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Acute Care Hospital

Jackson-Madison County General Hospital

Also listed as: West Tennessee Healthcare Jackson-Madison County General Hospital

Jackson, Tennessee · Madison County · Emergency services listed

Jackson-Madison County General Hospital is an acute care hospital at 620 Skyline Drive, Jackson, TN 38301. Phone: (731) 541-5000. It has an emergency department. Medicare overall rating: 3 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Jackson-Madison County General Hospital is an acute care hospital in Jackson, Tennessee. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 25 services, specialties and programs. Medicare lists 1,077 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

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

Call(731) 541‑5000 Directions Website Medicare profile
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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
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
642Beds (hospital website)
1,077Doctors and clinicians
25Services listed

Quick answers

Does Jackson-Madison County General Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Jackson-Madison County General Hospital. In a medical emergency, call 911.
Where is Jackson-Madison County General Hospital?
620 Skyline Drive, Jackson, TN 38301, in Madison County, Tennessee.
What is the phone number of Jackson-Madison County General Hospital?
(731) 541-5000, as listed by Medicare (CMS).
What is the Medicare star rating of Jackson-Madison County General Hospital?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Jackson-Madison County General Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Jackson-Madison County General Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.2007; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4]

Procedures[4][5]

Programs and centers[4]

  • Doula program
  • Kirkland Cancer Center
  • West Tennessee Heart and Vascular Center
  • West Tennessee Neuroscience and Spine Center
  • West Tennessee Women's Center
  • Sleep Disorders Clinic

Emergency care (hospital website)[4][5][6]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingMon-Fri 5 a.m.-8 p.m., weekends 7 a.m.-8 p.m.; usually two visitors per patient per day[4]

Recognition[4][7]

  • Bronze Cribs for Kids National Safe Sleep Hospital (recertified July 2026)
  • ACC HeartCARE Center Designation

Doctors and clinicians (1,077)

1,077 doctors and other clinicians list Jackson-Madison County General Hospital 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 (1,077)

And 1,053 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Jackson

All hospitals in Jackson · Hospitals in Madison County · Hospitals near me

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 →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state license 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 Jackson-Madison County General Hospital 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) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment3 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1070%National average: 72%
Would definitely recommend the hospital69%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well78%National average: 80%
“Always” got help as soon as they wanted63%National average: 64%
Staff “always” explained medicines before giving them61%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean70%National average: 73%
Completed surveys2,221Response rate: 23%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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)0.555No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.836No different from the national benchmark
Surgical site infections after colon surgery1.348No different from the national benchmark
MRSA bloodstream infections1.461No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.422Better than the national benchmark
Not reported to MedicareSurgical site infections after abdominal hysterectomy

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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 patients13.6%
Deaths within 30 days: heart failure patients13.2%
Deaths within 30 days: pneumonia patients19.3%
Deaths within 30 days: COPD patients12.1%
Deaths within 30 days: stroke patients12.3%
Deaths within 30 days: coronary bypass surgery (CABG)1.8%
Serious complications (patient safety indicator PSI-90)0.96No different from the national rate
Too few cases to reportComplications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)15.6%
Readmitted within 30 days: heart attack14.8%
Readmitted within 30 days: heart failure20.5%
Readmitted within 30 days: pneumonia16.1%
Readmitted within 30 days: COPD19.1%
Readmitted within 30 days: coronary bypass surgery12.2%
Readmitted within 30 days: hip or knee replacement6.5%

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)228 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)56%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Jackson-Madison County General Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score0.2007Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack1.0254More readmissions than expected
Heart failure0.9619Fewer readmissions than expected
Pneumonia0.9627Fewer readmissions than expected
COPD (chronic lung disease)0.9179Fewer readmissions than expected
Coronary bypass surgery (CABG)1.0314More readmissions than expected
No result publishedHip or knee replacement (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score20.58 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)16.00 out of 100
Person and community engagement (patient survey)38.00 out of 100
Safety (infections and sepsis care)28.33 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio1.10Above the national median hospital (1.00): Medicare spent more

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

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

ER wait times in TennesseeBest hospitals in Tennessee

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 50 common services exactly as Jackson-Madison County General Hospital 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 →

