Does Methodist Medical Center of Oak Ridge have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Methodist Medical Center of Oak Ridge. In a medical emergency, call 911.

Where is Methodist Medical Center of Oak Ridge?

990 Oak Ridge Turnpike Box 529, Oak Ridge, TN 37830, in Anderson County, Tennessee.

What is the phone number of Methodist Medical Center of Oak Ridge?

(865) 835-1000, as listed by Medicare (CMS).

What is the Medicare star rating of Methodist Medical Center of Oak Ridge?

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

Methodist Medical Center of Oak Ridge

Quick answers

Does Methodist Medical Center of Oak Ridge have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Methodist Medical Center of Oak Ridge. In a medical emergency, call 911.
Where is Methodist Medical Center of Oak Ridge?: 990 Oak Ridge Turnpike Box 529, Oak Ridge, TN 37830, in Anderson County, Tennessee.
What is the phone number of Methodist Medical Center of Oak Ridge?: (865) 835-1000, as listed by Medicare (CMS).
What is the Medicare star rating of Methodist Medical Center of Oak Ridge?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[8][9][10][11][12][13]}

Cardiology
Cardiopulmonary rehabilitation
Cancer care
Emergency medicine
Gastroenterology
Interventional radiology
Orthopedics
Joint replacement
Neurosurgery (spine)
Spine surgery
Urology
Women's health
Women's surgery
Obstetrics (Family Birthing Center)
Sleep medicine
Stroke care
Wound care
Imaging and laboratory
Nuclear medicine
Neurodiagnostics
Vascular diagnostics
Echocardiography
Robotic-assisted surgery
General surgery
Physical therapy
Occupational therapy
Speech therapy
Radiation oncology

Conditions treated^{[8][9][10][12][13]}

Treatments^{[8][9][10][11]}

Radiation therapy
Chemotherapy
Prostate seed implants
Palliative care consultation
Radiation-induced lymphedema management
Cardiac rehabilitation
Pulmonary rehabilitation
Physical therapy
Occupational therapy
Speech therapy
Wound treatment
Virtual urgent care

Procedures^{[8][9][10][12]}

Cancer surgery
Knee and hip surgery
Joint replacement
Spine surgery
Robotic-assisted surgery
Pacemaker implantation
Percutaneous coronary intervention (PCI)
Balloon angioplasty and stenting
Echocardiogram
Electrocardiogram (ECG/EKG)
Holter monitoring
Nuclear stress test
Coronary angiogram
Cardiac CT scan
Low-dose CT lung cancer screening
CT scan

Programs and centers^{[5][8][9][10][11][12][13][14]}

Thompson Cancer Survival Center at Methodist
Oak Ridge Breast Center
Cardiopulmonary Rehabilitation
Primary Stroke Center program
Stroke support group
Oncology patient navigation
Wound Treatment Center
Sleep Diagnostic Center
Family Birthing Center
Childbirth and parenting classes
Hospitality Houses (lodging for patients and families)
Call Ahead ED service
Freedom from Smoking classes

Emergency care (hospital website)^[4][7]

Emergency room	Yes
Stroke designation	Advanced Primary Stroke Center (The Joint Commission)

Visiting and practical information

Parking	Parking is free on all of the campus, including surface lots by the front entrance and the parking garage^[4][5]
Interpreters and languages	Language assistance services and auxiliary aids are available at no charge^[5]
Patient portal	MyCovenantHealth

Recognition^{[5][7][9][12]}

Advanced Primary Stroke Center (The Joint Commission)
Get With The Guidelines Stroke Silver Plus with Target: Type 2 Diabetes Honor Roll 2026
Get With The Guidelines Coronary Artery Disease STEMI Receiving Gold Plus with Target: Type 2 Diabetes 2026
Get With The Guidelines Coronary Artery Disease NSTEMI Gold with Target: Type 2 Diabetes 2026
Commission on Cancer Accredited
Cardiovascular/Pulmonary Rehabilitation certified by AACVPR
Safe Sleep Certified – Gold
Women's Choice Award for Best Hospitals 2026
Joint Commission accreditation
Get With The Guidelines Mission: Lifeline STEMI Gold Plus Receiving (AHA)
Get With The Guidelines Mission: Lifeline NSTEMI Gold (AHA)
Safe Sleep Certified - Gold
Leapfrog Hospital Safety Grade A
Blue Distinction Center+ for Spine Surgery
Blue Distinction Center+ for Knee and Hip Surgery
Breast Center: ACR Designated Comprehensive Breast Imaging Center

Doctors and clinicians (526)

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

Main specialties

And 502 more: the button below opens the full list.

