetna — Commercial: $115.56 Aetna — New Business Discount - Commercial: $91.98 Aetna — VHAN - Employee Networks: $97.02 Aetna — Whole Health: $88.02 Blue Cross Blue Shield of Tennessee — BlueCare: $10.88 Blue Cross Blue Shield of Tennessee — Network P: $32.74 Blue Cross Blue Shield of Tennessee — Network S/E: $21.12 Celtic Insurance Company — Commercial-Exchange: $16.37 Cigna — HMO/Network/Open Access Plus: $11.93 Cigna — IFP/LocalPlus: $11.93
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE	$180	$54	$91.98 – $180
Comprehensive metabolic panel (blood test): rates for 3 insurance plans Aetna — Commercial: $115.56 Aetna — New Business Discount - Commercial: $91.98 Home State Health Plan — MO HealthNet Medicaid: $180
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL - BUNDLED CHARGE	$136	$40.80	$9.36 – $136
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates Aetna — Commercial: $87.31 Aetna — New Business Discount - Commercial: $69.50 Aetna — VHAN - Employee Networks: $73.30 Aetna — Whole Health: $66.50 Blue Cross Blue Shield of Tennessee — BlueCare: $13.79 Blue Cross Blue Shield of Tennessee — Network P: $41.51 Blue Cross Blue Shield of Tennessee — Network S/E: $26.78 Celtic Insurance Company — Commercial-Exchange: $20.75 Cigna — HMO/Network/Open Access Plus: $15.13 Cigna — IFP/LocalPlus: $15.13
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL - BUNDLED CHARGE	$136	$40.80	$69.50 – $136
Cholesterol panel (lipid panel): rates for 3 insurance plans Aetna — Commercial: $87.31 Aetna — New Business Discount - Commercial: $69.50 Home State Health Plan — MO HealthNet Medicaid: $136
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$134	$40.20	$6.07 – $134
Kidney function panel: 10 of 14 insurance plan rates Aetna — Commercial: $86.03 Aetna — New Business Discount - Commercial: $68.47 Aetna — VHAN - Employee Networks: $72.23 Aetna — Whole Health: $65.53 Blue Cross Blue Shield of Tennessee — BlueCare: $8.94 Blue Cross Blue Shield of Tennessee — Network P: $26.91 Blue Cross Blue Shield of Tennessee — Network S/E: $17.36 Celtic Insurance Company — Commercial-Exchange: $13.45 Cigna — HMO/Network/Open Access Plus: $9.81 Cigna — IFP/LocalPlus: $9.81
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$134	$40.20	$68.47 – $134
Kidney function panel: rates for 3 insurance plans Aetna — Commercial: $86.03 Aetna — New Business Discount - Commercial: $68.47 Home State Health Plan — MO HealthNet Medicaid: $134
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$127	$38.10	$5.71 – $127
Liver function panel: 10 of 14 insurance plan rates Aetna — Commercial: $81.53 Aetna — New Business Discount - Commercial: $64.90 Aetna — VHAN - Employee Networks: $68.45 Aetna — Whole Health: $62.10 Blue Cross Blue Shield of Tennessee — BlueCare: $8.42 Blue Cross Blue Shield of Tennessee — Network P: $25.33 Blue Cross Blue Shield of Tennessee — Network S/E: $16.34 Celtic Insurance Company — Commercial-Exchange: $12.66 Cigna — HMO/Network/Open Access Plus: $9.23 Cigna — IFP/LocalPlus: $9.23
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$127	$38.10	$64.90 – $127
Liver function panel: rates for 3 insurance plans Aetna — Commercial: $81.53 Aetna — New Business Discount - Commercial: $64.90 Home State Health Plan — MO HealthNet Medicaid: $127
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC	$102	$30.60	$2.21 – $102
Urine test (automated, with microscope): 10 of 14 insurance plan rates Aetna — Commercial: $65.48 Aetna — New Business Discount - Commercial: $52.12 Aetna — VHAN - Employee Networks: $54.98 Aetna — Whole Health: $49.88 Blue Cross Blue Shield of Tennessee — BlueCare: $3.27 Blue Cross Blue Shield of Tennessee — Network P: $9.83 Blue Cross Blue Shield of Tennessee — Network S/E: $6.34 Celtic Insurance Company — Commercial-Exchange: $4.91 Cigna — HMO/Network/Open Access Plus: $3.58 Cigna — IFP/LocalPlus: $3.58
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC	$102	$30.60	$52.12 – $102
Urine test (automated, with microscope): rates for 3 insurance plans Aetna — Commercial: $65.48 Aetna — New Business Discount - Commercial: $52.12 Home State Health Plan — MO HealthNet Medicaid: $102
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY	$36	$10.80	$1.57 – $36
Urine test (automated, without microscope): 10 of 14 insurance plan rates Aetna — Commercial: $23.11 Aetna — New Business Discount - Commercial: $18.40 Aetna — VHAN - Employee Networks: $19.40 Aetna — Whole Health: $17.60 Blue Cross Blue Shield of Tennessee — BlueCare: $2.32 Blue Cross Blue Shield of Tennessee — Network P: $6.97 Blue Cross Blue Shield of Tennessee — Network S/E: $4.50 Celtic Insurance Company — Commercial-Exchange: $3.49 Cigna — HMO/Network/Open Access Plus: $2.54 Cigna — IFP/LocalPlus: $2.54
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY	$36	$10.80	$18.40 – $36
Urine test (automated, without microscope): rates for 3 insurance plans Aetna — Commercial: $23.11 Aetna — New Business Discount - Commercial: $18.40 Home State Health Plan — MO HealthNet Medicaid: $36