Show the prices of 50 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 30-44 MINUTES $255 $76.50 $65 – $255
New patient office visit (about 30–44 minutes): rates for 9 insurance plans
  • Aetna — Commercial: $163.71
  • Aetna — West TN Employee Network: $137.44
  • Aetna — Whole Health: $124.69
  • Blue Cross Blue Shield of Tennessee — Network P: $173.40
  • Blue Cross Blue Shield of Tennessee — Network S/E: $173.40
  • ChoiceCare — Commercial: $191.25
  • ChoiceCare — KY Medicaid HMO: $255
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $102
  • River Valley Plan — TennCare: $65
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 30-44 MINUTES $255 $76.50 $163.71 – $255
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
  • Aetna — Commercial: $163.71
  • ChoiceCare — Commercial: $191.25
  • ChoiceCare — KY Medicaid HMO: $255
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 45-59 MINUTES $268 $80.40 $65 – $268
New patient office visit (about 45–59 minutes): rates for 9 insurance plans
  • Aetna — Commercial: $172.06
  • Aetna — West TN Employee Network: $144.45
  • Aetna — Whole Health: $131.05
  • Blue Cross Blue Shield of Tennessee — Network P: $182.24
  • Blue Cross Blue Shield of Tennessee — Network S/E: $182.24
  • ChoiceCare — Commercial: $201
  • ChoiceCare — KY Medicaid HMO: $268
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $107.20
  • River Valley Plan — TennCare: $65
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 45-59 MINUTES $268 $80.40 $172.06 – $268
New patient office visit (about 45–59 minutes): rates for 3 insurance plans
  • Aetna — Commercial: $172.06
  • ChoiceCare — Commercial: $201
  • ChoiceCare — KY Medicaid HMO: $268
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 60-74 MINUTES $427 $128.10 $65 – $427
New patient office visit (about 60–74 minutes): rates for 9 insurance plans
  • Aetna — Commercial: $274.13
  • Aetna — West TN Employee Network: $230.15
  • Aetna — Whole Health: $208.80
  • Blue Cross Blue Shield of Tennessee — Network P: $290.36
  • Blue Cross Blue Shield of Tennessee — Network S/E: $290.36
  • ChoiceCare — Commercial: $320.25
  • ChoiceCare — KY Medicaid HMO: $427
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $170.80
  • River Valley Plan — TennCare: $65
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 60-74 MINUTES $427 $128.10 $274.13 – $427
New patient office visit (about 60–74 minutes): rates for 3 insurance plans
  • Aetna — Commercial: $274.13
  • ChoiceCare — Commercial: $320.25
  • ChoiceCare — KY Medicaid HMO: $427
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT 20-29 MINUTES $180 $54 $65 – $180
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans
  • Aetna — Commercial: $115.56
  • Aetna — West TN Employee Network: $97.02
  • Aetna — Whole Health: $88.02
  • Blue Cross Blue Shield of Tennessee — Network P: $122.40
  • Blue Cross Blue Shield of Tennessee — Network S/E: $122.40
  • ChoiceCare — Commercial: $135
  • ChoiceCare — KY Medicaid HMO: $180
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $72
  • River Valley Plan — TennCare: $65
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT 20-29 MINUTES $180 $54 $115.56 – $180
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
  • Aetna — Commercial: $115.56
  • ChoiceCare — Commercial: $135
  • ChoiceCare — KY Medicaid HMO: $180
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT 30-39 MINUTES $225 $67.50 $65 – $225
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans
  • Aetna — Commercial: $144.45
  • Aetna — West TN Employee Network: $121.28
  • Aetna — Whole Health: $110.03
  • Blue Cross Blue Shield of Tennessee — Network P: $153
  • Blue Cross Blue Shield of Tennessee — Network S/E: $153
  • ChoiceCare — Commercial: $168.75
  • ChoiceCare — KY Medicaid HMO: $225
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $90
  • River Valley Plan — TennCare: $65
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT 30-39 MINUTES $225 $67.50 $144.45 – $225
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans
  • Aetna — Commercial: $144.45
  • ChoiceCare — Commercial: $168.75
  • ChoiceCare — KY Medicaid HMO: $225
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY $1,480 $444 $247.67 – $1,480
Emergency room visit (moderate): 10 of 16 insurance plan rates
  • Aetna — Commercial: $950.16
  • Aetna — West TN Employee Network: $748
  • Aetna — Whole Health: $723.72
  • Blue Cross Blue Shield of Tennessee — BlueCare: $255.10
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $255.10
  • Blue Cross Blue Shield of Tennessee — Network P: $1,404
  • Blue Cross Blue Shield of Tennessee — Network S/E: $1,292
  • Celtic Insurance Company — Commercial-Exchange: $383.89
  • ChoiceCare — Commercial: $1,110
  • ChoiceCare — KY Medicaid HMO: $1,480
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY $1,480 $444 $950.16 – $1,480
Emergency room visit (moderate): rates for 3 insurance plans
  • Aetna — Commercial: $950.16
  • ChoiceCare — Commercial: $1,110
  • ChoiceCare — KY Medicaid HMO: $1,480
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY $4,553 $1,365.90 $378.57 – $4,553
Emergency room visit (moderately high): 10 of 16 insurance plan rates
  • Aetna — Commercial: $2,923.03
  • Aetna — West TN Employee Network: $1,976
  • Aetna — Whole Health: $2,226.42
  • Blue Cross Blue Shield of Tennessee — BlueCare: $389.93
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $389.93
  • Blue Cross Blue Shield of Tennessee — Network P: $1,828
  • Blue Cross Blue Shield of Tennessee — Network S/E: $1,682
  • Celtic Insurance Company — Commercial-Exchange: $586.78
  • ChoiceCare — Commercial: $3,414.75
  • ChoiceCare — KY Medicaid HMO: $4,553
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY $4,553 $1,365.90 $2,923.03 – $4,553
Emergency room visit (moderately high): rates for 3 insurance plans
  • Aetna — Commercial: $2,923.03
  • ChoiceCare — Commercial: $3,414.75
  • ChoiceCare — KY Medicaid HMO: $4,553
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC $5,122 $1,536.60 $540.31 – $5,122
Emergency room visit (high): 10 of 16 insurance plan rates
  • Aetna — Commercial: $3,288.32
  • Aetna — West TN Employee Network: $2,134
  • Aetna — Whole Health: $2,504.66
  • Blue Cross Blue Shield of Tennessee — BlueCare: $556.52
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $556.52
  • Blue Cross Blue Shield of Tennessee — Network P: $2,268
  • Blue Cross Blue Shield of Tennessee — Network S/E: $2,086
  • Celtic Insurance Company — Commercial-Exchange: $837.48
  • ChoiceCare — Commercial: $3,841.50
  • ChoiceCare — KY Medicaid HMO: $5,122
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC $5,122 $1,536.60 $3,288.32 – $5,122
Emergency room visit (high): rates for 3 insurance plans
  • Aetna — Commercial: $3,288.32
  • ChoiceCare — Commercial: $3,841.50
  • ChoiceCare — KY Medicaid HMO: $5,122

