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Acute Care Hospital

Hardin Medical Center

Savannah, Tennessee · Hardin County · Emergency services listed

Summary

Hardin Medical Center is an acute care hospital in Savannah, Tennessee. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 78 services, specialties and programs. Medicare lists 216 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
78Services listed

Quick answers

Does Hardin Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Hardin Medical Center. In a medical emergency, call 911.
Where is Hardin Medical Center?
935 Wayne Road, Savannah, TN 38372, in Hardin County, Tennessee.
What is the phone number of Hardin Medical Center?
(731) 926-8121, as listed by Medicare (CMS).
What is the Medicare star rating of Hardin Medical Center?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[5][10][13]

Conditions treated[5][10][11]

Treatments[5][10]

Procedures[5][7][10]

Programs and centers[5][9][10][11][12]

  • Accredited Chest Pain Center
  • Stroke care with 24/7 telemedicine
  • Labor and delivery
  • Darryl Worley Cancer and Infusion Center
  • Cardiac rehab
  • Hardin County EMS (ambulance service operated by HMC)
  • Telemedicine stroke care (with TriStar Health)
  • TeamBirth care model
  • Financial assistance (charity care) program

Emergency care (hospital website)[5]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingLabor: two visitors allowed (must be 14+); postpartum visits allowed; no infants under 1 on postpartum side[13]
Interpreters and languagesInterpreters for limited English proficiency and signers for the deaf are available at no cost[6]

Recognition[5][8][11]

  • DNV accreditation (NIAHO) for patient safety and quality
  • Accredited Chest Pain Center

Doctors and clinicians (216)

216 doctors and other clinicians list Hardin 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 (216)

And 192 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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 Hardin 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 hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well5 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1068%National average: 72%
Would definitely recommend the hospital64%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well88%National average: 80%
Staff “always” explained medicines before giving them69%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean81%National average: 74%
Area around the room “always” quiet at night64%National average: 60%
Completed surveys193Response rate: 21%

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 surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0No 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 patientsToo few cases to report
Deaths within 30 days: heart failure patients19.3%
Deaths within 30 days: pneumonia patients18.5%
Deaths within 30 days: COPD patients10.8%
Deaths within 30 days: stroke patientsToo few cases to report
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 replacementToo few cases to report

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 attackToo few cases to report
Readmitted within 30 days: heart failure21.3%
Readmitted within 30 days: pneumonia17.9%
Readmitted within 30 days: COPD19.3%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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)159 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)68%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.

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 Hardin 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 →

$ 16 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: 99203 Est L 3 $87 $33.23 $26.10 – $81.78
New patient office visit (about 30–44 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $43.67
  • Aetna — Medicare HMO: $26.10
  • Ambetter — Commercial: $34.80
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $81.78
  • BlueCross BlueShield of Tennessee — Blue Network Select: $81.78
  • Cigna — Commercial: $57.42
  • United Healthcare — Commercial: $48.02
  • United Healthcare — Community Plan: $47.56
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: 99203 LEVEL 3 VISIT NEW PT-PC $144 $55.01 $43.20 – $135.36
New patient office visit (about 30–44 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $72.28
  • Aetna — Medicare HMO: $43.20
  • Ambetter — Commercial: $57.60
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $135.36
  • BlueCross BlueShield of Tennessee — Blue Network Select: $135.36
  • Cigna — Commercial: $95.04
  • United Healthcare — Commercial: $79.48
  • United Healthcare — Community Plan: $47.56
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: 99203 New patient visit, level 3 $528 $201.70 $47.56 – $496.32
New patient office visit (about 30–44 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $265.05
  • Aetna — Medicare HMO: $158.40
  • Ambetter — Commercial: $211.20
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $496.32
  • BlueCross BlueShield of Tennessee — Blue Network Select: $496.32
  • Cigna — Commercial: $348.48
  • United Healthcare — Commercial: $291.45
  • United Healthcare — Community Plan: $47.56
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: 99204 Est L 4 $138 $52.72 $41.40 – $129.72
New patient office visit (about 45–59 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $69.27
  • Aetna — Medicare HMO: $41.40
  • Ambetter — Commercial: $55.20
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $129.72
  • BlueCross BlueShield of Tennessee — Blue Network Select: $129.72
  • Cigna — Commercial: $91.08
  • United Healthcare — Commercial: $76.17
  • United Healthcare — Community Plan: $65.21
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: 99204 LEVEL 4 VISIT NEW PT-PC $173 $66.09 $51.90 – $162.62
New patient office visit (about 45–59 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $86.84
  • Aetna — Medicare HMO: $51.90
  • Ambetter — Commercial: $69.20
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $162.62
  • BlueCross BlueShield of Tennessee — Blue Network Select: $162.62
  • Cigna — Commercial: $114.18
  • United Healthcare — Commercial: $95.49
  • United Healthcare — Community Plan: $65.21
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: 99204 New patient visit, level 4 $736 $281.15 $65.21 – $691.84
New patient office visit (about 45–59 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $369.47
  • Aetna — Medicare HMO: $220.80
  • Ambetter — Commercial: $294.40
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $691.84
  • BlueCross BlueShield of Tennessee — Blue Network Select: $691.84
  • Cigna — Commercial: $485.76
  • United Healthcare — Commercial: $406.27
  • United Healthcare — Community Plan: $65.21
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: 99205 Est L 5 $189 $72.20 $56.70 – $177.66
New patient office visit (about 60–74 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $94.87
  • Aetna — Medicare HMO: $56.70
  • Ambetter — Commercial: $75.60
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $177.66
  • BlueCross BlueShield of Tennessee — Blue Network Select: $177.66
  • Cigna — Commercial: $124.74
  • United Healthcare — Commercial: $104.32
  • United Healthcare — Community Plan: $88.26
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: 99205 LEVEL 5 VISIT NEW PT-PC $191 $72.96 $57.30 – $179.54
New patient office visit (about 60–74 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $95.88
  • Aetna — Medicare HMO: $57.30
  • Ambetter — Commercial: $76.40
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $179.54
  • BlueCross BlueShield of Tennessee — Blue Network Select: $179.54
  • Cigna — Commercial: $126.06
  • United Healthcare — Commercial: $105.43
  • United Healthcare — Community Plan: $88.26
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: 99205 New patient visit, level 5 $861 $328.90 $88.26 – $809.34
New patient office visit (about 60–74 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $432.22
  • Aetna — Medicare HMO: $258.30
  • Ambetter — Commercial: $344.40
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $809.34
  • BlueCross BlueShield of Tennessee — Blue Network Select: $809.34
  • Cigna — Commercial: $568.26
  • United Healthcare — Commercial: $475.27
  • United Healthcare — Community Plan: $88.26
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: 99213 LEVEL 3 VISIT EST PT-PC $80 $30.56 $24 – $75.20
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $40.16
  • Aetna — Medicare HMO: $24
  • Ambetter — Commercial: $32
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $75.20
  • BlueCross BlueShield of Tennessee — Blue Network Select: $75.20
  • Cigna — Commercial: $52.80
  • United Healthcare — Commercial: $44.16
  • United Healthcare — Community Plan: $36.06
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: 99213 Office Visit Established Pt. Level 3 $61 $23.30 $18.30 – $57.34
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $30.62
  • Aetna — Medicare HMO: $18.30
  • Ambetter — Commercial: $24.40
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $57.34
  • BlueCross BlueShield of Tennessee — Blue Network Select: $57.34
  • Cigna — Commercial: $40.26
  • United Healthcare — Commercial: $33.67
  • United Healthcare — Community Plan: $36.06
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: 99213 ESTAB PT E&M LEVEL 3 CHARGE $199 $76.02 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: 99214 LEVEL 4 VISIT EST PT-PC $125 $47.75 $37.50 – $117.50
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $62.75
  • Aetna — Medicare HMO: $37.50
  • Ambetter — Commercial: $50
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $117.50
  • BlueCross BlueShield of Tennessee — Blue Network Select: $117.50
  • Cigna — Commercial: $82.50
  • United Healthcare — Commercial: $69
  • United Healthcare — Community Plan: $47.56
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: 99214 Office Visit Established Pt. Level 4 $191 $72.96 $47.56 – $179.54
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $95.88
  • Aetna — Medicare HMO: $57.30
  • Ambetter — Commercial: $76.40
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $179.54
  • BlueCross BlueShield of Tennessee — Blue Network Select: $179.54
  • Cigna — Commercial: $126.06
  • United Healthcare — Commercial: $105.43
  • United Healthcare — Community Plan: $47.56
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: 99214 Office Visit Level 4 Est $477 $182.21 Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: 99243 Office Consult New or Est. L3 Pt 40 min $79 $30.18 $23.70 – $74.26
Office consultation with a specialist (moderate): rates for 8 insurance plans
  • Aetna — Commercial: $39.65
  • Aetna — Medicare HMO: $23.70
  • Ambetter — Commercial: $31.60
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $74.26
  • BlueCross BlueShield of Tennessee — Blue Network Select: $74.26
  • Cigna — Commercial: $52.14
  • United Healthcare — Commercial: $43.60
  • United Healthcare — Community Plan: $47.14
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 $74.54
Office consultation with a specialist (moderate to high): rates for 8 insurance plans
  • United Healthcare — Community Plan: $74.54
  • Aetna — Commercial: 50.2% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare HMO: 30% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 40% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: 94% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of Tennessee — Blue Network Select: 94% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 66% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Commercial: 55.2% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: 99385 Preventive Eval Initial New Pt. 18-39 year age $127 $48.51 $38.10 – $119.38
Preventive checkup, new patient, age 18–39: rates for 8 insurance plans
  • Aetna — Commercial: $63.75
  • Aetna — Medicare HMO: $38.10
  • Ambetter — Commercial: $50.80
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $119.38
  • BlueCross BlueShield of Tennessee — Blue Network Select: $119.38
  • Cigna — Commercial: $83.82
  • United Healthcare — Commercial: $70.10
  • United Healthcare — Community Plan: $47.66
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: Initial Prev med visit New pat 40-64 yrs $140 $53.48 $42 – $131.60
Preventive checkup, new patient, age 40–64: rates for 8 insurance plans
  • Aetna — Commercial: $70.28
  • Aetna — Medicare HMO: $42
  • Ambetter — Commercial: $56
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $131.60
  • BlueCross BlueShield of Tennessee — Blue Network Select: $131.60
  • Cigna — Commercial: $92.40
  • United Healthcare — Commercial: $77.28
  • United Healthcare — Community Plan: $57.70
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: 99283 - Level 3 $1,076 $411.03 $198 – $1,011.44
Emergency room visit (moderate): 10 of 12 insurance plan rates
  • Aetna — Commercial: $600
  • Aetna — Medicare HMO: $273.21
  • Ambetter — Commercial: $397.88
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $273.21
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $1,011.44
  • BlueCross BlueShield of Tennessee — Blue Network Select: $1,011.44
  • BlueCross BlueShield of Tennessee — BlueCare: $265.25
  • Cigna — Commercial: $299.73
  • United Healthcare — Commercial: $668
  • United Healthcare — Community Plan: $210
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: 99283 Emergency Department Visit, Level 3 $373 $142.49 $198 – $397.88
Emergency room visit (moderate): rates for 7 insurance plans
  • Aetna — Medicare HMO: $273.21
  • Ambetter — Commercial: $397.88
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $273.21
  • BlueCross BlueShield of Tennessee — BlueCare: $265.25
  • Cigna — Commercial: $299.73
  • Wellpoint — Advantage: $278.51
  • Wellpoint — Medicaid: $198
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: 99283 INTERMEDIATE SERVICE ProFee $175 $66.85 $198 – $397.88
Emergency room visit (moderate): rates for 7 insurance plans
  • Aetna — Medicare HMO: $273.21
  • Ambetter — Commercial: $397.88
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $273.21
  • BlueCross BlueShield of Tennessee — BlueCare: $265.25
  • Cigna — Commercial: $299.73
  • Wellpoint — Advantage: $278.51
  • Wellpoint — Medicaid: $198
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: 99284 - Level 4 $1,545 $590.19 $198 – $1,452.30
Emergency room visit (moderately high): 10 of 12 insurance plan rates
  • Aetna — Commercial: $600
  • Aetna — Medicare HMO: $417.61
  • Ambetter — Commercial: $608.18
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $417.61
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $1,452.30
  • BlueCross BlueShield of Tennessee — Blue Network Select: $1,452.30
  • BlueCross BlueShield of Tennessee — BlueCare: $405.45
  • Cigna — Commercial: $458.16
  • United Healthcare — Commercial: $1,114
  • United Healthcare — Community Plan: $238
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: 99284 EXTENDED SERVICE ProFee $235 $89.77 $198 – $608.18
Emergency room visit (moderately high): rates for 7 insurance plans
  • Aetna — Medicare HMO: $417.61
  • Ambetter — Commercial: $608.18
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $417.61
  • BlueCross BlueShield of Tennessee — BlueCare: $405.45
  • Cigna — Commercial: $458.16
  • Wellpoint — Advantage: $425.72
  • Wellpoint — Medicaid: $198
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 $238 – $1,114
Emergency room visit (moderately high): rates for 5 insurance plans
  • Aetna — Commercial: $600
  • United Healthcare — Commercial: $1,114
  • United Healthcare — Community Plan: $238
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: 94% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of Tennessee — Blue Network Select: 94% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: 99285 - Level 5 $1,808 $690.66 $198 – $1,699.52
Emergency room visit (high): 10 of 12 insurance plan rates
  • Aetna — Commercial: $600
  • Aetna — Medicare HMO: $596.03
  • Ambetter — Commercial: $868.01
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $596.03
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $1,699.52
  • BlueCross BlueShield of Tennessee — Blue Network Select: $1,699.52
  • BlueCross BlueShield of Tennessee — BlueCare: $578.67
  • Cigna — Commercial: $653.90
  • United Healthcare — Commercial: $998.01
  • United Healthcare — Community Plan: $723.20
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: 99285 COMPREHENS. SERVICE ProFee $339 $129.50 $135.60 – $868.01
Emergency room visit (high): rates for 9 insurance plans
  • Aetna — Medicare HMO: $596.03
  • Ambetter — Commercial: $868.01
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $596.03
  • BlueCross BlueShield of Tennessee — BlueCare: $578.67
  • Cigna — Commercial: $653.90
  • United Healthcare — Commercial: $187.12
  • United Healthcare — Community Plan: $135.60
  • Wellpoint — Advantage: $607.60
  • Wellpoint — Medicaid: $198
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 $600
Emergency room visit (high): rates for 3 insurance plans
  • Aetna — Commercial: $600
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: 94% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of Tennessee — Blue Network Select: 94% (a percentage in the contract, not a dollar amount)