Other emergency rooms nearby

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

Parkwest Medical Center11 mi · Knoxville, TN · Acute Care Hospital
Fort Loudoun Medical Center14 mi · Lenoir City, TN · Acute Care Hospital
Physicians Regional Medical Center14 mi · Powell, TN · Acute Care Hospital
University Health System, Inc17 mi · Knoxville, TN · Acute Care Hospital
East Tennessee Childrens Hospital18 mi · Knoxville, TN · Children's Hospital

Other hospitals nearby

Ridgeview Psychiatric Hospital and Center0.1 mi · Oak Ridge, TN · Psychiatric Hospital
Patricia Neal Rehabilitation Hospital11 mi · Knoxville, TN · Inpatient Rehabilitation Hospital
East Tennessee Behavioral Health13 mi · Knoxville, TN · Psychiatric Hospital
Knoxville Center for Behavioral Medicine13 mi · Knoxville, TN · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

NHC Healthcare, Oak Ridge0.3 mi · Oak Ridge, TN · 5 of 5 stars
Diversicare of Oak Ridge1.0 mi · Oak Ridge, TN · 1 of 5 stars
Senator Ben Atchley State Veterans' Home8.0 mi · Knoxville, TN · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Caris Healthcare7.3 mi · Knoxville, TN · 4 of 5 stars
Shalom Hospice of Greater Knoxville LLC11 mi · Knoxville, TN
Covenant Hospice13 mi · Knoxville, TN · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Maxim Healthcare Services, Inc7.8 mi · Knoxville, TN
East TN Childrens Hosp Home Health11 mi · Knoxville, TN
NHC Homecare Knoxville11 mi · Knoxville, TN

All home health agencies in the state →

Dialysis facilities

FMC Oak Ridge4.8 mi · Oak Ridge, TN · 3 of 5 stars
DaVita Clinch River Dialysis6.7 mi · Clinton, TN · 3 of 5 stars
DaVita Campbell Station Dialysis11 mi · Farragut, TN · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Advanced Family Surgery Center4.8 mi · Oak Ridge, TN
The Eye Surgery Center of Oak Ridge4.8 mi · Oak Ridge, TN
Eye Surgery Center of Knoxville LLC11 mi · Powell, TN

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

CHS Clinton Clinic (Anderson County)13 mi · Clinton, TN · Community health center
CHS Lenoir City - Creekwood13 mi · Lenoir City, TN · Community health center
CHS Lonsdale16 mi · Knoxville, TN · Community health center

Clinics and urgent care

Fast Pace Medical Clinic PLLC4.8 mi · Oak Ridge, TN · Urgent care center
Access Medical Clinic LLC6.7 mi · Clinton, TN · Rural health clinic
Fast Pace Medical Clinic PLLC6.7 mi · Clinton, TN · Urgent care center

Pharmacies

Ashapurakrupa, Inc4.8 mi · Oak Ridge, TN · Community/retail pharmacy
Macs Pharmacy Oak Ridge LLC4.8 mi · Oak Ridge, TN · Community/retail pharmacy
Oak Ridge Pharmacy4.8 mi · Oak Ridge, TN · Pharmacy

Assisted living nearby

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

Alexander Guest House4.8 mi · Oak Ridge, TN
The Courtyard Senior Living Briarcliff4.8 mi · Oak Ridge, TN
The Glen at Oak Ridge4.8 mi · Oak Ridge, TN
The Groves at Oak Ridge, LLC4.8 mi · Oak Ridge, TN

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	72%National average: 72%
Would definitely recommend the hospital	71%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	82%National average: 80%
Staff “always” explained medicines before giving them	58%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	69%National average: 74%
Area around the room “always” quiet at night	63%National average: 60%
Completed surveys	942Response rate: 24%

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)	0.423No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.32No different from the national benchmark
Surgical site infections after colon surgery	0.369No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.022Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	10.2%
Deaths within 30 days: heart failure patients	13.8%
Deaths within 30 days: pneumonia patients	16.8%
Deaths within 30 days: COPD patients	8.1%
Deaths within 30 days: stroke patients	10.9%
Deaths within 30 days: coronary bypass surgery (CABG)	1.9%
Serious complications (patient safety indicator PSI-90)	1.05No different from the national rate
Complications after hip or knee replacement	4.8%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	13.7%
Readmitted within 30 days: heart failure	22.4%
Readmitted within 30 days: pneumonia	18.7%
Readmitted within 30 days: COPD	21.5%
Readmitted within 30 days: coronary bypass surgery	9.7%
Readmitted within 30 days: hip or knee replacement	6.2%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	186 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)	61%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Tennessee Best hospitals in Tennessee