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE $124 $37.20 $5.08 – $124
Basic metabolic panel (blood test): 10 of 16 insurance plan rates
  • Aetna — Commercial: $79.61
  • Aetna — West TN Employee Network: $66.84
  • Aetna — Whole Health: $60.64
  • Blue Cross Blue Shield of Tennessee — BlueCare: $8.71
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $8.71
  • Blue Cross Blue Shield of Tennessee — Network P: $17.77
  • Blue Cross Blue Shield of Tennessee — Network S/E: $16.33
  • Celtic Insurance Company — Commercial-Exchange: $13.11
  • ChoiceCare — Commercial: $93
  • ChoiceCare — KY Medicaid HMO: $124
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE $124 $37.20 $79.61 – $124
Basic metabolic panel (blood test): rates for 3 insurance plans
  • Aetna — Commercial: $79.61
  • ChoiceCare — Commercial: $93
  • ChoiceCare — KY Medicaid HMO: $124
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE $180 $54 $6.34 – $180
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates
  • Aetna — Commercial: $115.56
  • Aetna — West TN Employee Network: $97.02
  • Aetna — Whole Health: $88.02
  • Blue Cross Blue Shield of Tennessee — BlueCare: $10.88
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $10.88
  • Blue Cross Blue Shield of Tennessee — Network P: $22.18
  • Blue Cross Blue Shield of Tennessee — Network S/E: $20.38
  • Celtic Insurance Company — Commercial-Exchange: $16.37
  • ChoiceCare — Commercial: $135
  • ChoiceCare — KY Medicaid HMO: $180
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE $180 $54 $115.56 – $180
Comprehensive metabolic panel (blood test): rates for 3 insurance plans
  • Aetna — Commercial: $115.56
  • ChoiceCare — Commercial: $135
  • ChoiceCare — KY Medicaid HMO: $180
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL - BUNDLED CHARGE $136 $40.80 $8.03 – $136
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
  • Aetna — Commercial: $87.31
  • Aetna — West TN Employee Network: $73.30
  • Aetna — Whole Health: $66.50
  • Blue Cross Blue Shield of Tennessee — BlueCare: $13.79
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $13.79
  • Blue Cross Blue Shield of Tennessee — Network P: $28.12
  • Blue Cross Blue Shield of Tennessee — Network S/E: $25.84
  • Celtic Insurance Company — Commercial-Exchange: $20.75
  • ChoiceCare — Commercial: $102
  • ChoiceCare — KY Medicaid HMO: $136
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL - BUNDLED CHARGE $136 $40.80 $87.31 – $136
Cholesterol panel (lipid panel): rates for 3 insurance plans
  • Aetna — Commercial: $87.31
  • ChoiceCare — Commercial: $102
  • ChoiceCare — KY Medicaid HMO: $136
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE $134 $40.20 $5.21 – $134
Kidney function panel: 10 of 16 insurance plan rates
  • Aetna — Commercial: $86.03
  • Aetna — West TN Employee Network: $72.23
  • Aetna — Whole Health: $65.53
  • Blue Cross Blue Shield of Tennessee — BlueCare: $8.94
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $8.94
  • Blue Cross Blue Shield of Tennessee — Network P: $18.23
  • Blue Cross Blue Shield of Tennessee — Network S/E: $16.75
  • Celtic Insurance Company — Commercial-Exchange: $13.45
  • ChoiceCare — Commercial: $100.50
  • ChoiceCare — KY Medicaid HMO: $134
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE $134 $40.20 $86.03 – $134
Kidney function panel: rates for 3 insurance plans
  • Aetna — Commercial: $86.03
  • ChoiceCare — Commercial: $100.50
  • ChoiceCare — KY Medicaid HMO: $134
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE $127 $38.10 $4.90 – $127
Liver function panel: 10 of 16 insurance plan rates
  • Aetna — Commercial: $81.53
  • Aetna — West TN Employee Network: $68.45
  • Aetna — Whole Health: $62.10
  • Blue Cross Blue Shield of Tennessee — BlueCare: $8.42
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $8.42
  • Blue Cross Blue Shield of Tennessee — Network P: $17.16
  • Blue Cross Blue Shield of Tennessee — Network S/E: $15.77
  • Celtic Insurance Company — Commercial-Exchange: $12.66
  • ChoiceCare — Commercial: $95.25
  • ChoiceCare — KY Medicaid HMO: $127
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE $127 $38.10 $81.53 – $127
Liver function panel: rates for 3 insurance plans
  • Aetna — Commercial: $81.53
  • ChoiceCare — Commercial: $95.25
  • ChoiceCare — KY Medicaid HMO: $127
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC $102 $30.60 $1.90 – $102
Urine test (automated, with microscope): 10 of 16 insurance plan rates
  • Aetna — Commercial: $65.48
  • Aetna — West TN Employee Network: $54.98
  • Aetna — Whole Health: $49.88
  • Blue Cross Blue Shield of Tennessee — BlueCare: $3.27
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $3.27
  • Blue Cross Blue Shield of Tennessee — Network P: $6.66
  • Blue Cross Blue Shield of Tennessee — Network S/E: $6.12
  • Celtic Insurance Company — Commercial-Exchange: $4.91
  • ChoiceCare — Commercial: $76.50
  • ChoiceCare — KY Medicaid HMO: $102
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC $102 $30.60 $65.48 – $102
Urine test (automated, with microscope): rates for 3 insurance plans
  • Aetna — Commercial: $65.48
  • ChoiceCare — Commercial: $76.50
  • ChoiceCare — KY Medicaid HMO: $102
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY $36 $10.80 $1.35 – $36
Urine test (automated, without microscope): 10 of 16 insurance plan rates
  • Aetna — Commercial: $23.11
  • Aetna — West TN Employee Network: $19.40
  • Aetna — Whole Health: $17.60
  • Blue Cross Blue Shield of Tennessee — BlueCare: $2.32
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $2.32
  • Blue Cross Blue Shield of Tennessee — Network P: $4.72
  • Blue Cross Blue Shield of Tennessee — Network S/E: $4.34
  • Celtic Insurance Company — Commercial-Exchange: $3.49
  • ChoiceCare — Commercial: $27
  • ChoiceCare — KY Medicaid HMO: $36
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY $36 $10.80 $23.11 – $36
Urine test (automated, without microscope): rates for 3 insurance plans
  • Aetna — Commercial: $23.11
  • ChoiceCare — Commercial: $27
  • ChoiceCare — KY Medicaid HMO: $36
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA $160 $48 $11.03 – $160
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
  • Aetna — Commercial: $102.72
  • Aetna — West TN Employee Network: $86.24
  • Aetna — Whole Health: $78.24
  • Blue Cross Blue Shield of Tennessee — BlueCare: $18.94
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $18.94
  • Blue Cross Blue Shield of Tennessee — Network P: $38.62
  • Blue Cross Blue Shield of Tennessee — Network S/E: $35.49
  • Celtic Insurance Company — Commercial-Exchange: $28.50
  • ChoiceCare — Commercial: $120
  • ChoiceCare — KY Medicaid HMO: $160
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE $160 $48 $11.03 – $160
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
  • Aetna — Commercial: $102.72
  • Aetna — West TN Employee Network: $86.24
  • Aetna — Whole Health: $78.24
  • Blue Cross Blue Shield of Tennessee — BlueCare: $18.94
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $18.94
  • Blue Cross Blue Shield of Tennessee — Network P: $38.62
  • Blue Cross Blue Shield of Tennessee — Network S/E: $35.49
  • Celtic Insurance Company — Commercial-Exchange: $28.50
  • ChoiceCare — Commercial: $120
  • ChoiceCare — KY Medicaid HMO: $160
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA $160 $48 $102.72 – $160
PSA (prostate specific antigen) blood test: rates for 3 insurance plans
  • Aetna — Commercial: $102.72
  • ChoiceCare — Commercial: $120
  • ChoiceCare — KY Medicaid HMO: $160
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE $104 $31.20 $10.08 – $104
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates
  • Aetna — Commercial: $66.77
  • Aetna — West TN Employee Network: $56.06
  • Aetna — Whole Health: $50.86
  • Blue Cross Blue Shield of Tennessee — BlueCare: $17.30
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $17.30
  • Blue Cross Blue Shield of Tennessee — Network P: $35.28
  • Blue Cross Blue Shield of Tennessee — Network S/E: $32.42
  • Celtic Insurance Company — Commercial-Exchange: $26.04
  • ChoiceCare — Commercial: $78
  • ChoiceCare — KY Medicaid HMO: $104
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE $104 $31.20 $66.77 – $104
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans
  • Aetna — Commercial: $66.77
  • ChoiceCare — Commercial: $78
  • ChoiceCare — KY Medicaid HMO: $104
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE $183 $54.90 $4.66 – $183
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates
  • Aetna — Commercial: $117.49
  • Aetna — West TN Employee Network: $98.64
  • Aetna — Whole Health: $89.49
  • Blue Cross Blue Shield of Tennessee — BlueCare: $8
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $8
  • Blue Cross Blue Shield of Tennessee — Network P: $16.32
  • Blue Cross Blue Shield of Tennessee — Network S/E: $15
  • Celtic Insurance Company — Commercial-Exchange: $12.04
  • ChoiceCare — Commercial: $137.25
  • ChoiceCare — KY Medicaid HMO: $183
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE $183 $54.90 $117.49 – $183
Complete blood count (CBC) with differential: rates for 3 insurance plans
  • Aetna — Commercial: $117.49
  • ChoiceCare — Commercial: $137.25
  • ChoiceCare — KY Medicaid HMO: $183
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - CBC $70 $21 $3.88 – $70
Complete blood count (CBC), automated: 10 of 16 insurance plan rates
  • Aetna — Commercial: $44.94
  • Aetna — West TN Employee Network: $37.73
  • Aetna — Whole Health: $34.23
  • Blue Cross Blue Shield of Tennessee — BlueCare: $6.66
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $6.66
  • Blue Cross Blue Shield of Tennessee — Network P: $13.59
  • Blue Cross Blue Shield of Tennessee — Network S/E: $12.49
  • Celtic Insurance Company — Commercial-Exchange: $10.03
  • ChoiceCare — Commercial: $52.50
  • ChoiceCare — KY Medicaid HMO: $70
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - CBC $70 $21 $44.94 – $70
Complete blood count (CBC), automated: rates for 3 insurance plans
  • Aetna — Commercial: $44.94
  • ChoiceCare — Commercial: $52.50
  • ChoiceCare — KY Medicaid HMO: $70
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME - PROTIME-INR $50 $15 $2.57 – $50
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
  • Aetna — Commercial: $32.10
  • Aetna — West TN Employee Network: $26.95
  • Aetna — Whole Health: $24.45
  • Blue Cross Blue Shield of Tennessee — BlueCare: $4.42
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $4.42
  • Blue Cross Blue Shield of Tennessee — Network P: $9.01
  • Blue Cross Blue Shield of Tennessee — Network S/E: $8.28
  • Celtic Insurance Company — Commercial-Exchange: $6.65
  • ChoiceCare — Commercial: $37.50
  • ChoiceCare — KY Medicaid HMO: $50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME - PROTIME-INR $50 $15 $32.10 – $50
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans
  • Aetna — Commercial: $32.10
  • ChoiceCare — Commercial: $37.50
  • ChoiceCare — KY Medicaid HMO: $50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - APTT $65 $19.50 $3.61 – $65
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates
  • Aetna — Commercial: $41.73
  • Aetna — West TN Employee Network: $35.03
  • Aetna — Whole Health: $31.79
  • Blue Cross Blue Shield of Tennessee — BlueCare: $6.19
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $6.19
  • Blue Cross Blue Shield of Tennessee — Network P: $12.62
  • Blue Cross Blue Shield of Tennessee — Network S/E: $11.60
  • Celtic Insurance Company — Commercial-Exchange: $9.32
  • ChoiceCare — Commercial: $48.75
  • ChoiceCare — KY Medicaid HMO: $65
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - PTT CRRT SYSTEM $65 $19.50 $3.61 – $65
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates
  • Aetna — Commercial: $41.73
  • Aetna — West TN Employee Network: $35.03
  • Aetna — Whole Health: $31.79
  • Blue Cross Blue Shield of Tennessee — BlueCare: $6.19
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $6.19
  • Blue Cross Blue Shield of Tennessee — Network P: $12.62
  • Blue Cross Blue Shield of Tennessee — Network S/E: $11.60
  • Celtic Insurance Company — Commercial-Exchange: $9.32
  • ChoiceCare — Commercial: $48.75
  • ChoiceCare — KY Medicaid HMO: $65
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - APTT $65 $19.50 $41.73 – $65
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans
  • Aetna — Commercial: $41.73
  • ChoiceCare — Commercial: $48.75
  • ChoiceCare — KY Medicaid HMO: $65