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Basic Metabolic Panel $120 $45.84 $3.81 – $23.50
Basic metabolic panel (blood test): 10 of 12 insurance plan rates
  • Aetna — Commercial: $8.24
  • Aetna — Medicare HMO: $9.33
  • Ambetter — Commercial: $13.59
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $9.33
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $23.50
  • BlueCross BlueShield of Tennessee — Blue Network Select: $23.50
  • BlueCross BlueShield of Tennessee — BlueCare: $9.06
  • Cigna — Commercial: $5.50
  • United Healthcare — Commercial: $10.36
  • United Healthcare — Community Plan: $5.53
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 $10.36 – $23.50
Basic metabolic panel (blood test): rates for 3 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $23.50
  • BlueCross BlueShield of Tennessee — Blue Network Select: $23.50
  • United Healthcare — Commercial: $10.36
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comp. Metabolic Panel (14) LC $182 $69.52 $4.75 – $29.35
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates
  • Aetna — Commercial: $10.29
  • Aetna — Medicare HMO: $11.65
  • Ambetter — Commercial: $16.97
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $11.65
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $29.35
  • BlueCross BlueShield of Tennessee — Blue Network Select: $29.35
  • BlueCross BlueShield of Tennessee — BlueCare: $11.31
  • Cigna — Commercial: $6.86
  • United Healthcare — Commercial: $12.93
  • United Healthcare — Community Plan: $6.91
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 $12.93 – $29.35
Comprehensive metabolic panel (blood test): rates for 3 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $29.35
  • BlueCross BlueShield of Tennessee — Blue Network Select: $29.35
  • United Healthcare — Commercial: $12.93
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 $21.51 – $76.80
Obstetric blood test panel: 10 of 12 insurance plan rates
  • Aetna — Commercial: $48.98
  • Aetna — Medicare HMO: $52.74
  • Ambetter — Commercial: $76.80
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $52.74
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $132.80
  • BlueCross BlueShield of Tennessee — Blue Network Select: $132.80
  • BlueCross BlueShield of Tennessee — BlueCare: $51.20
  • Cigna — Commercial: $31.08
  • United Healthcare — Commercial: $60.50
  • United Healthcare — Community Plan: $26.55
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Pnl $78 $29.80 $6.03 – $37.20
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates
  • Aetna — Commercial: $15.99
  • Aetna — Medicare HMO: $14.77
  • Ambetter — Commercial: $21.51
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $14.77
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $37.20
  • BlueCross BlueShield of Tennessee — Blue Network Select: $37.20
  • BlueCross BlueShield of Tennessee — BlueCare: $14.34
  • Cigna — Commercial: $8.70
  • United Healthcare — Commercial: $16.40
  • United Healthcare — Community Plan: $8.76
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 $16.40 – $37.20
Cholesterol panel (lipid panel): rates for 3 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $37.20
  • BlueCross BlueShield of Tennessee — Blue Network Select: $37.20
  • United Healthcare — Commercial: $16.40
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Function Panel $127 $48.51 $3.91 – $24.13
Kidney function panel: 10 of 12 insurance plan rates
  • Aetna — Commercial: $8.24
  • Aetna — Medicare HMO: $9.58
  • Ambetter — Commercial: $13.95
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $9.58
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $24.13
  • BlueCross BlueShield of Tennessee — Blue Network Select: $24.13
  • BlueCross BlueShield of Tennessee — BlueCare: $9.30
  • Cigna — Commercial: $5.64
  • United Healthcare — Commercial: $10.64
  • United Healthcare — Community Plan: $5.68
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 $10.64 – $24.13
Kidney function panel: rates for 3 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $24.13
  • BlueCross BlueShield of Tennessee — Blue Network Select: $24.13
  • United Healthcare — Commercial: $10.64
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Function Panel $110 $42.02 $3.68 – $22.70
Liver function panel: 10 of 12 insurance plan rates
  • Aetna — Commercial: $8.24
  • Aetna — Medicare HMO: $9.01
  • Ambetter — Commercial: $13.13
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $9.01
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $22.70
  • BlueCross BlueShield of Tennessee — Blue Network Select: $22.70
  • BlueCross BlueShield of Tennessee — BlueCare: $8.75
  • Cigna — Commercial: $5.31
  • United Healthcare — Commercial: $10
  • United Healthcare — Community Plan: $5.35
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 $10 – $22.70
Liver function panel: rates for 3 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $22.70
  • BlueCross BlueShield of Tennessee — Blue Network Select: $22.70
  • United Healthcare — Commercial: $10
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: UA w Micro $43 $16.43 $1.43 – $8.80
Urine test (automated, with microscope): 10 of 12 insurance plan rates
  • Aetna — Commercial: $3.78
  • Aetna — Medicare HMO: $3.50
  • Ambetter — Commercial: $5.10
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $3.50
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $8.80
  • BlueCross BlueShield of Tennessee — Blue Network Select: $8.80
  • BlueCross BlueShield of Tennessee — BlueCare: $3.40
  • Cigna — Commercial: $2.06
  • United Healthcare — Commercial: $3.88
  • United Healthcare — Community Plan: $2.07
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 $3.88 – $8.80
Urine test (automated, with microscope): rates for 3 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $8.80
  • BlueCross BlueShield of Tennessee — Blue Network Select: $8.80
  • United Healthcare — Commercial: $3.88
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urine Ketones $62 $23.68 $1.57 – $8.70
Urine test (manual, without microscope): 10 of 12 insurance plan rates
  • Aetna — Commercial: $3.05
  • Aetna — Medicare HMO: $3.84
  • Ambetter — Commercial: $5.60
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $3.84
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $8.70
  • BlueCross BlueShield of Tennessee — Blue Network Select: $8.70
  • BlueCross BlueShield of Tennessee — BlueCare: $3.73
  • Cigna — Commercial: $2.26
  • United Healthcare — Commercial: $3.13
  • United Healthcare — Community Plan: $1.67
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Dipstick POC $15 $5.73 $1.57 – $5.60
Urine test (manual, without microscope): rates for 9 insurance plans
  • Aetna — Commercial: $3.05
  • Aetna — Medicare HMO: $3.84
  • Ambetter — Commercial: $5.60
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $3.84
  • BlueCross BlueShield of Tennessee — BlueCare: $3.73
  • Cigna — Commercial: $2.26
  • United Healthcare — Community Plan: $1.67
  • Wellpoint — Advantage: $3.92
  • Wellpoint — Medicaid: $1.57
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 $3.13 – $8.70
Urine test (manual, without microscope): rates for 3 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $8.70
  • BlueCross BlueShield of Tennessee — Blue Network Select: $8.70
  • United Healthcare — Commercial: $3.13
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Specific Gravity Urine $8 $3.06 $1.01 – $6.23
Urine test (automated, without microscope): 10 of 12 insurance plan rates
  • Aetna — Commercial: $2.68
  • Aetna — Medicare HMO: $2.48
  • Ambetter — Commercial: $3.62
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $2.48
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $6.23
  • BlueCross BlueShield of Tennessee — Blue Network Select: $6.23
  • BlueCross BlueShield of Tennessee — BlueCare: $2.41
  • Cigna — Commercial: $1.46
  • United Healthcare — Commercial: $2.75
  • United Healthcare — Community Plan: $1.47
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: UA w Micro if Ind & Cult if Ind $27 $10.31 $1.01 – $6.23
Urine test (automated, without microscope): 10 of 12 insurance plan rates
  • Aetna — Commercial: $2.68
  • Aetna — Medicare HMO: $2.48
  • Ambetter — Commercial: $3.62
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $2.48
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $6.23
  • BlueCross BlueShield of Tennessee — Blue Network Select: $6.23
  • BlueCross BlueShield of Tennessee — BlueCare: $2.41
  • Cigna — Commercial: $1.46
  • United Healthcare — Commercial: $2.75
  • United Healthcare — Community Plan: $1.47
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: 81003 UA $5 $1.91 $1.01 – $3.62
Urine test (automated, without microscope): rates for 9 insurance plans
  • Aetna — Commercial: $2.68
  • Aetna — Medicare HMO: $2.48
  • Ambetter — Commercial: $3.62