Prices

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

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: E & M NEW PT (INTERMEDIATE)	$194	$64.02	$40.74 – $174.60
New patient office visit (about 30–44 minutes): 10 of 25 insurance plan rates Aetna — Commercial: $77.60 Ambetter — Exchange: $116.40 BCBS TN — Blue Care: $40.74 BCBS TN — Commercial Network P: $116.40 BCBS TN — Commercial Network S: $116.40 Beech Street — PPO: $164.90 CCN Managed Care — PPO: $164.90 Cigna — HMO: $116.01 Cigna — IFP: $98.55 Cigna — Local Plus: $98.55
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: NEW PT (INTER) W/PROCEDURE	$194	$64.02	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: E & M NEW PT (EXTENDED)	$282	$93.06	$59.22 – $253.80
New patient office visit (about 45–59 minutes): 10 of 25 insurance plan rates Aetna — Commercial: $112.80 Ambetter — Exchange: $169.20 BCBS TN — Blue Care: $59.22 BCBS TN — Commercial Network P: $169.20 BCBS TN — Commercial Network S: $169.20 Beech Street — PPO: $239.70 CCN Managed Care — PPO: $239.70 Cigna — HMO: $168.63 Cigna — IFP: $143.25 Cigna — Local Plus: $143.25
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: VISIT NEW PT COMP	$276	$91.08	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: VISIT COMPREHENSIVE	$345	$113.85	$72.45 – $310.50
New patient office visit (about 60–74 minutes): 10 of 25 insurance plan rates Aetna — Commercial: $138 Ambetter — Exchange: $207 BCBS TN — Blue Care: $72.45 BCBS TN — Commercial Network P: $207 BCBS TN — Commercial Network S: $207 Beech Street — PPO: $293.25 CCN Managed Care — PPO: $293.25 Cigna — HMO: $206.31 Cigna — IFP: $175.26 Cigna — Local Plus: $175.26
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: VISIT NEW PT COMP W/PROCEDURE	$345	$113.85	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: OFFICE VISIT EST EXPANDED	$165	$54.45	$34.65 – $148.50
Established patient office visit (about 20–29 minutes): 10 of 25 insurance plan rates Aetna — Commercial: $66 Ambetter — Exchange: $99 BCBS TN — Blue Care: $34.65 BCBS TN — Commercial Network P: $99 BCBS TN — Commercial Network S: $99 Beech Street — PPO: $140.25 CCN Managed Care — PPO: $140.25 Cigna — HMO: $98.67 Cigna — IFP: $83.82 Cigna — Local Plus: $83.82
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: OP VISIT EST PT LOW COMPLEX	$108	$35.64	$22.68 – $97.20
Established patient office visit (about 20–29 minutes): 10 of 25 insurance plan rates Aetna — Commercial: $43.20 Ambetter — Exchange: $64.80 BCBS TN — Blue Care: $22.68 BCBS TN — Commercial Network P: $64.80 BCBS TN — Commercial Network S: $64.80 Beech Street — PPO: $91.80 CCN Managed Care — PPO: $91.80 Cigna — HMO: $64.58 Cigna — IFP: $54.86 Cigna — Local Plus: $54.86
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: OFFICE VISIT EST DETAILED	$207	$68.31	$43.47 – $186.30
Established patient office visit (about 30–39 minutes): 10 of 25 insurance plan rates Aetna — Commercial: $82.80 Ambetter — Exchange: $124.20 BCBS TN — Blue Care: $43.47 BCBS TN — Commercial Network P: $124.20 BCBS TN — Commercial Network S: $124.20 Beech Street — PPO: $175.95 CCN Managed Care — PPO: $175.95 Cigna — HMO: $123.78 Cigna — IFP: $105.15 Cigna — Local Plus: $105.15
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: OP VISIT EST PT MOD COMPLEX	$122	$40.26	$25.62 – $109.80
Established patient office visit (about 30–39 minutes): 10 of 25 insurance plan rates Aetna — Commercial: $48.80 Ambetter — Exchange: $73.20 BCBS TN — Blue Care: $25.62 BCBS TN — Commercial Network P: $73.20 BCBS TN — Commercial Network S: $73.20 Beech Street — PPO: $103.70 CCN Managed Care — PPO: $103.70 Cigna — HMO: $72.95 Cigna — IFP: $61.97 Cigna — Local Plus: $61.97
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$48.45