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA	$160	$48	$12.85 – $160
PSA (prostate specific antigen) blood test: 10 of 14 insurance plan rates Aetna — Commercial: $102.72 Aetna — New Business Discount - Commercial: $81.76 Aetna — VHAN - Employee Networks: $86.24 Aetna — Whole Health: $78.24 Blue Cross Blue Shield of Tennessee — BlueCare: $18.94 Blue Cross Blue Shield of Tennessee — Network P: $57.01 Blue Cross Blue Shield of Tennessee — Network S/E: $36.78 Celtic Insurance Company — Commercial-Exchange: $28.50 Cigna — HMO/Network/Open Access Plus: $20.78 Cigna — IFP/LocalPlus: $20.78
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE	$160	$48	$12.85 – $160
PSA (prostate specific antigen) blood test: 10 of 14 insurance plan rates Aetna — Commercial: $102.72 Aetna — New Business Discount - Commercial: $81.76 Aetna — VHAN - Employee Networks: $86.24 Aetna — Whole Health: $78.24 Blue Cross Blue Shield of Tennessee — BlueCare: $18.94 Blue Cross Blue Shield of Tennessee — Network P: $57.01 Blue Cross Blue Shield of Tennessee — Network S/E: $36.78 Celtic Insurance Company — Commercial-Exchange: $28.50 Cigna — HMO/Network/Open Access Plus: $20.78 Cigna — IFP/LocalPlus: $20.78
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA	$160	$48	$81.76 – $160
PSA (prostate specific antigen) blood test: rates for 3 insurance plans Aetna — Commercial: $102.72 Aetna — New Business Discount - Commercial: $81.76 Home State Health Plan — MO HealthNet Medicaid: $160
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$104	$31.20	$11.73 – $104
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates Aetna — Commercial: $66.77 Aetna — New Business Discount - Commercial: $53.14 Aetna — VHAN - Employee Networks: $56.06 Aetna — Whole Health: $50.86 Blue Cross Blue Shield of Tennessee — BlueCare: $17.30 Blue Cross Blue Shield of Tennessee — Network P: $52.08 Blue Cross Blue Shield of Tennessee — Network S/E: $33.60 Celtic Insurance Company — Commercial-Exchange: $26.04 Cigna — HMO/Network/Open Access Plus: $18.98 Cigna — IFP/LocalPlus: $18.98
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$104	$31.20	$53.14 – $104
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans Aetna — Commercial: $66.77 Aetna — New Business Discount - Commercial: $53.14 Home State Health Plan — MO HealthNet Medicaid: $104
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$183	$54.90	$5.43 – $183
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates Aetna — Commercial: $117.49 Aetna — New Business Discount - Commercial: $93.51 Aetna — VHAN - Employee Networks: $98.64 Aetna — Whole Health: $89.49 Blue Cross Blue Shield of Tennessee — BlueCare: $8 Blue Cross Blue Shield of Tennessee — Network P: $24.09 Blue Cross Blue Shield of Tennessee — Network S/E: $15.54 Celtic Insurance Company — Commercial-Exchange: $12.04 Cigna — HMO/Network/Open Access Plus: $8.78 Cigna — IFP/LocalPlus: $8.78
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$183	$54.90	$93.51 – $183
Complete blood count (CBC) with differential: rates for 3 insurance plans Aetna — Commercial: $117.49 Aetna — New Business Discount - Commercial: $93.51 Home State Health Plan — MO HealthNet Medicaid: $183
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - CBC	$70	$21	$4.52 – $70
Complete blood count (CBC), automated: 10 of 14 insurance plan rates Aetna — Commercial: $44.94 Aetna — New Business Discount - Commercial: $35.77 Aetna — VHAN - Employee Networks: $37.73 Aetna — Whole Health: $34.23 Blue Cross Blue Shield of Tennessee — BlueCare: $6.66 Blue Cross Blue Shield of Tennessee — Network P: $20.06 Blue Cross Blue Shield of Tennessee — Network S/E: $12.94 Celtic Insurance Company — Commercial-Exchange: $10.03 Cigna — HMO/Network/Open Access Plus: $7.31 Cigna — IFP/LocalPlus: $7.31
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - CBC	$70	$21	$35.77 – $70
Complete blood count (CBC), automated: rates for 3 insurance plans Aetna — Commercial: $44.94 Aetna — New Business Discount - Commercial: $35.77 Home State Health Plan — MO HealthNet Medicaid: $70
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME - PROTIME-INR	$50	$15	$2.75 – $50
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates Aetna — Commercial: $32.10 Aetna — New Business Discount - Commercial: $25.55 Aetna — VHAN - Employee Networks: $26.95 Aetna — Whole Health: $24.45 Blue Cross Blue Shield of Tennessee — BlueCare: $4.42 Blue Cross Blue Shield of Tennessee — Network P: $13.30 Blue Cross Blue Shield of Tennessee — Network S/E: $8.58 Celtic Insurance Company — Commercial-Exchange: $6.65 Cigna — HMO/Network/Open Access Plus: $4.85 Cigna — IFP/LocalPlus: $4.85
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME - PROTIME-INR	$50	$15	$25.55 – $50
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans Aetna — Commercial: $32.10 Aetna — New Business Discount - Commercial: $25.55 Home State Health Plan — MO HealthNet Medicaid: $50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - APTT	$65	$19.50	$4.19 – $65