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $2.48
  • BlueCross BlueShield of Tennessee — BlueCare: $2.41
  • Cigna — Commercial: $1.46
  • United Healthcare — Community Plan: $1.47
  • Wellpoint — Advantage: $2.53
  • Wellpoint — Medicaid: $1.01
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate-Specific Ag LC $109 $41.64 $8.28 – $51.10
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates
  • Aetna — Commercial: $21.95
  • Aetna — Medicare HMO: $20.29
  • Ambetter — Commercial: $29.55
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $20.29
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $51.10
  • BlueCross BlueShield of Tennessee — Blue Network Select: $51.10
  • BlueCross BlueShield of Tennessee — BlueCare: $19.70
  • Cigna — Commercial: $11.95
  • United Healthcare — Commercial: $22.53
  • United Healthcare — Community Plan: $12.03
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 $22.53 – $51.10
PSA (prostate specific antigen) blood test: rates for 3 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $51.10
  • BlueCross BlueShield of Tennessee — Blue Network Select: $51.10
  • United Healthcare — Commercial: $22.53
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: 84443 HRDN $2 $0.76 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $7.56 – $46.68
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates
  • Aetna — Commercial: $20.06
  • Aetna — Medicare HMO: $18.53
  • Ambetter — Commercial: $26.99
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $18.53
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $46.68
  • BlueCross BlueShield of Tennessee — Blue Network Select: $46.68
  • BlueCross BlueShield of Tennessee — BlueCare: $17.99
  • Cigna — Commercial: $10.92
  • United Healthcare — Commercial: $20.58
  • United Healthcare — Community Plan: $10.99
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH LC $128 $48.90 $7.56 – $46.68
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates
  • Aetna — Commercial: $20.06
  • Aetna — Medicare HMO: $18.53
  • Ambetter — Commercial: $26.99
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $18.53
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $46.68
  • BlueCross BlueShield of Tennessee — Blue Network Select: $46.68
  • BlueCross BlueShield of Tennessee — BlueCare: $17.99
  • Cigna — Commercial: $10.92
  • United Healthcare — Commercial: $20.58
  • United Healthcare — Community Plan: $10.99
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Thyroid Stimulating Hormone $92 $35.14 $7.56 – $46.68
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates
  • Aetna — Commercial: $20.06
  • Aetna — Medicare HMO: $18.53
  • Ambetter — Commercial: $26.99
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $18.53
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $46.68
  • BlueCross BlueShield of Tennessee — Blue Network Select: $46.68
  • BlueCross BlueShield of Tennessee — BlueCare: $17.99
  • Cigna — Commercial: $10.92
  • United Healthcare — Commercial: $20.58
  • United Healthcare — Community Plan: $10.99
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC w/ Diff $17 $6.49 $3.50 – $21.58
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates
  • Aetna — Commercial: $9.29
  • Aetna — Medicare HMO: $8.57
  • Ambetter — Commercial: $12.48
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $8.57
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $21.58
  • BlueCross BlueShield of Tennessee — Blue Network Select: $21.58
  • BlueCross BlueShield of Tennessee — BlueCare: $8.32
  • Cigna — Commercial: $5.05
  • United Healthcare — Commercial: $9.52
  • United Healthcare — Community Plan: $5.09
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC w/ Differential/Platelet LC $17 $6.49 $3.50 – $21.58
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates
  • Aetna — Commercial: $9.29
  • Aetna — Medicare HMO: $8.57
  • Ambetter — Commercial: $12.48
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $8.57
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $21.58
  • BlueCross BlueShield of Tennessee — Blue Network Select: $21.58
  • BlueCross BlueShield of Tennessee — BlueCare: $8.32
  • Cigna — Commercial: $5.05
  • United Healthcare — Commercial: $9.52
  • United Healthcare — Community Plan: $5.09
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: 85025 CBC OCC $35 $13.37 $3.50 – $12.48
Complete blood count (CBC) with differential: rates for 9 insurance plans
  • Aetna — Commercial: $9.29
  • Aetna — Medicare HMO: $8.57
  • Ambetter — Commercial: $12.48
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $8.57
  • BlueCross BlueShield of Tennessee — BlueCare: $8.32
  • Cigna — Commercial: $5.05
  • United Healthcare — Community Plan: $5.09
  • Wellpoint — Advantage: $8.74
  • Wellpoint — Medicaid: $3.50
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC+Platelet+Hem Review LC $11 $4.20 $2.91 – $17.95
Complete blood count (CBC), automated: 10 of 12 insurance plan rates
  • Aetna — Commercial: $7.73
  • Aetna — Medicare HMO: $7.14
  • Ambetter — Commercial: $10.40
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $7.14
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $17.95
  • BlueCross BlueShield of Tennessee — Blue Network Select: $17.95
  • BlueCross BlueShield of Tennessee — BlueCare: $6.93
  • Cigna — Commercial: $4.21
  • United Healthcare — Commercial: $7.93
  • United Healthcare — Community Plan: $4.24
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 $7.93 – $17.95
Complete blood count (CBC), automated: rates for 3 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $17.95
  • BlueCross BlueShield of Tennessee — Blue Network Select: $17.95
  • United Healthcare — Commercial: $7.93
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time (PT) LC $71 $27.12 $1.93 – $10.93
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates
  • Aetna — Commercial: $4.70
  • Aetna — Medicare HMO: $4.73
  • Ambetter — Commercial: $6.89
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $4.73
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $10.93
  • BlueCross BlueShield of Tennessee — Blue Network Select: $10.93
  • BlueCross BlueShield of Tennessee — BlueCare: $4.59
  • Cigna — Commercial: $2.79
  • United Healthcare — Commercial: $4.82
  • United Healthcare — Community Plan: $2.57
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time and INR $71 $27.12 $1.93 – $10.93
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates
  • Aetna — Commercial: $4.70
  • Aetna — Medicare HMO: $4.73
  • Ambetter — Commercial: $6.89
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $4.73
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $10.93
  • BlueCross BlueShield of Tennessee — Blue Network Select: $10.93
  • BlueCross BlueShield of Tennessee — BlueCare: $4.59
  • Cigna — Commercial: $2.79
  • United Healthcare — Commercial: $4.82
  • United Healthcare — Community Plan: $2.57
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: INR POC $18 $6.88 $1.93 – $6.89
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans
  • Aetna — Commercial: $4.70
  • Aetna — Medicare HMO: $4.73
  • Ambetter — Commercial: $6.89
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $4.73
  • BlueCross BlueShield of Tennessee — BlueCare: $4.59
  • Cigna — Commercial: $2.79
  • United Healthcare — Community Plan: $2.57
  • Wellpoint — Advantage: $4.82
  • Wellpoint — Medicaid: $1.93
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: 85730 HRDN $4 $1.53 $2.70 – $16.68
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates
  • Aetna — Commercial: $7.16
  • Aetna — Medicare HMO: $6.63
  • Ambetter — Commercial: $9.66
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $6.63
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $16.68
  • BlueCross BlueShield of Tennessee — Blue Network Select: $16.68
  • BlueCross BlueShield of Tennessee — BlueCare: $6.44
  • Cigna — Commercial: $3.91
  • United Healthcare — Commercial: $7.35
  • United Healthcare — Community Plan: $3.92
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: aPTTMx+PTMx LC $18 $6.88 $2.70 – $16.68
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates
  • Aetna — Commercial: $7.16
  • Aetna — Medicare HMO: $6.63
  • Ambetter — Commercial: $9.66
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $6.63
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $16.68
  • BlueCross BlueShield of Tennessee — Blue Network Select: $16.68
  • BlueCross BlueShield of Tennessee — BlueCare: $6.44
  • Cigna — Commercial: $3.91
  • United Healthcare — Commercial: $7.35
  • United Healthcare — Community Plan: $3.92
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 $7.35 – $16.68
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $16.68
  • BlueCross BlueShield of Tennessee — Blue Network Select: $16.68
  • United Healthcare — Commercial: $7.35