Office consultation with a specialist (moderate): 10 of 26 insurance plan rates United Healthcare — Tenncare: $48.45 Aetna — Commercial: 40% (a percentage in the contract, not a dollar amount) Ambetter — Exchange: 60% (a percentage in the contract, not a dollar amount) BCBS TN — Blue Care: 21% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network P: 60% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network S: 60% (a percentage in the contract, not a dollar amount) Beech Street — PPO: 85% (a percentage in the contract, not a dollar amount) CCN Managed Care — PPO: 85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 59.8% (a percentage in the contract, not a dollar amount) Cigna — IFP: 50.8% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$77.88
Office consultation with a specialist (moderate to high): 10 of 26 insurance plan rates United Healthcare — Tenncare: $77.88 Aetna — Commercial: 40% (a percentage in the contract, not a dollar amount) Ambetter — Exchange: 60% (a percentage in the contract, not a dollar amount) BCBS TN — Blue Care: 21% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network P: 60% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network S: 60% (a percentage in the contract, not a dollar amount) Beech Street — PPO: 85% (a percentage in the contract, not a dollar amount) CCN Managed Care — PPO: 85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 59.8% (a percentage in the contract, not a dollar amount) Cigna — IFP: 50.8% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$49.71
Preventive checkup, new patient, age 18–39: 10 of 26 insurance plan rates United Healthcare — Tenncare: $49.71 Aetna — Commercial: 40% (a percentage in the contract, not a dollar amount) Ambetter — Exchange: 60% (a percentage in the contract, not a dollar amount) BCBS TN — Blue Care: 21% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network P: 60% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network S: 60% (a percentage in the contract, not a dollar amount) Beech Street — PPO: 85% (a percentage in the contract, not a dollar amount) CCN Managed Care — PPO: 85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 59.8% (a percentage in the contract, not a dollar amount) Cigna — IFP: 50.8% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$60.47
Preventive checkup, new patient, age 40–64: 10 of 26 insurance plan rates United Healthcare — Tenncare: $60.47 Aetna — Commercial: 40% (a percentage in the contract, not a dollar amount) Ambetter — Exchange: 60% (a percentage in the contract, not a dollar amount) BCBS TN — Blue Care: 21% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network P: 60% (a percentage in the contract, not a dollar amount) BCBS TN — Commercial Network S: 60% (a percentage in the contract, not a dollar amount) Beech Street — PPO: 85% (a percentage in the contract, not a dollar amount) CCN Managed Care — PPO: 85% (a percentage in the contract, not a dollar amount) Cigna — HMO: 59.8% (a percentage in the contract, not a dollar amount) Cigna — IFP: 50.8% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ED VISIT EXP MOD COMPLEX W PROC	$750	$247.50	$227 – $2,130
Emergency room visit (moderate): 10 of 54 insurance plan rates Aetna — Commercial: $1,312.50 Aetna — Medicare Advantage: $260.05 Ambetter — Exchange: $983 BCBS TN — Blue Care: $227 BCBS TN — Commercial Network P: $685 BCBS TN — Commercial Network S: $685 Beech Street — PPO: $637.50 Blue Cross of TN — BlueEssential DSNP: $260.05 Blue Cross of TN — BlueEssential HMO: $260.05 Blue Cross of TN — Med Adv Diamond: $260.05
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ED VISIT EXPANDED MOD COMPLEX	$750	$247.50	$227 – $2,130