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates Aetna — Commercial: $41.73 Aetna — New Business Discount - Commercial: $33.22 Aetna — VHAN - Employee Networks: $35.03 Aetna — Whole Health: $31.79 Blue Cross Blue Shield of Tennessee — BlueCare: $6.19 Blue Cross Blue Shield of Tennessee — Network P: $18.63 Blue Cross Blue Shield of Tennessee — Network S/E: $12.02 Celtic Insurance Company — Commercial-Exchange: $9.32 Cigna — HMO/Network/Open Access Plus: $6.79 Cigna — IFP/LocalPlus: $6.79
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - PTT CRRT SYSTEM	$65	$19.50	$4.19 – $65
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates Aetna — Commercial: $41.73 Aetna — New Business Discount - Commercial: $33.22 Aetna — VHAN - Employee Networks: $35.03 Aetna — Whole Health: $31.79 Blue Cross Blue Shield of Tennessee — BlueCare: $6.19 Blue Cross Blue Shield of Tennessee — Network P: $18.63 Blue Cross Blue Shield of Tennessee — Network S/E: $12.02 Celtic Insurance Company — Commercial-Exchange: $9.32 Cigna — HMO/Network/Open Access Plus: $6.79 Cigna — IFP/LocalPlus: $6.79
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - APTT	$65	$19.50	$33.22 – $65
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans Aetna — Commercial: $41.73 Aetna — New Business Discount - Commercial: $33.22 Home State Health Plan — MO HealthNet Medicaid: $65

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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$395	$118.50	$94.85 – $650
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates Aetna — Commercial: $253.59 Aetna — New Business Discount - Commercial: $201.84 Aetna — VHAN - Employee Networks: $312 Aetna — Whole Health: $193.16 Blue Cross Blue Shield of Tennessee — BlueCare: $97.70 Blue Cross Blue Shield of Tennessee — Network P: $121.24 Blue Cross Blue Shield of Tennessee — Network S/E: $121.24 Celtic Insurance Company — Commercial-Exchange: $147.02 Cigna — HMO/Network/Open Access Plus: $107.18 Cigna — IFP/LocalPlus: $107.18
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$395	$118.50	$201.84 – $395
CT scan of the head or brain, without contrast: rates for 3 insurance plans Aetna — Commercial: $253.59 Aetna — New Business Discount - Commercial: $201.84 Home State Health Plan — MO HealthNet Medicaid: $395
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST	$1,136	$340.80	$262.62 – $1,136
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates Aetna — Commercial: $729.31 Aetna — New Business Discount - Commercial: $580.50 Aetna — VHAN - Employee Networks: $312 Aetna — Whole Health: $555.50 Blue Cross Blue Shield of Tennessee — BlueCare: $326.02 Blue Cross Blue Shield of Tennessee — Network P: $387.16 Blue Cross Blue Shield of Tennessee — Network S/E: $387.16 Celtic Insurance Company — Commercial-Exchange: $490.61 Cigna — HMO/Network/Open Access Plus: $357.67 Cigna — IFP/LocalPlus: $357.67
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST	$1,136	$340.80	$580.50 – $1,136
MRI of the brain, before and after contrast: rates for 3 insurance plans Aetna — Commercial: $729.31 Aetna — New Business Discount - Commercial: $580.50 Home State Health Plan — MO HealthNet Medicaid: $1,136
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS	$501	$150.30	$31.06 – $501
Chest X-ray, 2 views: 10 of 14 insurance plan rates Aetna — Commercial: $321.64 Aetna — New Business Discount - Commercial: $256.01 Aetna — VHAN - Employee Networks: $312 Aetna — Whole Health: $244.99 Blue Cross Blue Shield of Tennessee — BlueCare: $81.33 Blue Cross Blue Shield of Tennessee — Network P: $63.30 Blue Cross Blue Shield of Tennessee — Network S/E: $40.84 Celtic Insurance Company — Commercial-Exchange: $122.39 Cigna — HMO/Network/Open Access Plus: $89.22 Cigna — IFP/LocalPlus: $89.22
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS	$501	$150.30	$256.01 – $501
Chest X-ray, 2 views: rates for 3 insurance plans Aetna — Commercial: $321.64 Aetna — New Business Discount - Commercial: $256.01 Home State Health Plan — MO HealthNet Medicaid: $501
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$905	$271.50	$36.84 – $905
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates Aetna — Commercial: $581.01 Aetna — New Business Discount - Commercial: $462.45 Aetna — VHAN - Employee Networks: $312 Aetna — Whole Health: $442.55 Blue Cross Blue Shield of Tennessee — BlueCare: $97.70 Blue Cross Blue Shield of Tennessee — Network P: $107.88 Blue Cross Blue Shield of Tennessee — Network S/E: $69.60 Celtic Insurance Company — Commercial-Exchange: $147.02 Cigna — HMO/Network/Open Access Plus: $107.18 Cigna — IFP/LocalPlus: $107.18
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$905	$271.50	$462.45 – $905
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Aetna — Commercial: $581.01 Aetna — New Business Discount - Commercial: $462.45 Home State Health Plan — MO HealthNet Medicaid: $905
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$718	$215.40	$171.76 – $718