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

ServiceHospital chargeCash priceInsurance 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 w/o Contrast $1,360 $519.52 $86.35 – $557
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates
  • Aetna — Commercial: $500
  • Aetna — Medicare HMO: $104.64
  • Ambetter — Commercial: $152.39
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $104.64
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $182.68
  • BlueCross BlueShield of Tennessee — Blue Network Select: $182.68
  • BlueCross BlueShield of Tennessee — BlueCare: $101.59
  • Cigna — Commercial: $140.18
  • United Healthcare — Commercial: $557
  • United Healthcare — Community Plan: $88.58
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 $182.68 – $557
CT scan of the head or brain, without contrast: rates for 3 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $182.68
  • BlueCross BlueShield of Tennessee — Blue Network Select: $182.68
  • United Healthcare — Commercial: $557
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Brain w/ + w/o Contrast $500 $191 $246.51 – $1,025
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates
  • Aetna — Commercial: $825
  • Aetna — Medicare HMO: $349.17
  • Ambetter — Commercial: $508.50
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $349.17
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $642.18
  • BlueCross BlueShield of Tennessee — Blue Network Select: $642.18
  • BlueCross BlueShield of Tennessee — BlueCare: $339
  • Cigna — Commercial: $467.79
  • United Healthcare — Commercial: $1,025
  • United Healthcare — Community Plan: $246.51
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE Not listed in the file Not listed in the file $642.18
MRI of the brain, before and after contrast: rates for 3 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $642.18
  • BlueCross BlueShield of Tennessee — Blue Network Select: $642.18
  • United Healthcare — Commercial: $1,025
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Chest 2 Views $80 $30.56 $32 – $126.84
Chest X-ray, 2 views: 10 of 12 insurance plan rates
  • Aetna — Commercial: $40.16
  • Aetna — Medicare HMO: $87.10
  • Ambetter — Commercial: $126.84
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $87.10
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $75.20
  • BlueCross BlueShield of Tennessee — Blue Network Select: $75.20
  • BlueCross BlueShield of Tennessee — BlueCare: $84.56
  • Cigna — Commercial: $116.68
  • United Healthcare — Commercial: $44.16
  • United Healthcare — Community Plan: $32
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Spine Lumbosacral 4 Plus Views $219 $83.66 $32.33 – $205.86
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates
  • Aetna — Commercial: $32.33
  • Aetna — Medicare HMO: $104.64
  • Ambetter — Commercial: $152.39
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $104.64
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $205.86
  • BlueCross BlueShield of Tennessee — Blue Network Select: $205.86
  • BlueCross BlueShield of Tennessee — BlueCare: $101.59
  • Cigna — Commercial: $140.18
  • United Healthcare — Commercial: $120.88
  • United Healthcare — Community Plan: $34.84
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Spine Scoliosis 2-3 Views $241 $92.06 $32.33 – $226.54
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates
  • Aetna — Commercial: $32.33
  • Aetna — Medicare HMO: $104.64
  • Ambetter — Commercial: $152.39
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $104.64
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $226.54
  • BlueCross BlueShield of Tennessee — Blue Network Select: $226.54
  • BlueCross BlueShield of Tennessee — BlueCare: $101.59
  • Cigna — Commercial: $140.18
  • United Healthcare — Commercial: $133.03
  • United Healthcare — Community Plan: $34.84
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Spine Lumbar w/o Contrast $322 $123 $156.21 – $1,025
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates
  • Aetna — Commercial: $825
  • Aetna — Medicare HMO: $238.81
  • Ambetter — Commercial: $347.78
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $238.81
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $366.63
  • BlueCross BlueShield of Tennessee — Blue Network Select: $366.63
  • BlueCross BlueShield of Tennessee — BlueCare: $231.85
  • Cigna — Commercial: $319.93
  • United Healthcare — Commercial: $1,025
  • United Healthcare — Community Plan: $156.21
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 $366.63
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $366.63
  • BlueCross BlueShield of Tennessee — Blue Network Select: $366.63
  • United Healthcare — Commercial: $1,025
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Pelvis w/ Contrast $1,400 $534.80 $138.71 – $557
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates
  • Aetna — Commercial: $500
  • Aetna — Medicare HMO: $175.55
  • Ambetter — Commercial: $255.66
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $175.55
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $439.86
  • BlueCross BlueShield of Tennessee — Blue Network Select: $439.86
  • BlueCross BlueShield of Tennessee — BlueCare: $170.44
  • Cigna — Commercial: $235.19
  • United Healthcare — Commercial: $557
  • United Healthcare — Community Plan: $138.71
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 $439.86 – $557
CT scan of the pelvis, with contrast: rates for 3 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $439.86
  • BlueCross BlueShield of Tennessee — Blue Network Select: $439.86
  • United Healthcare — Commercial: $557
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 $156.21 – $825
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates
  • Aetna — Commercial: $825
  • Aetna — Medicare HMO: $238.81
  • Ambetter — Commercial: $347.78
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $238.81
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $412.69
  • BlueCross BlueShield of Tennessee — Blue Network Select: $412.69
  • BlueCross BlueShield of Tennessee — BlueCare: $231.85
  • Cigna — Commercial: $319.93
  • United Healthcare — Commercial: $1,025
  • United Healthcare — Community Plan: $156.21
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: MRI LE Joint w/o Contrast Left $322 $123 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 Abdomen and Pelvis w/ Contrast $1,737 $663.53 $267.98 – $570.24
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates
  • Aetna — Commercial: $500
  • Aetna — Medicare HMO: $349.17
  • Ambetter — Commercial: $508.50
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $349.17
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $570.24
  • BlueCross BlueShield of Tennessee — Blue Network Select: $570.24
  • BlueCross BlueShield of Tennessee — BlueCare: $339
  • Cigna — Commercial: $467.79
  • United Healthcare — Commercial: $557
  • United Healthcare — Community Plan: $267.98
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 $557 – $570.24
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $570.24
  • BlueCross BlueShield of Tennessee — Blue Network Select: $570.24
  • United Healthcare — Commercial: $557
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US Abdomen Complete $942 $359.84 $44.46 – $885.48
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates
  • Aetna — Commercial: $96.93
  • Aetna — Medicare HMO: $104.64
  • Ambetter — Commercial: $152.39
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $104.64
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $885.48
  • BlueCross BlueShield of Tennessee — Blue Network Select: $885.48
  • BlueCross BlueShield of Tennessee — BlueCare: $101.59
  • Cigna — Commercial: $140.18
  • United Healthcare — Commercial: $278
  • United Healthcare — Community Plan: $44.46
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US OB Greater Than 14 Weeks $953 $364.05 $44.46 – $895.82
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates
  • Aetna — Commercial: $93.16
  • Aetna — Medicare HMO: $104.64
  • Ambetter — Commercial: $152.39
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $104.64
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $895.82
  • BlueCross BlueShield of Tennessee — Blue Network Select: $895.82
  • BlueCross BlueShield of Tennessee — BlueCare: $101.59
  • Cigna — Commercial: $140.18
  • United Healthcare — Commercial: $278
  • United Healthcare — Community Plan: $44.46
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US Transvaginal Non-OB $942 $359.84 $44.46 – $885.48
Transvaginal ultrasound: 10 of 12 insurance plan rates
  • Aetna — Commercial: $88.39
  • Aetna — Medicare HMO: $104.64
  • Ambetter — Commercial: $152.39
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $104.64
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $885.48
  • BlueCross BlueShield of Tennessee — Blue Network Select: $885.48
  • BlueCross BlueShield of Tennessee — BlueCare: $101.59
  • Cigna — Commercial: $140.18
  • United Healthcare — Commercial: $278
  • United Healthcare — Community Plan: $44.46
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 $278
Diagnostic mammogram, one breast: rates for 8 insurance plans
  • United Healthcare — Commercial: $278
  • Aetna — Commercial: 50.2% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare HMO: 30% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 40% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: 94% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of Tennessee — Blue Network Select: 94% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 66% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Community Plan: 40% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier RT In the file: MG Mammo Digital Diagnostic Right $451 $172.28 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammo Implant Digital Diag Bilateral $628 $239.90 $188.40 – $590.32
Diagnostic mammogram, both breasts: rates for 8 insurance plans
  • Aetna — Commercial: $315.25
  • Aetna — Medicare HMO: $188.40
  • Ambetter — Commercial: $251.20
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $590.32
  • BlueCross BlueShield of Tennessee — Blue Network Select: $590.32
  • Cigna — Commercial: $414.48
  • United Healthcare — Commercial: $278
  • United Healthcare — Community Plan: $251.20
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 $278
Diagnostic mammogram, both breasts: rates for 1 insurance plan
  • United Healthcare — Commercial: $278
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: MG Mammo Implant Digital Diag Bilateral $588 $224.62 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammo Screening Cash Special $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.76 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $278
Screening mammogram, both breasts: rates for 8 insurance plans
  • Aetna — Commercial: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Aetna — Medicare HMO: $0.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Ambetter — Commercial: $0.80 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $1.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BlueCross BlueShield of Tennessee — Blue Network Select: $1.88 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna — Commercial: $1.32 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • United Healthcare — Commercial: $278
  • United Healthcare — Community Plan: $0.80 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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 $278
Screening mammogram, both breasts: rates for 1 insurance plan
  • United Healthcare — Commercial: $278
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee · modifier 52 In the file: MG Mammo Digital Screening Right $200 $76.40 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: 93000 EKG w/ 12 Plus leads, Tracing/Interp/Report $72 $27.50 $21.60 – $67.68
Electrocardiogram (ECG/EKG) with reading: rates for 7 insurance plans
  • Aetna — Commercial: $39.74
  • Aetna — Medicare HMO: $21.60
  • Ambetter — Commercial: $28.80
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $67.68
  • BlueCross BlueShield of Tennessee — Blue Network Select: $67.68
  • Cigna — Commercial: $47.52
  • United Healthcare — Community Plan: $36
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 $390
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
  • United Healthcare — Commercial: $390
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 $2,677.64 – $4,725.24
Left heart catheterization (diagnostic): 10 of 12 insurance plan rates
  • Aetna — Commercial: $4,550
  • Aetna — Medicare HMO: $3,244.66
  • Ambetter — Commercial: $4,725.24
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $3,244.66
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $5,453
  • BlueCross BlueShield of Tennessee — Blue Network Select: $5,453
  • BlueCross BlueShield of Tennessee — BlueCare: $3,150.16
  • Cigna — Commercial: $3,559.68
  • United Healthcare — Commercial: $2,205
  • United Healthcare — Community Plan: $2,467
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 $2,115.75 – $11,368.29
Heart rhythm study (electrophysiology evaluation): 10 of 12 insurance plan rates
  • Aetna — Commercial: $2,115.75
  • Aetna — Medicare HMO: $7,806.23
  • Ambetter — Commercial: $11,368.29
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $7,806.23
  • BlueCross BlueShield of Tennessee — BlueCare: $7,578.86
  • Cigna — Commercial: $8,564.11
  • United Healthcare — Commercial: $3,844
  • United Healthcare — Community Plan: $3,140
  • Wellpoint — Advantage: $7,957.80
  • Wellpoint — Medicaid: $6,442.03
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 $2,115.75 – $38,096.88
Heart rhythm study with ablation for atrial fibrillation: 10 of 12 insurance plan rates
  • Aetna — Commercial: $2,115.75
  • Aetna — Medicare HMO: $26,159.86
  • Ambetter — Commercial: $38,096.88
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $26,159.86
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $18,661
  • BlueCross BlueShield of Tennessee — Blue Network Select: $18,661
  • BlueCross BlueShield of Tennessee — BlueCare: $25,397.92
  • Cigna — Commercial: $28,699.65
  • United Healthcare — Commercial: $8,799
  • United Healthcare — Community Plan: $9,525
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: 95810 PSS W 4/> PARAM W TE CHARGES $495 $189.09 $397.29 – $1,783
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates
  • Aetna — Commercial: $559.08
  • Aetna — Medicare HMO: $859.46
  • Ambetter — Commercial: $1,251.65
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $859.46
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $465.30
  • BlueCross BlueShield of Tennessee — Blue Network Select: $465.30
  • BlueCross BlueShield of Tennessee — BlueCare: $834.43
  • Cigna — Commercial: $942.91
  • United Healthcare — Commercial: $1,783
  • United Healthcare — Community Plan: $397.29
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 $1,783
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan
  • United Healthcare — Commercial: $1,783
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: 95810 Polysomnography; age 6 years or older, attended by a technologist $816 $311.71 Not listed in the file