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST $395 $118.50 $94.85 – $650
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial: $253.59
  • Aetna — West TN Employee Network: $212.91
  • Aetna — Whole Health: $193.16
  • Blue Cross Blue Shield of Tennessee — BlueCare: $97.70
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $97.70
  • Blue Cross Blue Shield of Tennessee — Network P: $151.55
  • Blue Cross Blue Shield of Tennessee — Network S/E: $139.43
  • Celtic Insurance Company — Commercial-Exchange: $147.02
  • ChoiceCare — Commercial: $296.25
  • ChoiceCare — KY Medicaid HMO: $395
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST $395 $118.50 $253.59 – $395
CT scan of the head or brain, without contrast: rates for 3 insurance plans
  • Aetna — Commercial: $253.59
  • ChoiceCare — Commercial: $296.25
  • ChoiceCare — KY Medicaid HMO: $395
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST $1,136 $340.80 $316.52 – $1,136
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial: $729.31
  • Aetna — West TN Employee Network: $612.30
  • Aetna — Whole Health: $555.50
  • Blue Cross Blue Shield of Tennessee — BlueCare: $326.02
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $326.02
  • Blue Cross Blue Shield of Tennessee — Network P: $483.95
  • Blue Cross Blue Shield of Tennessee — Network S/E: $445.23
  • Celtic Insurance Company — Commercial-Exchange: $490.61
  • ChoiceCare — Commercial: $852
  • ChoiceCare — KY Medicaid HMO: $1,136
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST $1,136 $340.80 $729.31 – $1,136
MRI of the brain, before and after contrast: rates for 3 insurance plans
  • Aetna — Commercial: $729.31
  • ChoiceCare — Commercial: $852
  • ChoiceCare — KY Medicaid HMO: $1,136
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS $501 $150.30 $39.41 – $501
Chest X-ray, 2 views: 10 of 16 insurance plan rates
  • Aetna — Commercial: $321.64
  • Aetna — West TN Employee Network: $270.04
  • Aetna — Whole Health: $244.99
  • Blue Cross Blue Shield of Tennessee — BlueCare: $81.33
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $81.33
  • Blue Cross Blue Shield of Tennessee — Network P: $42.88
  • Blue Cross Blue Shield of Tennessee — Network S/E: $39.41
  • Celtic Insurance Company — Commercial-Exchange: $122.39
  • ChoiceCare — Commercial: $375.75
  • ChoiceCare — KY Medicaid HMO: $501
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS $501 $150.30 $321.64 – $501
Chest X-ray, 2 views: rates for 3 insurance plans
  • Aetna — Commercial: $321.64
  • ChoiceCare — Commercial: $375.75
  • ChoiceCare — KY Medicaid HMO: $501
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS $905 $271.50 $47.90 – $905
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates
  • Aetna — Commercial: $581.01
  • Aetna — West TN Employee Network: $487.80
  • Aetna — Whole Health: $442.55
  • Blue Cross Blue Shield of Tennessee — BlueCare: $97.70
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $97.70
  • Blue Cross Blue Shield of Tennessee — Network P: $73.08
  • Blue Cross Blue Shield of Tennessee — Network S/E: $67.16
  • Celtic Insurance Company — Commercial-Exchange: $147.02
  • ChoiceCare — Commercial: $678.75
  • ChoiceCare — KY Medicaid HMO: $905
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS $905 $271.50 $581.01 – $905
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans
  • Aetna — Commercial: $581.01
  • ChoiceCare — Commercial: $678.75
  • ChoiceCare — KY Medicaid HMO: $905
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST $718 $215.40 $216.48 – $718
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial: $460.96
  • Aetna — West TN Employee Network: $387
  • Aetna — Whole Health: $351.10
  • Blue Cross Blue Shield of Tennessee — BlueCare: $222.97
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $222.97
  • Blue Cross Blue Shield of Tennessee — Network P: $278.88
  • Blue Cross Blue Shield of Tennessee — Network S/E: $256.56
  • Celtic Insurance Company — Commercial-Exchange: $335.54
  • ChoiceCare — Commercial: $538.50
  • ChoiceCare — KY Medicaid HMO: $718
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST $718 $215.40 $460.96 – $718
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans
  • Aetna — Commercial: $460.96
  • ChoiceCare — Commercial: $538.50
  • ChoiceCare — KY Medicaid HMO: $718
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST $510 $153 $159.14 – $650
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial: $327.42
  • Aetna — West TN Employee Network: $274.89
  • Aetna — Whole Health: $249.39
  • Blue Cross Blue Shield of Tennessee — BlueCare: $163.91
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $163.91
  • Blue Cross Blue Shield of Tennessee — Network P: $396.98
  • Blue Cross Blue Shield of Tennessee — Network S/E: $365.22
  • Celtic Insurance Company — Commercial-Exchange: $246.67
  • ChoiceCare — Commercial: $382.50
  • ChoiceCare — KY Medicaid HMO: $510
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST $510 $153 $327.42 – $510
CT scan of the pelvis, with contrast: rates for 3 insurance plans
  • Aetna — Commercial: $327.42
  • ChoiceCare — Commercial: $382.50
  • ChoiceCare — KY Medicaid HMO: $510
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT WO IV CONT $622 $186.60 $216.48 – $650
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial: $399.32
  • Aetna — West TN Employee Network: $335.26
  • Aetna — Whole Health: $304.16
  • Blue Cross Blue Shield of Tennessee — BlueCare: $222.97
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $222.97
  • Blue Cross Blue Shield of Tennessee — Network P: $317.75
  • Blue Cross Blue Shield of Tennessee — Network S/E: $292.33
  • Celtic Insurance Company — Commercial-Exchange: $335.54
  • ChoiceCare — Commercial: $466.50
  • ChoiceCare — KY Medicaid HMO: $622
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT WO IV CONT $622 $186.60 $399.32 – $622
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans
  • Aetna — Commercial: $399.32
  • ChoiceCare — Commercial: $466.50
  • ChoiceCare — KY Medicaid HMO: $622
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT WO IV CONT $1,244 $373.20 $223.29 – $1,244
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • Aetna — Commercial: $798.65
  • Aetna — West TN Employee Network: $670.52
  • Aetna — Whole Health: $608.32
  • Blue Cross Blue Shield of Tennessee — Network P: $317.75
  • Blue Cross Blue Shield of Tennessee — Network S/E: $292.33
  • ChoiceCare — Commercial: $933
  • ChoiceCare — KY Medicaid HMO: $1,244
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $650
  • River Valley Plan — TennCare: $223.29
  • United Healthcare — All Payer: $589