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates Aetna — Commercial: $460.96 Aetna — New Business Discount - Commercial: $366.90 Aetna — VHAN - Employee Networks: $312 Aetna — Whole Health: $351.10 Blue Cross Blue Shield of Tennessee — BlueCare: $222.97 Blue Cross Blue Shield of Tennessee — Network P: $223.10 Blue Cross Blue Shield of Tennessee — Network S/E: $223.10 Celtic Insurance Company — Commercial-Exchange: $335.54 Cigna — HMO/Network/Open Access Plus: $244.62 Cigna — IFP/LocalPlus: $244.62
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$718	$215.40	$366.90 – $718
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans Aetna — Commercial: $460.96 Aetna — New Business Discount - Commercial: $366.90 Home State Health Plan — MO HealthNet Medicaid: $718
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$510	$153	$138.74 – $650
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates Aetna — Commercial: $327.42 Aetna — New Business Discount - Commercial: $260.61 Aetna — VHAN - Employee Networks: $312 Aetna — Whole Health: $249.39 Blue Cross Blue Shield of Tennessee — BlueCare: $163.91 Blue Cross Blue Shield of Tennessee — Network P: $317.58 Blue Cross Blue Shield of Tennessee — Network S/E: $317.58 Celtic Insurance Company — Commercial-Exchange: $246.67 Cigna — HMO/Network/Open Access Plus: $179.83 Cigna — IFP/LocalPlus: $179.83
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$510	$153	$260.61 – $510
CT scan of the pelvis, with contrast: rates for 3 insurance plans Aetna — Commercial: $327.42 Aetna — New Business Discount - Commercial: $260.61 Home State Health Plan — MO HealthNet Medicaid: $510
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT WO IV CONT	$622	$186.60	$171.76 – $650
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates Aetna — Commercial: $399.32 Aetna — New Business Discount - Commercial: $317.84 Aetna — VHAN - Employee Networks: $312 Aetna — Whole Health: $304.16 Blue Cross Blue Shield of Tennessee — BlueCare: $222.97 Blue Cross Blue Shield of Tennessee — Network P: $254.20 Blue Cross Blue Shield of Tennessee — Network S/E: $254.20 Celtic Insurance Company — Commercial-Exchange: $335.54 Cigna — HMO/Network/Open Access Plus: $244.62 Cigna — IFP/LocalPlus: $244.62
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT WO IV CONT	$622	$186.60	$317.84 – $622
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans Aetna — Commercial: $399.32 Aetna — New Business Discount - Commercial: $317.84 Home State Health Plan — MO HealthNet Medicaid: $622
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT WO IV CONT	$1,244	$373.20	$171.76 – $1,244
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates Aetna — Commercial: $798.65 Aetna — New Business Discount - Commercial: $635.68 Aetna — VHAN - Employee Networks: $312 Aetna — Whole Health: $608.32 Blue Cross Blue Shield of Tennessee — Network P: $254.20 Blue Cross Blue Shield of Tennessee — Network S/E: $254.20 Cigna — HMO/Network/Open Access Plus: $951.66 Cigna — IFP/LocalPlus: $951.66 Home State Health Plan — MO HealthNet Medicaid: $1,244 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $650
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$670	$201	$149.91 – $670
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates Aetna — Commercial: $430.14 Aetna — New Business Discount - Commercial: $342.37 Aetna — VHAN - Employee Networks: $312 Aetna — Whole Health: $327.63 Blue Cross Blue Shield of Tennessee — BlueCare: $326.02 Blue Cross Blue Shield of Tennessee — Network P: $397.96 Blue Cross Blue Shield of Tennessee — Network S/E: $397.96 Celtic Insurance Company — Commercial-Exchange: $490.61 Cigna — HMO/Network/Open Access Plus: $357.67 Cigna — IFP/LocalPlus: $357.67
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$670	$201	$342.37 – $670
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans Aetna — Commercial: $430.14 Aetna — New Business Discount - Commercial: $342.37 Home State Health Plan — MO HealthNet Medicaid: $670
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE	$1,421	$426.30	$48.07 – $1,421
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates Aetna — Commercial: $912.28 Aetna — New Business Discount - Commercial: $726.13 Aetna — VHAN - Employee Networks: $312 Aetna — Whole Health: $694.87 Blue Cross Blue Shield of Tennessee — BlueCare: $97.70 Blue Cross Blue Shield of Tennessee — Network P: $213.93 Blue Cross Blue Shield of Tennessee — Network S/E: $138.02 Celtic Insurance Company — Commercial-Exchange: $147.02 Cigna — HMO/Network/Open Access Plus: $107.18 Cigna — IFP/LocalPlus: $107.18
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE	$1,421	$426.30	$726.13 – $1,421
Ultrasound of the abdomen, complete: rates for 3 insurance plans Aetna — Commercial: $912.28 Aetna — New Business Discount - Commercial: $726.13 Home State Health Plan — MO HealthNet Medicaid: $1,421
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$772	$231.60	$48.07 – $772