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance 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 $25.14
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $25.14
  • Cigna — Commercial: $208.87
  • United Healthcare — Commercial: $111
  • United Healthcare — Community Plan: $55
  • Aetna — Medicare HMO: 30% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 40% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: 94% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of Tennessee — Blue Network Select: 94% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: 97110 SB OT Thera Exer $11.69 $4.47 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: 97110 SB PT Thera Exer $12 $4.58 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 $55 – $208.87
Physical therapy evaluation (low complexity): rates for 8 insurance plans
  • Cigna — Commercial: $208.87
  • United Healthcare — Commercial: $111
  • United Healthcare — Community Plan: $55
  • Aetna — Commercial: 50.2% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare HMO: 30% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 40% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: 94% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of Tennessee — Blue Network Select: 94% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: 97161 SB PT Eval Low Comp $255 $97.41 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Low Complex Units $322 $123 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 $55 – $208.87
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans
  • Cigna — Commercial: $208.87
  • United Healthcare — Commercial: $111
  • United Healthcare — Community Plan: $55
  • Aetna — Commercial: 50.2% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare HMO: 30% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 40% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: 94% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of Tennessee — Blue Network Select: 94% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: 97162 SB PT Eval Mod Comp $275 $105.05 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Moderate Complex Units $333 $127.21 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 $55 – $208.87
Physical therapy evaluation (high complexity): rates for 8 insurance plans
  • Cigna — Commercial: $208.87
  • United Healthcare — Commercial: $111
  • United Healthcare — Community Plan: $55
  • Aetna — Commercial: 50.2% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare HMO: 30% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 40% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: 94% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of Tennessee — Blue Network Select: 94% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: 97163 SB PT Eval High Comp $329 $125.68 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT High Complex Units $433 $165.41 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: 90832 Psychotherapy, 30 Mins $120 $45.84 $41.43 – $258.71
Psychotherapy, 30 minutes: 10 of 12 insurance plan rates
  • Aetna — Commercial: $60.24
  • Aetna — Medicare HMO: $177.64
  • Ambetter — Commercial: $258.71
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $177.64
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $112.80
  • BlueCross BlueShield of Tennessee — Blue Network Select: $112.80
  • BlueCross BlueShield of Tennessee — BlueCare: $172.47
  • Cigna — Commercial: $194.89
  • United Healthcare — Commercial: $66.24
  • United Healthcare — Community Plan: $41.43
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: 90834 Psychotherapy, 45 Mins $119 $45.46 $55.08 – $258.71
Psychotherapy, 45 minutes: 10 of 12 insurance plan rates
  • Aetna — Commercial: $59.73
  • Aetna — Medicare HMO: $177.64
  • Ambetter — Commercial: $258.71
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $177.64
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $111.86
  • BlueCross BlueShield of Tennessee — Blue Network Select: $111.86
  • BlueCross BlueShield of Tennessee — BlueCare: $172.47
  • Cigna — Commercial: $194.89
  • United Healthcare — Commercial: $65.68
  • United Healthcare — Community Plan: $55.08
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: 90837 Psychotherapy, 60 Mins $110 $42.02 $55.08 – $258.71
Psychotherapy, 60 minutes: 10 of 12 insurance plan rates
  • Aetna — Commercial: $55.22
  • Aetna — Medicare HMO: $177.64
  • Ambetter — Commercial: $258.71
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $177.64
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $103.40
  • BlueCross BlueShield of Tennessee — Blue Network Select: $103.40
  • BlueCross BlueShield of Tennessee — BlueCare: $172.47
  • Cigna — Commercial: $194.89
  • United Healthcare — Commercial: $60.72
  • United Healthcare — Community Plan: $55.08
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 $63.62 – $258.71
Family psychotherapy, without the patient: 10 of 12 insurance plan rates
  • Aetna — Medicare HMO: $177.64
  • Ambetter — Commercial: $258.71
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $177.64
  • BlueCross BlueShield of Tennessee — BlueCare: $172.47
  • Cigna — Commercial: $194.89
  • United Healthcare — Community Plan: $63.62
  • Wellpoint — Advantage: $181.09
  • Wellpoint — Medicaid: $146.60
  • Aetna — Commercial: 50.2% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: 94% (a percentage in the contract, not a dollar amount)
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 $63.62 – $258.71
Family psychotherapy, with the patient: 10 of 12 insurance plan rates
  • Aetna — Medicare HMO: $177.64
  • Ambetter — Commercial: $258.71
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $177.64
  • BlueCross BlueShield of Tennessee — BlueCare: $172.47
  • Cigna — Commercial: $194.89
  • United Healthcare — Community Plan: $63.62
  • Wellpoint — Advantage: $181.09
  • Wellpoint — Medicaid: $146.60
  • Aetna — Commercial: 50.2% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: 94% (a percentage in the contract, not a dollar amount)
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 $28.30 – $148.07
Group psychotherapy: 10 of 12 insurance plan rates
  • Aetna — Medicare HMO: $101.67
  • Ambetter — Commercial: $148.07
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $101.67
  • BlueCross BlueShield of Tennessee — BlueCare: $98.71
  • Cigna — Commercial: $111.54
  • United Healthcare — Community Plan: $28.30
  • Wellpoint — Advantage: $103.65
  • Wellpoint — Medicaid: $83.90
  • Aetna — Commercial: 50.2% (a percentage in the contract, not a dollar amount)
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: 94% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: 19120 Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue $1,740 $664.68 $1,115.21 – $5,706.89
Removal of breast growth (open surgery): rates for 8 insurance plans
  • Aetna — Commercial: $1,115.21
  • Aetna — Medicare HMO: $3,918.73
  • Ambetter — Commercial: $5,706.89
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $3,918.73
  • BlueCross BlueShield of Tennessee — BlueCare: $3,804.59
  • Cigna — Commercial: $4,299.19
  • Wellpoint — Advantage: $3,994.82
  • Wellpoint — Medicaid: $3,233.90
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 $1,327 – $5,453
Removal of breast growth (open surgery): rates for 4 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $5,453
  • BlueCross BlueShield of Tennessee — Blue Network Select: $5,453
  • United Healthcare — Commercial: $1,327
  • United Healthcare — Community Plan: $1,529
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: 27130 Arthroplasty, acetabular and proximal femoral prosthetic replacement $2,332 $890.82 $1,651.65 – $18,712.85
Total hip replacement: rates for 8 insurance plans
  • Aetna — Commercial: $1,651.65
  • Aetna — Medicare HMO: $12,849.49
  • Ambetter — Commercial: $18,712.85
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $12,849.49
  • BlueCross BlueShield of Tennessee — BlueCare: $12,475.23
  • Cigna — Commercial: $14,097.01
  • Wellpoint — Advantage: $13,098.99
  • Wellpoint — Medicaid: $10,603.95
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 $6,921 – $9,554
Total hip replacement: rates for 4 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $9,554
  • BlueCross BlueShield of Tennessee — Blue Network Select: $9,554
  • United Healthcare — Commercial: $6,972
  • United Healthcare — Community Plan: $6,921
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments $4,800 $1,833.60 $1,651.65 – $18,712.85
Total knee replacement: rates for 8 insurance plans
  • Aetna — Commercial: $1,651.65
  • Aetna — Medicare HMO: $12,849.49
  • Ambetter — Commercial: $18,712.85
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $12,849.49
  • BlueCross BlueShield of Tennessee — BlueCare: $12,475.23
  • Cigna — Commercial: $14,097.01
  • Wellpoint — Advantage: $13,098.99
  • Wellpoint — Medicaid: $10,603.95
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 $6,921 – $9,554
Total knee replacement: rates for 4 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $9,554
  • BlueCross BlueShield of Tennessee — Blue Network Select: $9,554
  • United Healthcare — Commercial: $6,972
  • United Healthcare — Community Plan: $6,921
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: 29826 Arthroscopy, shoulder, surgical; decompress subacromial space w/ part acromioplasty w/ release $509 $194.44 $152.70 – $1,115.21
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans
  • Aetna — Commercial: $1,115.21
  • Aetna — Medicare HMO: $152.70
  • Ambetter — Commercial: $203.60
  • Cigna — Commercial: $335.94
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 $128 – $387
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $128
  • BlueCross BlueShield of Tennessee — Blue Network Select: $128
  • United Healthcare — Commercial: $190
  • United Healthcare — Community Plan: $387
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: 29881 Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral) including chondroplasty $2,676 $1,022.23 $1,375.92 – $4,769.06
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 8 insurance plans
  • Aetna — Commercial: $1,375.92
  • Aetna — Medicare HMO: $3,274.75
  • Ambetter — Commercial: $4,769.06
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $3,274.75
  • BlueCross BlueShield of Tennessee — BlueCare: $3,179.37
  • Cigna — Commercial: $3,592.69
  • Wellpoint — Advantage: $3,338.34
  • Wellpoint — Medicaid: $2,702.46
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 $1,872 – $5,453
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 4 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $5,453
  • BlueCross BlueShield of Tennessee — Blue Network Select: $5,453
  • United Healthcare — Commercial: $1,872
  • United Healthcare — Community Plan: $2,089
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 $1,115.21 – $8,628.38
Removal of tonsils and adenoids (under age 12): 10 of 12 insurance plan rates
  • Aetna — Commercial: $1,115.21
  • Aetna — Medicare HMO: $5,924.82
  • Ambetter — Commercial: $8,628.38
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $5,924.82
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $7,643
  • BlueCross BlueShield of Tennessee — Blue Network Select: $7,643
  • BlueCross BlueShield of Tennessee — BlueCare: $5,752.25
  • Cigna — Commercial: $6,500.04
  • United Healthcare — Commercial: $1,327
  • United Healthcare — Community Plan: $1,529
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: 43235 Esophagogastroduodenoscopy, flexible, transoral; diagnostic, collection of specimen brsh/floss $1,030 $393.46 $728.91 – $1,321.97
Upper GI endoscopy (diagnostic): rates for 8 insurance plans
  • Aetna — Commercial: $728.91
  • Aetna — Medicare HMO: $907.75
  • Ambetter — Commercial: $1,321.97
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $907.75
  • BlueCross BlueShield of Tennessee — BlueCare: $881.31
  • Cigna — Commercial: $995.88
  • Wellpoint — Advantage: $925.38
  • Wellpoint — Medicaid: $749.11
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 $891 – $2,226
Upper GI endoscopy (diagnostic): rates for 4 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,226
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,226
  • United Healthcare — Commercial: $891
  • United Healthcare — Community Plan: $1,295
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: 43239 Esophagogastroduodenoscopy, flexible, transoral with biopsy, single or multiple $1,446.50 $552.56 $749.11 – $1,321.97
Upper GI endoscopy with biopsy: rates for 8 insurance plans
  • Aetna — Commercial: $974.61
  • Aetna — Medicare HMO: $907.75
  • Ambetter — Commercial: $1,321.97