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST $670 $201 $194.88 – $670
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial: $430.14
  • Aetna — West TN Employee Network: $361.13
  • Aetna — Whole Health: $327.63
  • Blue Cross Blue Shield of Tennessee — BlueCare: $326.02
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $326.02
  • Blue Cross Blue Shield of Tennessee — Network P: $497.45
  • Blue Cross Blue Shield of Tennessee — Network S/E: $457.65
  • Celtic Insurance Company — Commercial-Exchange: $490.61
  • ChoiceCare — Commercial: $502.50
  • ChoiceCare — KY Medicaid HMO: $670
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST $670 $201 $430.14 – $670
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans
  • Aetna — Commercial: $430.14
  • ChoiceCare — Commercial: $502.50
  • ChoiceCare — KY Medicaid HMO: $670
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE $1,421 $426.30 $62.49 – $1,421
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates
  • Aetna — Commercial: $912.28
  • Aetna — West TN Employee Network: $765.92
  • Aetna — Whole Health: $694.87
  • Blue Cross Blue Shield of Tennessee — BlueCare: $97.70
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $97.70
  • Blue Cross Blue Shield of Tennessee — Network P: $144.92
  • Blue Cross Blue Shield of Tennessee — Network S/E: $133.19
  • Celtic Insurance Company — Commercial-Exchange: $147.02
  • ChoiceCare — Commercial: $1,065.75
  • ChoiceCare — KY Medicaid HMO: $1,421
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE $1,421 $426.30 $912.28 – $1,421
Ultrasound of the abdomen, complete: rates for 3 insurance plans
  • Aetna — Commercial: $912.28
  • ChoiceCare — Commercial: $1,065.75
  • ChoiceCare — KY Medicaid HMO: $1,421
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST $772 $231.60 $62.49 – $772
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates
  • Aetna — Commercial: $495.62
  • Aetna — West TN Employee Network: $416.11
  • Aetna — Whole Health: $377.51
  • Blue Cross Blue Shield of Tennessee — BlueCare: $97.70
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $97.70
  • Blue Cross Blue Shield of Tennessee — Network P: $164.01
  • Blue Cross Blue Shield of Tennessee — Network S/E: $150.73
  • Celtic Insurance Company — Commercial-Exchange: $147.02
  • ChoiceCare — Commercial: $579
  • ChoiceCare — KY Medicaid HMO: $772
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST $772 $231.60 $495.62 – $772
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans
  • Aetna — Commercial: $495.62
  • ChoiceCare — Commercial: $579
  • ChoiceCare — KY Medicaid HMO: $772
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ECHOGRAPHY,TRANSVAGINAL $1,024 $307.20 $62.49 – $1,024
Transvaginal ultrasound: 10 of 16 insurance plan rates
  • Aetna — Commercial: $657.41
  • Aetna — West TN Employee Network: $551.94
  • Aetna — Whole Health: $500.74
  • Blue Cross Blue Shield of Tennessee — BlueCare: $97.70
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $97.70
  • Blue Cross Blue Shield of Tennessee — Network P: $160.31
  • Blue Cross Blue Shield of Tennessee — Network S/E: $147.34
  • Celtic Insurance Company — Commercial-Exchange: $147.02
  • ChoiceCare — Commercial: $768
  • ChoiceCare — KY Medicaid HMO: $1,024
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ECHOGRAPHY,TRANSVAGINAL $1,024 $307.20 $657.41 – $1,024
Transvaginal ultrasound: rates for 3 insurance plans
  • Aetna — Commercial: $657.41
  • ChoiceCare — Commercial: $768
  • ChoiceCare — KY Medicaid HMO: $1,024
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC $241 $72.30 $62.48 – $474
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • Aetna — Commercial: $154.72
  • Aetna — West TN Employee Network: $129.90
  • Aetna — Whole Health: $117.85
  • Blue Cross Blue Shield of Tennessee — Network P: $161.18
  • Blue Cross Blue Shield of Tennessee — Network S/E: $148.13
  • ChoiceCare — Commercial: $180.75
  • ChoiceCare — KY Medicaid HMO: $241
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $96.40
  • River Valley Plan — TennCare: $62.48
  • United Healthcare — All Payer: $474
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC $241 $72.30 $154.72 – $241
Diagnostic mammogram, one breast: rates for 4 insurance plans
  • Aetna — Commercial: $154.72
  • Aetna — West TN Employee Network: $185
  • ChoiceCare — Commercial: $180.75
  • ChoiceCare — KY Medicaid HMO: $241
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL $671 $201.30 $79.79 – $671
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Commercial: $430.78
  • Aetna — West TN Employee Network: $361.67
  • Aetna — Whole Health: $328.12
  • Blue Cross Blue Shield of Tennessee — Network P: $206.53
  • Blue Cross Blue Shield of Tennessee — Network S/E: $189.82
  • ChoiceCare — Commercial: $503.25
  • ChoiceCare — KY Medicaid HMO: $671
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $268.40
  • River Valley Plan — TennCare: $79.79
  • United Healthcare — All Payer: $474
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL $671 $201.30 $185 – $671
Diagnostic mammogram, both breasts: rates for 4 insurance plans
  • Aetna — Commercial: $430.78
  • Aetna — West TN Employee Network: $185
  • ChoiceCare — Commercial: $503.25
  • ChoiceCare — KY Medicaid HMO: $671
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL $525 $157.50 $65.99 – $525
Screening mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Commercial: $337.05
  • Aetna — West TN Employee Network: $282.98
  • Aetna — Whole Health: $256.73
  • Blue Cross Blue Shield of Tennessee — Network P: $170.41
  • Blue Cross Blue Shield of Tennessee — Network S/E: $156.62
  • ChoiceCare — Commercial: $393.75
  • ChoiceCare — KY Medicaid HMO: $525
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $210
  • River Valley Plan — TennCare: $65.99
  • United Healthcare — All Payer: $474
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING UNILATERAL $255 $76.50 $65.99 – $474
Screening mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Commercial: $163.71
  • Aetna — West TN Employee Network: $137.44
  • Aetna — Whole Health: $124.69
  • Blue Cross Blue Shield of Tennessee — Network P: $170.41
  • Blue Cross Blue Shield of Tennessee — Network S/E: $156.62
  • ChoiceCare — Commercial: $191.25
  • ChoiceCare — KY Medicaid HMO: $255
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $102
  • River Valley Plan — TennCare: $65.99
  • United Healthcare — All Payer: $474
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL $525 $157.50 $337.05 – $525
Screening mammogram, both breasts: rates for 3 insurance plans
  • Aetna — Commercial: $337.05
  • ChoiceCare — Commercial: $393.75
  • ChoiceCare — KY Medicaid HMO: $525