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates Aetna — Commercial: $495.62 Aetna — New Business Discount - Commercial: $394.49 Aetna — VHAN - Employee Networks: $312 Aetna — Whole Health: $377.51 Blue Cross Blue Shield of Tennessee — BlueCare: $97.70 Blue Cross Blue Shield of Tennessee — Network P: $242.11 Blue Cross Blue Shield of Tennessee — Network S/E: $156.20 Celtic Insurance Company — Commercial-Exchange: $147.02 Cigna — HMO/Network/Open Access Plus: $107.18 Cigna — IFP/LocalPlus: $107.18
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$772	$231.60	$394.49 – $772
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans Aetna — Commercial: $495.62 Aetna — New Business Discount - Commercial: $394.49 Home State Health Plan — MO HealthNet Medicaid: $772
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ECHOGRAPHY,TRANSVAGINAL	$1,024	$307.20	$48.07 – $1,024
Transvaginal ultrasound: 10 of 14 insurance plan rates Aetna — Commercial: $657.41 Aetna — New Business Discount - Commercial: $523.26 Aetna — VHAN - Employee Networks: $312 Aetna — Whole Health: $500.74 Blue Cross Blue Shield of Tennessee — BlueCare: $97.70 Blue Cross Blue Shield of Tennessee — Network P: $236.65 Blue Cross Blue Shield of Tennessee — Network S/E: $152.68 Celtic Insurance Company — Commercial-Exchange: $147.02 Cigna — HMO/Network/Open Access Plus: $107.18 Cigna — IFP/LocalPlus: $107.18
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ECHOGRAPHY,TRANSVAGINAL	$1,024	$307.20	$523.26 – $1,024
Transvaginal ultrasound: rates for 3 insurance plans Aetna — Commercial: $657.41 Aetna — New Business Discount - Commercial: $523.26 Home State Health Plan — MO HealthNet Medicaid: $1,024
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC	$241	$72.30	$48.06 – $241
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates Aetna — Commercial: $154.72 Aetna — New Business Discount - Commercial: $123.15 Aetna — VHAN - Employee Networks: $185 Aetna — Whole Health: $117.85 Blue Cross Blue Shield of Tennessee — Network P: $237.93 Blue Cross Blue Shield of Tennessee — Network S/E: $153.50 Cigna — HMO/Network/Open Access Plus: $114.30 Cigna — IFP/LocalPlus: $114.30 Home State Health Plan — MO HealthNet Medicaid: $241 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $96.40
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC	$241	$72.30	$123.15 – $241
Diagnostic mammogram, one breast: rates for 3 insurance plans Aetna — Commercial: $154.72 Aetna — New Business Discount - Commercial: $123.15 Home State Health Plan — MO HealthNet Medicaid: $241
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$671	$201.30	$61.38 – $671
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates Aetna — Commercial: $430.78 Aetna — New Business Discount - Commercial: $342.88 Aetna — VHAN - Employee Networks: $185 Aetna — Whole Health: $328.12 Blue Cross Blue Shield of Tennessee — Network P: $304.88 Blue Cross Blue Shield of Tennessee — Network S/E: $196.70 Cigna — HMO/Network/Open Access Plus: $144.68 Cigna — IFP/LocalPlus: $144.68 Home State Health Plan — MO HealthNet Medicaid: $671 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $268.40
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$671	$201.30	$342.88 – $671
Diagnostic mammogram, both breasts: rates for 3 insurance plans Aetna — Commercial: $430.78 Aetna — New Business Discount - Commercial: $342.88 Home State Health Plan — MO HealthNet Medicaid: $671
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL	$525	$157.50	$50.76 – $525
Screening mammogram, both breasts: 10 of 11 insurance plan rates Aetna — Commercial: $337.05 Aetna — New Business Discount - Commercial: $268.27 Aetna — VHAN - Employee Networks: $312 Aetna — Whole Health: $256.73 Blue Cross Blue Shield of Tennessee — Network P: $251.56 Blue Cross Blue Shield of Tennessee — Network S/E: $162.30 Cigna — HMO/Network/Open Access Plus: $116.39 Cigna — IFP/LocalPlus: $116.39 Home State Health Plan — MO HealthNet Medicaid: $525 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $210
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING UNILATERAL	$255	$76.50	$50.76 – $312
Screening mammogram, both breasts: 10 of 11 insurance plan rates Aetna — Commercial: $163.71 Aetna — New Business Discount - Commercial: $130.31 Aetna — VHAN - Employee Networks: $312 Aetna — Whole Health: $124.69 Blue Cross Blue Shield of Tennessee — Network P: $251.56 Blue Cross Blue Shield of Tennessee — Network S/E: $162.30 Cigna — HMO/Network/Open Access Plus: $116.39 Cigna — IFP/LocalPlus: $116.39 Home State Health Plan — MO HealthNet Medicaid: $255 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $102
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL	$525	$157.50	$268.27 – $525
Screening mammogram, both breasts: rates for 3 insurance plans Aetna — Commercial: $337.05 Aetna — New Business Discount - Commercial: $268.27 Home State Health Plan — MO HealthNet Medicaid: $525

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$10,781	$3,234.30	$1,651 – $10,781
Left heart catheterization (diagnostic): 10 of 14 insurance plan rates Aetna — VHAN - Employee Networks: $5,810.96 Blue Cross Blue Shield of Tennessee — BlueCare: $3,029.56 Blue Cross Blue Shield of Tennessee — Network P: $5,657 Blue Cross Blue Shield of Tennessee — Network S/E: $4,099 Celtic Insurance Company — Commercial-Exchange: $4,559.05 Cigna — HMO/Network/Open Access Plus: $3,323.69 Cigna — IFP/LocalPlus: $3,323.69 Home State Health Plan — MO HealthNet Medicaid: $10,781 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $8,670 River Valley Plan — TennCare: $1,651