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $907.75
  • BlueCross BlueShield of Tennessee — BlueCare: $881.31
  • Cigna — Commercial: $995.88
  • Wellpoint — Advantage: $925.38
  • Wellpoint — Medicaid: $749.11
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 $891 – $2,226
Upper GI endoscopy with biopsy: rates for 4 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,226
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,226
  • United Healthcare — Commercial: $891
  • United Healthcare — Community Plan: $1,295
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: 45378 Colonoscopy, flexible diagnostic, including collection of specimen(s) by brushing or washing $1,395 $532.89 $768.09 – $1,355.45
Colonoscopy (diagnostic): rates for 8 insurance plans
  • Aetna — Commercial: $974.61
  • Aetna — Medicare HMO: $930.74
  • Ambetter — Commercial: $1,355.45
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $930.74
  • BlueCross BlueShield of Tennessee — BlueCare: $903.63
  • Cigna — Commercial: $1,021.10
  • Wellpoint — Advantage: $948.81
  • Wellpoint — Medicaid: $768.09
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 $891 – $2,226
Colonoscopy (diagnostic): rates for 4 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,226
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,226
  • United Healthcare — Commercial: $891
  • United Healthcare — Community Plan: $1,295
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: 45380 Colonoscopy, flexible with biopsy, single or multiple $1,682.98 $642.90 $974.61 – $1,744.16
Colonoscopy with biopsy: rates for 8 insurance plans
  • Aetna — Commercial: $974.61
  • Aetna — Medicare HMO: $1,197.65
  • Ambetter — Commercial: $1,744.16
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $1,197.65
  • BlueCross BlueShield of Tennessee — BlueCare: $1,162.77
  • Cigna — Commercial: $1,313.93
  • Wellpoint — Advantage: $1,220.91
  • Wellpoint — Medicaid: $988.35
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 $891 – $2,226
Colonoscopy with biopsy: rates for 4 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,226
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,226
  • United Healthcare — Commercial: $891
  • United Healthcare — Community Plan: $1,295
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: 45385 Colonoscopy w/Lesion Removal $1,957 $747.57 $974.61 – $1,744.16
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans
  • Aetna — Commercial: $974.61
  • Aetna — Medicare HMO: $1,197.65
  • Ambetter — Commercial: $1,744.16
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $1,197.65
  • BlueCross BlueShield of Tennessee — BlueCare: $1,162.77
  • Cigna — Commercial: $1,313.93
  • Wellpoint — Advantage: $1,220.91
  • Wellpoint — Medicaid: $988.35
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 $891 – $2,226
Colonoscopy with removal of polyps (snare): rates for 4 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,226
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,226
  • United Healthcare — Commercial: $891
  • United Healthcare — Community Plan: $1,295
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 $974.61 – $1,744.16
Ultrasound of the lower bowel by endoscope: 10 of 12 insurance plan rates
  • Aetna — Commercial: $974.61
  • Aetna — Medicare HMO: $1,197.65
  • Ambetter — Commercial: $1,744.16
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $1,197.65
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,226
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,226
  • BlueCross BlueShield of Tennessee — BlueCare: $1,162.77
  • Cigna — Commercial: $1,313.93
  • United Healthcare — Commercial: $891
  • United Healthcare — Community Plan: $1,295
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk $838 $320.12 $768.09 – $1,355.45
Screening colonoscopy (not high risk): rates for 8 insurance plans
  • Aetna — Commercial: $974.61
  • Aetna — Medicare HMO: $930.74
  • Ambetter — Commercial: $1,355.45
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $930.74
  • BlueCross BlueShield of Tennessee — BlueCare: $903.63
  • Cigna — Commercial: $1,021.10
  • Wellpoint — Advantage: $948.81
  • Wellpoint — Medicaid: $768.09
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 $440 – $2,226
Screening colonoscopy (not high risk): rates for 4 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,226
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,226
  • United Healthcare — Commercial: $440
  • United Healthcare — Community Plan: $648
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: 47562 Laparoscopy, surgical; cholecystectomy $3,517 $1,343.49 $1,651.65 – $8,811.57
Gallbladder removal by laparoscope: rates for 8 insurance plans
  • Aetna — Commercial: $1,651.65
  • Aetna — Medicare HMO: $6,050.61
  • Ambetter — Commercial: $8,811.57
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $6,050.61
  • BlueCross BlueShield of Tennessee — BlueCare: $5,874.38
  • Cigna — Commercial: $6,638.05
  • Wellpoint — Advantage: $6,168.10
  • Wellpoint — Medicaid: $4,993.22
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 $3,140 – $7,643
Gallbladder removal by laparoscope: rates for 4 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $7,643
  • BlueCross BlueShield of Tennessee — Blue Network Select: $7,643
  • United Healthcare — Commercial: $3,844
  • United Healthcare — Community Plan: $3,140
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: 49505 Repair initial inguinal hernia, age 5 years or older; reducible $2,000 $764 $1,375.92 – $5,218.56
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans
  • Aetna — Commercial: $1,375.92
  • Aetna — Medicare HMO: $3,583.41
  • Ambetter — Commercial: $5,218.56
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $3,583.41
  • BlueCross BlueShield of Tennessee — BlueCare: $3,479.04
  • Cigna — Commercial: $3,931.32
  • Wellpoint — Advantage: $3,652.99
  • Wellpoint — Medicaid: $2,957.18
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 $1,872 – $5,453
Groin (inguinal) hernia repair, age 5 or older: rates for 4 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $5,453
  • BlueCross BlueShield of Tennessee — Blue Network Select: $5,453
  • United Healthcare — Commercial: $1,872
  • United Healthcare — Community Plan: $2,089
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: 55700 Prostate BX $25 $9.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $7.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $974.61
Prostate biopsy: rates for 4 insurance plans
  • Aetna — Commercial: $974.61
  • Aetna — Medicare HMO: $7.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Ambetter — Commercial: $10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna — Commercial: $16.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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 $891 – $2,226
Prostate biopsy: rates for 4 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,226
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,226
  • United Healthcare — Commercial: $891
  • United Healthcare — Community Plan: $1,295
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Hospital (facility) fee In the file: 55866 Radical Prostatectomy $2,168 $828.18 $1,651.65 – $15,493.37
Prostate removal by laparoscope (radical prostatectomy): rates for 8 insurance plans
  • Aetna — Commercial: $1,651.65
  • Aetna — Medicare HMO: $10,638.78
  • Ambetter — Commercial: $15,493.37
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $10,638.78
  • BlueCross BlueShield of Tennessee — BlueCare: $10,328.91
  • Cigna — Commercial: $11,671.67
  • Wellpoint — Advantage: $10,845.36
  • Wellpoint — Medicaid: $8,779.57
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 $6,921 – $9,554
Prostate removal by laparoscope (radical prostatectomy): rates for 4 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $9,554
  • BlueCross BlueShield of Tennessee — Blue Network Select: $9,554
  • United Healthcare — Commercial: $6,972
  • United Healthcare — Community Plan: $6,921
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 $1,115.21 – $4,718.24
Hysteroscopy with biopsy of the uterus lining: 10 of 12 insurance plan rates
  • Aetna — Commercial: $1,115.21
  • Aetna — Medicare HMO: $3,239.85
  • Ambetter — Commercial: $4,718.24
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $3,239.85
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $5,453
  • BlueCross BlueShield of Tennessee — Blue Network Select: $5,453
  • BlueCross BlueShield of Tennessee — BlueCare: $3,145.49
  • Cigna — Commercial: $3,554.40
  • United Healthcare — Commercial: $1,327
  • United Healthcare — Community Plan: $1,529
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: 62323 Injection(s), of diagnostic or therapeutic substance(s); lumbar or sacral, with imaging $1,452 $554.66 $580.80 – $1,651.65
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates
  • Aetna — Commercial: $1,651.65
  • Aetna — Medicare HMO: $706.48
  • Ambetter — Commercial: $1,028.85
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $706.48
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $1,458
  • BlueCross BlueShield of Tennessee — Blue Network Select: $1,458
  • BlueCross BlueShield of Tennessee — BlueCare: $685.90
  • Cigna — Commercial: $775.07
  • United Healthcare — Commercial: $801.50
  • United Healthcare — Community Plan: $580.80
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 $1,458
Spinal injection, lower back (epidural), with imaging guidance: rates for 2 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $1,458
  • BlueCross BlueShield of Tennessee — Blue Network Select: $1,458
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: 64483 Injection Transforaminal Epidural - single level $1,890 $721.98 $440 – $1,458
Nerve root injection, lower back, with imaging guidance: 10 of 12 insurance plan rates
  • Aetna — Commercial: $728.91
  • Aetna — Medicare HMO: $885.21
  • Ambetter — Commercial: $1,289.15
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $885.21
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $1,458
  • BlueCross BlueShield of Tennessee — Blue Network Select: $1,458
  • BlueCross BlueShield of Tennessee — BlueCare: $859.43
  • Cigna — Commercial: $971.16
  • United Healthcare — Commercial: $440
  • United Healthcare — Community Plan: $648
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 $440 – $1,458
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $1,458
  • BlueCross BlueShield of Tennessee — Blue Network Select: $1,458
  • United Healthcare — Commercial: $440
  • United Healthcare — Community Plan: $648
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: 64721 Neuroplasty and/or transposition; median nerve at carpal tunnel $1,783 $681.11 $974.61 – $2,846.18
Carpal tunnel release: rates for 8 insurance plans
  • Aetna — Commercial: $974.61
  • Aetna — Medicare HMO: $1,954.37
  • Ambetter — Commercial: $2,846.18
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $1,954.37
  • BlueCross BlueShield of Tennessee — BlueCare: $1,897.45
  • Cigna — Commercial: $2,144.12
  • Wellpoint — Advantage: $1,992.32
  • Wellpoint — Medicaid: $1,612.83
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 $1,327 – $2,967
Carpal tunnel release: rates for 4 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,967
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,967
  • United Healthcare — Commercial: $1,327
  • United Healthcare — Community Plan: $1,529
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 $454.27 – $974.61
Laser treatment of clouding after cataract surgery: 10 of 12 insurance plan rates
  • Aetna — Commercial: $974.61
  • Aetna — Medicare HMO: $550.46
  • Ambetter — Commercial: $801.65
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $550.46
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $1,458
  • BlueCross BlueShield of Tennessee — Blue Network Select: $1,458
  • BlueCross BlueShield of Tennessee — BlueCare: $534.43
  • Cigna — Commercial: $603.91
  • United Healthcare — Commercial: $440
  • United Healthcare — Community Plan: $648
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 $1,906.12 – $3,363.74
Cataract removal with lens implant: 10 of 12 insurance plan rates
  • Aetna — Commercial: $2,125.31
  • Aetna — Medicare HMO: $2,309.76
  • Ambetter — Commercial: $3,363.74
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $2,309.76
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,967
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,967
  • BlueCross BlueShield of Tennessee — BlueCare: $2,242.49
  • Cigna — Commercial: $2,534.01
  • United Healthcare — Commercial: $1,327
  • United Healthcare — Community Plan: $1,529