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP $10,781 $3,234.30 $2,941.32 – $10,781
Left heart catheterization (diagnostic): 10 of 16 insurance plan rates
  • Blue Cross Blue Shield of Tennessee — BlueCare: $3,029.56
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $3,029.56
  • Blue Cross Blue Shield of Tennessee — Network P: $10,605
  • Blue Cross Blue Shield of Tennessee — Network S/E: $9,933
  • Celtic Insurance Company — Commercial-Exchange: $4,559.05
  • ChoiceCare — Commercial: $8,085.75
  • ChoiceCare — KY Medicaid HMO: $10,781
  • ChoiceCare — Medicare Advantage: $2,941.32
  • Cigna-HealthSpring — Medicare Advantage: $2,963.38
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $8,670
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP $10,781 $3,234.30 $6,921.40 – $10,781
Left heart catheterization (diagnostic): rates for 3 insurance plans
  • Aetna — Commercial: $6,921.40
  • ChoiceCare — Commercial: $8,085.75
  • ChoiceCare — KY Medicaid HMO: $10,781
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $8,948 $2,684.40 $692.25 – $11,761.56
Heart rhythm study (electrophysiology evaluation): 10 of 16 insurance plan rates
  • Aetna — Commercial: $5,744.62
  • Aetna — West TN Employee Network: $4,822.97
  • Aetna — Whole Health: $4,375.57
  • Blue Cross Blue Shield of Tennessee — BlueCare: $7,288.73
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $7,288.73
  • Blue Cross Blue Shield of Tennessee — Network P: $752.45
  • Blue Cross Blue Shield of Tennessee — Network S/E: $692.25
  • Celtic Insurance Company — Commercial-Exchange: $10,968.48
  • ChoiceCare — Commercial: $6,711
  • ChoiceCare — KY Medicaid HMO: $8,948
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $8,948 $2,684.40 $5,744.62 – $8,948
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans
  • Aetna — Commercial: $5,744.62
  • ChoiceCare — Commercial: $6,711
  • ChoiceCare — KY Medicaid HMO: $8,948
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP W AF ABLATION $56,887 $17,066.10 $1,764 – $56,887
Heart rhythm study with ablation for atrial fibrillation: 10 of 16 insurance plan rates
  • Aetna — Commercial: $36,521.45
  • Aetna — West TN Employee Network: $30,662.09
  • Aetna — Whole Health: $27,817.74
  • Blue Cross Blue Shield of Tennessee — BlueCare: $24,425.64
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $24,425.64
  • Blue Cross Blue Shield of Tennessee — Network P: $9,396
  • Blue Cross Blue Shield of Tennessee — Network S/E: $8,754
  • Celtic Insurance Company — Commercial-Exchange: $36,757.03
  • ChoiceCare — Commercial: $42,665.25
  • ChoiceCare — KY Medicaid HMO: $56,887
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP W AF ABLATION $56,887 $17,066.10 $36,521.45 – $56,887
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans
  • Aetna — Commercial: $36,521.45
  • ChoiceCare — Commercial: $42,665.25
  • ChoiceCare — KY Medicaid HMO: $56,887
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $6,844 $2,053.20 $467.10 – $6,844
Sleep study (overnight, in a sleep lab): 10 of 16 insurance plan rates
  • Aetna — Commercial: $4,393.85
  • Aetna — West TN Employee Network: $3,688.92
  • Aetna — Whole Health: $3,346.72
  • Blue Cross Blue Shield of Tennessee — BlueCare: $802.48
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $802.48
  • Blue Cross Blue Shield of Tennessee — Network P: $1,114.22
  • Blue Cross Blue Shield of Tennessee — Network S/E: $1,025.09
  • Celtic Insurance Company — Commercial-Exchange: $1,207.62
  • ChoiceCare — Commercial: $5,133
  • ChoiceCare — KY Medicaid HMO: $6,844
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $6,844 $2,053.20 $4,393.85 – $6,844
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans
  • Aetna — Commercial: $4,393.85
  • ChoiceCare — Commercial: $5,133
  • ChoiceCare — KY Medicaid HMO: $6,844