Emergency room visit (moderate): 10 of 54 insurance plan rates Aetna — Commercial: $1,312.50 Aetna — Medicare Advantage: $260.05 Ambetter — Exchange: $983 BCBS TN — Blue Care: $227 BCBS TN — Commercial Network P: $685 BCBS TN — Commercial Network S: $685 Beech Street — PPO: $637.50 Blue Cross of TN — BlueEssential DSNP: $260.05 Blue Cross of TN — BlueEssential HMO: $260.05 Blue Cross of TN — Med Adv Diamond: $260.05
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$357 – $2,130
Emergency room visit (moderate): rates for 9 insurance plans Ambetter — Exchange: $983 BCBS TN — Blue Care: $227 BCBS TN — Commercial Network P: $685 BCBS TN — Commercial Network S: $685 United Healthcare — All Other Plans: $1,486 United Healthcare — Heritage Select: $1,747 United Healthcare — Options PPO: $2,130 United Healthcare — Tenncare: $438 Wellpoint — Medicaid Tenncare: $357
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ED VISIT DETAIL MOD COMPLEX W PRO	$1,000	$330	$378.57 – $3,012
Emergency room visit (moderately high): 10 of 54 insurance plan rates Aetna — Commercial: $2,047.50 Aetna — Medicare Advantage: $397.50 Ambetter — Exchange: $1,035 BCBS TN — Blue Care: $408 BCBS TN — Commercial Network P: $869 BCBS TN — Commercial Network S: $869 Beech Street — PPO: $850 Blue Cross of TN — BlueEssential DSNP: $397.50 Blue Cross of TN — BlueEssential HMO: $397.50 Blue Cross of TN — Med Adv Diamond: $397.50
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ED VISIT DETAILED MOD COMPLEX	$1,000	$330	$378.57 – $3,012
Emergency room visit (moderately high): 10 of 54 insurance plan rates Aetna — Commercial: $2,047.50 Aetna — Medicare Advantage: $397.50 Ambetter — Exchange: $1,035 BCBS TN — Blue Care: $408 BCBS TN — Commercial Network P: $869 BCBS TN — Commercial Network S: $869 Beech Street — PPO: $850 Blue Cross of TN — BlueEssential DSNP: $397.50 Blue Cross of TN — BlueEssential HMO: $397.50 Blue Cross of TN — Med Adv Diamond: $397.50
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$577.50 – $3,012
Emergency room visit (moderately high): rates for 9 insurance plans Ambetter — Exchange: $1,035 BCBS TN — Blue Care: $408 BCBS TN — Commercial Network P: $869 BCBS TN — Commercial Network S: $869 United Healthcare — All Other Plans: $2,101 United Healthcare — Heritage Select: $2,471 United Healthcare — Options PPO: $3,012 United Healthcare — Tenncare: $722 Wellpoint — Medicaid Tenncare: $577.50
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ED VISIT COMP HIGH COMPLEX	$1,144	$377.52	$514.80 – $3,337
Emergency room visit (high): 10 of 54 insurance plan rates Aetna — Commercial: $2,310 Aetna — Medicare Advantage: $567.33 Ambetter — Exchange: $1,294 BCBS TN — Blue Care: $749 BCBS TN — Commercial Network P: $1,401 BCBS TN — Commercial Network S: $1,401 Beech Street — PPO: $972.40 Blue Cross of TN — BlueEssential DSNP: $567.33 Blue Cross of TN — BlueEssential HMO: $567.33 Blue Cross of TN — Med Adv Diamond: $567.33
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ED VISIT COMP HIGH COMPLEX W PROC	$1,144	$377.52	$514.80 – $3,337
Emergency room visit (high): 10 of 54 insurance plan rates Aetna — Commercial: $2,310 Aetna — Medicare Advantage: $567.33 Ambetter — Exchange: $1,294 BCBS TN — Blue Care: $749 BCBS TN — Commercial Network P: $1,401 BCBS TN — Commercial Network S: $1,401 Beech Street — PPO: $972.40 Blue Cross of TN — BlueEssential DSNP: $567.33 Blue Cross of TN — BlueEssential HMO: $567.33 Blue Cross of TN — Med Adv Diamond: $567.33
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$682.50 – $3,337
Emergency room visit (high): rates for 9 insurance plans Ambetter — Exchange: $1,294 BCBS TN — Blue Care: $749 BCBS TN — Commercial Network P: $1,401 BCBS TN — Commercial Network S: $1,401 United Healthcare — All Other Plans: $2,324 United Healthcare — Heritage Select: $2,733 United Healthcare — Options PPO: $3,337 United Healthcare — Tenncare: $1,359 Wellpoint — Medicaid Tenncare: $682.50