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance 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 $1,651.65
Vaginal delivery, with care before and after: rates for 8 insurance plans
  • Aetna — Commercial: $1,651.65
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,226
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,226
  • Aetna — Medicare HMO: 30% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 40% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 66% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Commercial: 55.2% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Community Plan: 50% (a percentage in the contract, not a dollar amount)
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 $1,651.65
Cesarean delivery (C-section), with care before and after: rates for 8 insurance plans
  • Aetna — Commercial: $1,651.65
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,226
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,226
  • Aetna — Medicare HMO: 30% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 40% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 66% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Commercial: 55.2% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Community Plan: 50% (a percentage in the contract, not a dollar amount)
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 $1,651.65
Vaginal delivery after a previous C-section, with care before and after: rates for 8 insurance plans
  • Aetna — Commercial: $1,651.65
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,226
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,226
  • Aetna — Medicare HMO: 30% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 40% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 66% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Commercial: 55.2% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Community Plan: 50% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance 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 $1,635 – $148,902.21
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 12 insurance plan rates
  • Aetna — Commercial: $1,485
  • Aetna — Medicare HMO: $102,246.18
  • Ambetter — Commercial: $148,902.21
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $102,246.18
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,430
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,430
  • BlueCross BlueShield of Tennessee — BlueCare: $99,268.14
  • Cigna — Commercial: $117,268.18
  • United Healthcare — Commercial: $67,569.80
  • United Healthcare — Community Plan: $1,635
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 $2,430
Spinal fusion (not neck), without major complications: rates for 2 insurance plans
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,430
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,430
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 $1,635 – $29,359.44
Hip or knee replacement (major joint of the leg), without major complications: 10 of 12 insurance plan rates
  • Aetna — Commercial: $1,485
  • Aetna — Medicare HMO: $20,160.15
  • Ambetter — Commercial: $29,359.44
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $20,160.15
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,430
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,430
  • BlueCross BlueShield of Tennessee — BlueCare: $19,572.96
  • Cigna — Commercial: $23,122.07
  • United Healthcare — Commercial: $13,322.91
  • United Healthcare — Community Plan: $1,635
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 $1,635 – $37,158.59
Neck (cervical) spinal fusion, without complications: 10 of 12 insurance plan rates
  • Aetna — Commercial: $1,485
  • Aetna — Medicare HMO: $25,515.56
  • Ambetter — Commercial: $37,158.59
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $25,515.56
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,430
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,430
  • BlueCross BlueShield of Tennessee — BlueCare: $24,772.39
  • Cigna — Commercial: $29,264.30
  • United Healthcare — Commercial: $16,862.06
  • United Healthcare — Community Plan: $1,635
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 $1,635 – $18,884.46
Uterus and ovary surgery (not for cancer), without complications: 10 of 12 insurance plan rates
  • Aetna — Commercial: $1,485
  • Aetna — Medicare HMO: $12,967.33
  • Ambetter — Commercial: $18,884.46
  • BlueCross BlueShield of Tennessee — Blue Advantage MA PPO: $12,967.33
  • BlueCross BlueShield of Tennessee — Blue Network Preferred: $2,430
  • BlueCross BlueShield of Tennessee — Blue Network Select: $2,430
  • BlueCross BlueShield of Tennessee — BlueCare: $12,589.64
  • Cigna — Commercial: $14,872.49
  • United Healthcare — Commercial: $8,569.51
  • United Healthcare — Community Plan: $1,635