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: HC PT THERAPEUTIC EXERCISES $123 $36.90 $60.15 – $303
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
  • Aetna — Commercial: $78.97
  • Aetna — West TN Employee Network: $66.30
  • Aetna — Whole Health: $60.15
  • Blue Cross Blue Shield of Tennessee — Network P: $68.10
  • Blue Cross Blue Shield of Tennessee — Network S/E: $62.65
  • ChoiceCare — Commercial: $92.25
  • ChoiceCare — KY Medicaid HMO: $123
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $177
  • River Valley Plan — TennCare: $106
  • United Healthcare — All Payer: $303
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EXERCISES $123 $36.90 $60.15 – $303
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
  • Aetna — Commercial: $78.97
  • Aetna — West TN Employee Network: $66.30
  • Aetna — Whole Health: $60.15
  • Blue Cross Blue Shield of Tennessee — Network P: $68.10
  • Blue Cross Blue Shield of Tennessee — Network S/E: $62.65
  • ChoiceCare — Commercial: $92.25
  • ChoiceCare — KY Medicaid HMO: $123
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $177
  • River Valley Plan — TennCare: $106
  • United Healthcare — All Payer: $303
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISES $123 $36.90 $78.97 – $123
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans
  • Aetna — Commercial: $78.97
  • ChoiceCare — Commercial: $92.25
  • ChoiceCare — KY Medicaid HMO: $123
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $266 $79.80 $106 – $303
Physical therapy evaluation (low complexity): rates for 10 insurance plans
  • Aetna — Commercial: $170.77
  • Aetna — West TN Employee Network: $143.37
  • Aetna — Whole Health: $130.07
  • Blue Cross Blue Shield of Tennessee — Network P: $232.72
  • Blue Cross Blue Shield of Tennessee — Network S/E: $214.11
  • ChoiceCare — Commercial: $199.50
  • ChoiceCare — KY Medicaid HMO: $266
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $177
  • River Valley Plan — TennCare: $106
  • United Healthcare — All Payer: $303
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $266 $79.80 $170.77 – $266
Physical therapy evaluation (low complexity): rates for 3 insurance plans
  • Aetna — Commercial: $170.77
  • ChoiceCare — Commercial: $199.50
  • ChoiceCare — KY Medicaid HMO: $266
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $293 $87.90 $106 – $303
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans
  • Aetna — Commercial: $188.11
  • Aetna — West TN Employee Network: $157.93
  • Aetna — Whole Health: $143.28
  • Blue Cross Blue Shield of Tennessee — Network P: $232.72
  • Blue Cross Blue Shield of Tennessee — Network S/E: $214.11
  • ChoiceCare — Commercial: $219.75
  • ChoiceCare — KY Medicaid HMO: $293
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $177
  • River Valley Plan — TennCare: $106
  • United Healthcare — All Payer: $303
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $293 $87.90 $188.11 – $293
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans
  • Aetna — Commercial: $188.11
  • ChoiceCare — Commercial: $219.75
  • ChoiceCare — KY Medicaid HMO: $293
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $318 $95.40 $106 – $318
Physical therapy evaluation (high complexity): rates for 10 insurance plans
  • Aetna — Commercial: $204.16
  • Aetna — West TN Employee Network: $171.40
  • Aetna — Whole Health: $155.50
  • Blue Cross Blue Shield of Tennessee — Network P: $232.72
  • Blue Cross Blue Shield of Tennessee — Network S/E: $214.11
  • ChoiceCare — Commercial: $238.50
  • ChoiceCare — KY Medicaid HMO: $318
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $177
  • River Valley Plan — TennCare: $106
  • United Healthcare — All Payer: $303
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $318 $95.40 $204.16 – $318
Physical therapy evaluation (high complexity): rates for 3 insurance plans
  • Aetna — Commercial: $204.16
  • ChoiceCare — Commercial: $238.50
  • ChoiceCare — KY Medicaid HMO: $318