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$10,781	$3,234.30	$5,509.09 – $10,781
Left heart catheterization (diagnostic): rates for 3 insurance plans Aetna — Commercial: $6,921.40 Aetna — New Business Discount - Commercial: $5,509.09 Home State Health Plan — MO HealthNet Medicaid: $10,781
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$8,948	$2,684.40	$842.74 – $11,761.56
Heart rhythm study (electrophysiology evaluation): 10 of 14 insurance plan rates Aetna — Commercial: $5,744.62 Aetna — New Business Discount - Commercial: $4,572.43 Aetna — VHAN - Employee Networks: $4,822.97 Aetna — Whole Health: $4,375.57 Blue Cross Blue Shield of Tennessee — BlueCare: $7,288.73 Blue Cross Blue Shield of Tennessee — Network P: $1,053.43 Blue Cross Blue Shield of Tennessee — Network S/E: $842.74 Celtic Insurance Company — Commercial-Exchange: $10,968.48 Cigna — HMO/Network/Open Access Plus: $7,996.38 Cigna — IFP/LocalPlus: $7,996.38
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$8,948	$2,684.40	$4,572.43 – $8,948
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans Aetna — Commercial: $5,744.62 Aetna — New Business Discount - Commercial: $4,572.43 Home State Health Plan — MO HealthNet Medicaid: $8,948
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP W AF ABLATION	$56,887	$17,066.10	$7,181.12 – $56,887
Heart rhythm study with ablation for atrial fibrillation: 10 of 14 insurance plan rates Aetna — Commercial: $36,521.45 Aetna — New Business Discount - Commercial: $29,069.26 Aetna — VHAN - Employee Networks: $30,662.09 Aetna — Whole Health: $27,817.74 Blue Cross Blue Shield of Tennessee — BlueCare: $24,425.64 Blue Cross Blue Shield of Tennessee — Network P: $18,450 Blue Cross Blue Shield of Tennessee — Network S/E: $14,569 Celtic Insurance Company — Commercial-Exchange: $36,757.03 Cigna — HMO/Network/Open Access Plus: $26,797.06 Cigna — IFP/LocalPlus: $26,797.06
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP W AF ABLATION	$56,887	$17,066.10	$29,069.26 – $56,887
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans Aetna — Commercial: $36,521.45 Aetna — New Business Discount - Commercial: $29,069.26 Home State Health Plan — MO HealthNet Medicaid: $56,887
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$6,844	$2,053.20	$359.31 – $6,844
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates Aetna — Commercial: $4,393.85 Aetna — New Business Discount - Commercial: $3,497.28 Aetna — VHAN - Employee Networks: $3,688.92 Aetna — Whole Health: $3,346.72 Blue Cross Blue Shield of Tennessee — BlueCare: $802.48 Blue Cross Blue Shield of Tennessee — Network P: $1,559.91 Blue Cross Blue Shield of Tennessee — Network S/E: $1,247.93 Celtic Insurance Company — Commercial-Exchange: $1,207.62 Cigna — HMO/Network/Open Access Plus: $880.39 Cigna — IFP/LocalPlus: $880.39
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$6,844	$2,053.20	$3,497.28 – $6,844
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans Aetna — Commercial: $4,393.85 Aetna — New Business Discount - Commercial: $3,497.28 Home State Health Plan — MO HealthNet Medicaid: $6,844

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: HC PT THERAPEUTIC EXERCISES	$123	$36.90	$60.15 – $177
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates Aetna — Commercial: $78.97 Aetna — New Business Discount - Commercial: $62.85 Aetna — VHAN - Employee Networks: $66.30 Aetna — Whole Health: $60.15 Blue Cross Blue Shield of Tennessee — Network P: $95.34 Blue Cross Blue Shield of Tennessee — Network S/E: $76.27 Cigna — HMO/Network/Open Access Plus: $110 Cigna — IFP/LocalPlus: $110 Home State Health Plan — MO HealthNet Medicaid: $123 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $177
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EXERCISES	$123	$36.90	$60.15 – $177
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates Aetna — Commercial: $78.97 Aetna — New Business Discount - Commercial: $62.85 Aetna — VHAN - Employee Networks: $66.30 Aetna — Whole Health: $60.15 Blue Cross Blue Shield of Tennessee — Network P: $95.34 Blue Cross Blue Shield of Tennessee — Network S/E: $76.27 Cigna — HMO/Network/Open Access Plus: $110 Cigna — IFP/LocalPlus: $110 Home State Health Plan — MO HealthNet Medicaid: $123 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $177
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISES	$123	$36.90	$62.85 – $123
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans Aetna — Commercial: $78.97 Aetna — New Business Discount - Commercial: $62.85 Home State Health Plan — MO HealthNet Medicaid: $123
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$266	$79.80	$69 – $325.81