Source: Hardin Medical Center’s standard charges file (mrfs.hyvehealthcare.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 1, 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 typeAcute Care Hospital
Address935 Wayne Road, Savannah, TN 38372
CountyHardin County
StateTennessee
Phone(731) 926‑8121
Emergency servicesYes
OwnershipGovernment - Local
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number440109
Name in Medicare recordsHARDIN MEDICAL CENTER
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(731) 926‑8000[4]
Official websitehardinmedicalcenter.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Hardin Medical Center — hardinmedicalcenter.org
  2. Services and Departments — hardinmedicalcenter.org
  3. Patient Guide | Hardin Medical Center | HMC — hardinmedicalcenter.org
  4. Respiratory Therapy — hardinmedicalcenter.org
  5. Quality Care | Hardin Medical Center | HMC — hardinmedicalcenter.org
  6. Prenatal Class Form | Hardin Medical Ctr — hardinmedicalcenter.org
  7. Cancer Care | Hardin Medical Center | HMC — hardinmedicalcenter.org
  8. Heart Care Page | Hardin Medical Ctr — hardinmedicalcenter.org
  9. Resources | Hardin Medical Center | HMC — hardinmedicalcenter.org
  10. Womens Health Center | Hardin Medical Center | HMC — hardinmedicalcenter.org