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EXCISE BREAST CYST $8,318 $2,495.40 $1,292 – $8,318
Removal of breast growth (open surgery): 10 of 17 insurance plan rates
  • Blue Cross Blue Shield of Tennessee — BlueCare: $3,658.94
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $3,658.94
  • Blue Cross Blue Shield of Tennessee — Network P: $5,337
  • Blue Cross Blue Shield of Tennessee — Network S/E: $4,909
  • Celtic Insurance Company — Commercial-Exchange: $5,506.17
  • ChoiceCare — Commercial: $6,238.50
  • ChoiceCare — KY Medicaid HMO: $8,318
  • ChoiceCare — Medicare Advantage: $3,552.37
  • Cigna-HealthSpring — Medicare Advantage: $3,579.01
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $5,935.38
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EXCISE BREAST CYST $8,318 $2,495.40 $5,340.16 – $8,318
Removal of breast growth (open surgery): rates for 3 insurance plans
  • Aetna — Commercial: $5,340.16
  • ChoiceCare — Commercial: $6,238.50
  • ChoiceCare — KY Medicaid HMO: $8,318
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $2,992 $897.60 $640.43 – $2,992
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield of Tennessee — BlueCare: $659.64
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $659.64
  • Blue Cross Blue Shield of Tennessee — Network P: $1,580
  • Blue Cross Blue Shield of Tennessee — Network S/E: $1,543
  • Celtic Insurance Company — Commercial-Exchange: $992.67
  • ChoiceCare — Commercial: $2,244
  • ChoiceCare — KY Medicaid HMO: $2,992
  • ChoiceCare — Medicare Advantage: $640.43
  • Cigna-HealthSpring — Medicare Advantage: $645.23
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $1,073.41
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $2,992 $897.60 $1,920.86 – $2,992
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans
  • Aetna — Commercial: $1,920.86
  • ChoiceCare — Commercial: $2,244
  • ChoiceCare — KY Medicaid HMO: $2,992
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $4,487 $1,346.10 $704 – $4,487
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
  • Blue Cross Blue Shield of Tennessee — Network P: $1,580
  • Blue Cross Blue Shield of Tennessee — Network S/E: $1,543
  • ChoiceCare — Commercial: $3,365.25
  • ChoiceCare — KY Medicaid HMO: $4,487
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $1,073.41
  • River Valley Plan — TennCare: $704
  • United Healthcare — All Payer: $1,756
  • Aetna — Commercial: 64.2% (a percentage in the contract, not a dollar amount)
  • Aetna — West TN Employee Network: 53.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Whole Health: 53.9% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL $2,458 $737.40 $704 – $2,458
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates
  • Blue Cross Blue Shield of Tennessee — BlueCare: $826.53
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $826.53
  • Blue Cross Blue Shield of Tennessee — Network P: $1,580
  • Blue Cross Blue Shield of Tennessee — Network S/E: $1,543
  • Celtic Insurance Company — Commercial-Exchange: $1,243.81
  • ChoiceCare — Commercial: $1,843.50
  • ChoiceCare — KY Medicaid HMO: $2,458
  • ChoiceCare — Medicare Advantage: $802.46
  • Cigna-HealthSpring — Medicare Advantage: $808.48
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $1,379.95
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL $2,458 $737.40 $1,578.04 – $2,458
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans
  • Aetna — Commercial: $1,578.04
  • ChoiceCare — Commercial: $1,843.50
  • ChoiceCare — KY Medicaid HMO: $2,458
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL $3,775 $1,132.50 $704 – $3,775
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
  • Blue Cross Blue Shield of Tennessee — Network P: $1,580
  • Blue Cross Blue Shield of Tennessee — Network S/E: $1,543
  • ChoiceCare — Commercial: $2,831.25
  • ChoiceCare — KY Medicaid HMO: $3,775
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $1,379.95
  • River Valley Plan — TennCare: $704
  • United Healthcare — All Payer: $1,756
  • Aetna — Commercial: 64.2% (a percentage in the contract, not a dollar amount)
  • Aetna — West TN Employee Network: 53.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Whole Health: 53.9% (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 $49,980.33 – $187,206.37
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates
  • Aetna — West TN Employee Network: $110,790.21
  • Aetna — Whole Health: $110,790.21
  • Blue Cross Blue Shield of Tennessee — BlueCare: $78,689.26
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $78,689.26
  • Blue Cross Blue Shield of Tennessee — Network P: $187,206.37
  • Blue Cross Blue Shield of Tennessee — Network S/E: $174,983.57
  • Celtic Insurance Company — Commercial-Exchange: $118,415.88
  • ChoiceCare — Medicare Advantage: $76,397.34
  • Cigna-HealthSpring — Medicare Advantage: $79,262.24
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $112,903.29
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 $9,854.75 – $50,903.80
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates
  • Aetna — West TN Employee Network: $21,844.79
  • Aetna — Whole Health: $21,844.79
  • Blue Cross Blue Shield of Tennessee — BlueCare: $15,515.36
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $15,515.36
  • Blue Cross Blue Shield of Tennessee — Network P: $50,903.80
  • Blue Cross Blue Shield of Tennessee — Network S/E: $47,580.27
  • Celtic Insurance Company — Commercial-Exchange: $23,348.36
  • ChoiceCare — Medicare Advantage: $15,063.46
  • Cigna-HealthSpring — Medicare Advantage: $15,628.34
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $22,261.43
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 $12,472.60 – $46,496.51
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates
  • Aetna — West TN Employee Network: $27,647.72
  • Aetna — Whole Health: $27,647.72
  • Blue Cross Blue Shield of Tennessee — BlueCare: $19,636.92
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $19,636.92
  • Blue Cross Blue Shield of Tennessee — Network P: $46,496.51
  • Blue Cross Blue Shield of Tennessee — Network S/E: $43,460.73
  • Celtic Insurance Company — Commercial-Exchange: $29,550.70
  • ChoiceCare — Medicare Advantage: $19,064.97
  • Cigna-HealthSpring — Medicare Advantage: $19,779.91
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $28,175.04
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 $6,338.74 – $21,153.94
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates
  • Aetna — West TN Employee Network: $14,050.93
  • Aetna — Whole Health: $14,050.93
  • Blue Cross Blue Shield of Tennessee — BlueCare: $9,979.74
  • Blue Cross Blue Shield of Tennessee — BlueChoice HMO: $9,979.74
  • Blue Cross Blue Shield of Tennessee — Network P: $13,497.94
  • Blue Cross Blue Shield of Tennessee — Network S/E: $12,616.66
  • Celtic Insurance Company — Commercial-Exchange: $15,018.06
  • ChoiceCare — Medicare Advantage: $9,689.07
  • Cigna-HealthSpring — Medicare Advantage: $10,052.41
  • Oscar — HMO/Medicare Advantage/PPO/EPO/POS: $14,318.92

Source: Jackson-Madison County General Hospital’s standard charges file (wth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 5, 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
Address620 Skyline Drive, Jackson, TN 38301
CountyMadison County
StateTennessee
Phone(731) 541‑5000
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number440002
Name in Medicare recordsJACKSON-MADISON COUNTY GENERAL HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteWest Tennessee Healthcare Jackson-Madison County General Hospital
Official websitewth.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  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. West Tennessee Healthcare Jackson-Madison County General Hospital — wth.org
  2. Jackson-Madison County General Hospital location — wth.org
  3. Emergency Medicine - West Tennessee Healthcare — wth.org
  4. Heart & Vascular - West Tennessee Healthcare — wth.org