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates Aetna — Commercial: $170.77 Aetna — New Business Discount - Commercial: $135.93 Aetna — VHAN - Employee Networks: $143.37 Aetna — Whole Health: $130.07 Blue Cross Blue Shield of Tennessee — Network P: $325.81 Blue Cross Blue Shield of Tennessee — Network S/E: $260.65 Cigna — HMO/Network/Open Access Plus: $110 Cigna — IFP/LocalPlus: $110 Home State Health Plan — MO HealthNet Medicaid: $266 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $177
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$266	$79.80	$135.93 – $266
Physical therapy evaluation (low complexity): rates for 3 insurance plans Aetna — Commercial: $170.77 Aetna — New Business Discount - Commercial: $135.93 Home State Health Plan — MO HealthNet Medicaid: $266
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$293	$87.90	$69 – $325.81
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates Aetna — Commercial: $188.11 Aetna — New Business Discount - Commercial: $149.72 Aetna — VHAN - Employee Networks: $157.93 Aetna — Whole Health: $143.28 Blue Cross Blue Shield of Tennessee — Network P: $325.81 Blue Cross Blue Shield of Tennessee — Network S/E: $260.65 Cigna — HMO/Network/Open Access Plus: $110 Cigna — IFP/LocalPlus: $110 Home State Health Plan — MO HealthNet Medicaid: $293 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $177
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$293	$87.90	$149.72 – $293
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans Aetna — Commercial: $188.11 Aetna — New Business Discount - Commercial: $149.72 Home State Health Plan — MO HealthNet Medicaid: $293
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$318	$95.40	$69 – $325.81
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates Aetna — Commercial: $204.16 Aetna — New Business Discount - Commercial: $162.50 Aetna — VHAN - Employee Networks: $171.40 Aetna — Whole Health: $155.50 Blue Cross Blue Shield of Tennessee — Network P: $325.81 Blue Cross Blue Shield of Tennessee — Network S/E: $260.65 Cigna — HMO/Network/Open Access Plus: $110 Cigna — IFP/LocalPlus: $110 Home State Health Plan — MO HealthNet Medicaid: $318 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $177
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$318	$95.40	$162.50 – $318
Physical therapy evaluation (high complexity): rates for 3 insurance plans Aetna — Commercial: $204.16 Aetna — New Business Discount - Commercial: $162.50 Home State Health Plan — MO HealthNet Medicaid: $318

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: HC EXCISE BREAST CYST	$8,318	$2,495.40	$1,247 – $8,318
Removal of breast growth (open surgery): 10 of 14 insurance plan rates Aetna — VHAN - Employee Networks: $4,483.40 Blue Cross Blue Shield of Tennessee — BlueCare: $3,658.94 Blue Cross Blue Shield of Tennessee — Network P: $5,878 Blue Cross Blue Shield of Tennessee — Network S/E: $5,878 Celtic Insurance Company — Commercial-Exchange: $5,506.17 Cigna — HMO/Network/Open Access Plus: $4,014.18 Cigna — IFP/LocalPlus: $4,014.18 Home State Health Plan — MO HealthNet Medicaid: $8,318 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $5,935.38 River Valley Plan — TennCare: $1,247
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EXCISE BREAST CYST	$8,318	$2,495.40	$4,250.50 – $8,318
Removal of breast growth (open surgery): rates for 3 insurance plans Aetna — Commercial: $5,340.16 Aetna — New Business Discount - Commercial: $4,250.50 Home State Health Plan — MO HealthNet Medicaid: $8,318
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$2,992	$897.60	$640.43 – $2,992
Spinal injection, lower back (epidural), with imaging guidance: 10 of 14 insurance plan rates Aetna — VHAN - Employee Networks: $1,612.69 Blue Cross Blue Shield of Tennessee — BlueCare: $659.64 Blue Cross Blue Shield of Tennessee — Network P: $1,573 Blue Cross Blue Shield of Tennessee — Network S/E: $1,573 Celtic Insurance Company — Commercial-Exchange: $992.67 Cigna — HMO/Network/Open Access Plus: $723.69 Cigna — IFP/LocalPlus: $723.69 Home State Health Plan — MO HealthNet Medicaid: $2,992 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $1,073.41 River Valley Plan — TennCare: $676
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$2,992	$897.60	$1,528.91 – $2,992
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans Aetna — Commercial: $1,920.86 Aetna — New Business Discount - Commercial: $1,528.91 Home State Health Plan — MO HealthNet Medicaid: $2,992
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$4,487	$1,346.10	$676 – $4,487
Spinal injection, lower back (epidural), with imaging guidance: 10 of 11 insurance plan rates Aetna — VHAN - Employee Networks: $2,418.49 Blue Cross Blue Shield of Tennessee — Network P: $1,573 Blue Cross Blue Shield of Tennessee — Network S/E: $1,573 Cigna — HMO/Network/Open Access Plus: $3,432.55 Cigna — IFP/LocalPlus: $3,432.55 Home State Health Plan — MO HealthNet Medicaid: $4,487 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $1,073.41 River Valley Plan — TennCare: $676 Aetna — Commercial: 64.2% (a percentage in the contract, not a dollar amount) Aetna — New Business Discount - Commercial: 51.1% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$2,458	$737.40	$676 – $2,458
Nerve root injection, lower back, with imaging guidance: 10 of 14 insurance plan rates Aetna — VHAN - Employee Networks: $1,324.86 Blue Cross Blue Shield of Tennessee — BlueCare: $826.53 Blue Cross Blue Shield of Tennessee — Network P: $1,573 Blue Cross Blue Shield of Tennessee — Network S/E: $1,573 Celtic Insurance Company — Commercial-Exchange: $1,243.81 Cigna — HMO/Network/Open Access Plus: $906.78 Cigna — IFP/LocalPlus: $906.78 Home State Health Plan — MO HealthNet Medicaid: $2,458 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $1,379.95 River Valley Plan — TennCare: $676
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$2,458	$737.40	$1,256.04 – $2,458
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans Aetna — Commercial: $1,578.04 Aetna — New Business Discount - Commercial: $1,256.04 Home State Health Plan — MO HealthNet Medicaid: $2,458
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$3,775	$1,132.50	$676 – $3,775
Nerve root injection, lower back, with imaging guidance: 10 of 11 insurance plan rates Aetna — VHAN - Employee Networks: $2,034.72 Blue Cross Blue Shield of Tennessee — Network P: $1,573 Blue Cross Blue Shield of Tennessee — Network S/E: $1,573 Cigna — HMO/Network/Open Access Plus: $2,887.88 Cigna — IFP/LocalPlus: $2,887.88 Home State Health Plan — MO HealthNet Medicaid: $3,775 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $1,379.95 River Valley Plan — TennCare: $676 Aetna — Commercial: 64.2% (a percentage in the contract, not a dollar amount) Aetna — New Business Discount - Commercial: 51.1% (a percentage in the contract, not a dollar amount)

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	$10,164.33 – $143,562
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 11 insurance plan rates Aetna — VHAN - Employee Networks: $110,790.21 Aetna — Whole Health: $110,790.21 Blue Cross Blue Shield of Tennessee — BlueCare: $67,414.57 Blue Cross Blue Shield of Tennessee — Network P: $139,750.86 Blue Cross Blue Shield of Tennessee — Network S/E: $126,613.57 Celtic Insurance Company — Commercial-Exchange: $101,449.11 Cigna — HMO/Network/Open Access Plus: $143,562 Cigna — IFP/LocalPlus: $127,216.80 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $112,903.29 River Valley Plan — TennCare: $10,164.33
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	$2,004.13 – $38,000.05
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates Aetna — VHAN - Employee Networks: $21,844.79 Aetna — Whole Health: $21,844.79 Blue Cross Blue Shield of Tennessee — BlueCare: $14,193.33 Blue Cross Blue Shield of Tennessee — Network P: $38,000.05 Blue Cross Blue Shield of Tennessee — Network S/E: $34,427.85 Celtic Insurance Company — Commercial-Exchange: $21,358.89 Cigna — HMO/Network/Open Access Plus: $28,306.49 Cigna — IFP/LocalPlus: $25,083.67 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $22,261.43 River Valley Plan — TennCare: $2,004.13
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	$2,536.51 – $35,825.93
Neck (cervical) spinal fusion, without complications: 10 of 11 insurance plan rates Aetna — VHAN - Employee Networks: $27,647.72 Aetna — Whole Health: $27,647.72 Blue Cross Blue Shield of Tennessee — BlueCare: $17,665.56 Blue Cross Blue Shield of Tennessee — Network P: $34,709.97 Blue Cross Blue Shield of Tennessee — Network S/E: $31,447.05 Celtic Insurance Company — Commercial-Exchange: $26,584.10 Cigna — HMO/Network/Open Access Plus: $35,825.93 Cigna — IFP/LocalPlus: $31,746.98 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $28,175.04 River Valley Plan — TennCare: $2,536.51
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	$1,289.09 – $18,207.20
Uterus and ovary surgery (not for cancer), without complications: 10 of 11 insurance plan rates Aetna — VHAN - Employee Networks: $14,050.93 Aetna — Whole Health: $14,050.93 Blue Cross Blue Shield of Tennessee — BlueCare: $9,529.80 Blue Cross Blue Shield of Tennessee — Network P: $10,076.31 Blue Cross Blue Shield of Tennessee — Network S/E: $9,129.08 Celtic Insurance Company — Commercial-Exchange: $14,340.96 Cigna — HMO/Network/Open Access Plus: $18,207.20 Cigna — IFP/LocalPlus: $16,134.22 Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $14,318.92 River Valley Plan — TennCare: $1,289.09

Source: Dyersburg Regional Medical Center’s standard charges file (wth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 2, 2026; retrieved November 1, 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	400 East Tickle Street, Dyersburg, TN 38024
County	Dyer County
State	Tennessee
Phone	(731) 285‑2410
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	440072
Name in Medicare records	DYERSBURG REGIONAL MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	West Tennessee Healthcare Dyersburg Hospital
Official website	wth.org
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 Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

West Tennessee Healthcare Dyersburg Hospital — wth.org