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$131	$43.23	$3.81 – $117.90
Basic metabolic panel (blood test): 10 of 54 insurance plan rates Aetna — Commercial: $12.82 Aetna — Medicare Advantage: $8.88 Ambetter — Exchange: $15.31 BCBS TN — Blue Care: $11.75 BCBS TN — Commercial Network P: $17.86 BCBS TN — Commercial Network S: $17.86 Beech Street — PPO: $111.35 Blue Cross of TN — BlueEssential DSNP: $8.88 Blue Cross of TN — BlueEssential HMO: $8.88 Blue Cross of TN — Med Adv Diamond: $8.88
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$3.81 – $17.86
Basic metabolic panel (blood test): rates for 7 insurance plans BCBS TN — Blue Care: $11.75 BCBS TN — Commercial Network P: $17.86 BCBS TN — Commercial Network S: $17.86 United Healthcare — All Other Plans: $8.46 United Healthcare — Heritage Select: $8.46 United Healthcare — Options PPO: $8.46 Wellpoint — Medicaid Tenncare: $3.81
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$234	$77.22	$4.75 – $210.60
Comprehensive metabolic panel (blood test): 10 of 54 insurance plan rates Aetna — Commercial: $16.01 Aetna — Medicare Advantage: $11.09 Ambetter — Exchange: $19.11 BCBS TN — Blue Care: $14.68 BCBS TN — Commercial Network P: $22.31 BCBS TN — Commercial Network S: $22.31 Beech Street — PPO: $198.90 Blue Cross of TN — BlueEssential DSNP: $11.09 Blue Cross of TN — BlueEssential HMO: $11.09 Blue Cross of TN — Med Adv Diamond: $11.09
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$4.75 – $22.31
Comprehensive metabolic panel (blood test): rates for 7 insurance plans BCBS TN — Blue Care: $14.68 BCBS TN — Commercial Network P: $22.31 BCBS TN — Commercial Network S: $22.31 United Healthcare — All Other Plans: $10.56 United Healthcare — Heritage Select: $10.56 United Healthcare — Options PPO: $10.56 Wellpoint — Medicaid Tenncare: $4.75
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$30.58 – $106.80
Obstetric blood test panel: 10 of 54 insurance plan rates Aetna — Commercial: $72.44 Aetna — Medicare Advantage: $50.20 Ambetter — Exchange: $86.54 BCBS TN — Blue Care: $66.40 BCBS TN — Commercial Network P: $100.93 BCBS TN — Commercial Network S: $100.93 Blue Cross of TN — BlueEssential DSNP: $50.20 Blue Cross of TN — BlueEssential HMO: $50.20 Blue Cross of TN — Med Adv Diamond: $50.20 Blue Cross of TN — Med Adv PPO: $50.20
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$135	$44.55	$6.03 – $121.50
Cholesterol panel (lipid panel): 10 of 54 insurance plan rates Aetna — Commercial: $20.28 Aetna — Medicare Advantage: $14.06 Ambetter — Exchange: $24.24 BCBS TN — Blue Care: $18.60 BCBS TN — Commercial Network P: $28.27 BCBS TN — Commercial Network S: $28.27 Beech Street — PPO: $114.75 Blue Cross of TN — BlueEssential DSNP: $14.06 Blue Cross of TN — BlueEssential HMO: $14.06 Blue Cross of TN — Med Adv Diamond: $14.06
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: LIPID PANEL	$27	$8.91	$6.03 – $30.30
Cholesterol panel (lipid panel): 10 of 54 insurance plan rates Aetna — Commercial: $20.28 Aetna — Medicare Advantage: $14.06 Ambetter — Exchange: $24.24 BCBS TN — Blue Care: $18.60 BCBS TN — Commercial Network P: $28.27 BCBS TN — Commercial Network S: $28.27 Beech Street — PPO: $22.95 Blue Cross of TN — BlueEssential DSNP: $14.06 Blue Cross of TN — BlueEssential HMO: $14.06 Blue Cross of TN — Med Adv Diamond: $14.06
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$70	$23.10	$3.91 – $63
Kidney function panel: 10 of 54 insurance plan rates Aetna — Commercial: $13.15 Aetna — Medicare Advantage: $9.11 Ambetter — Exchange: $15.71 BCBS TN — Blue Care: $12.06 BCBS TN — Commercial Network P: $18.34 BCBS TN — Commercial Network S: $18.34 Beech Street — PPO: $59.50 Blue Cross of TN — BlueEssential DSNP: $9.11 Blue Cross of TN — BlueEssential HMO: $9.11 Blue Cross of TN — Med Adv Diamond: $9.11
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$120	$39.60	$3.68 – $108
Liver function panel: 10 of 54 insurance plan rates Aetna — Commercial: $12.37 Aetna — Medicare Advantage: $8.58 Ambetter — Exchange: $14.79 BCBS TN — Blue Care: $11.35 BCBS TN — Commercial Network P: $17.25 BCBS TN — Commercial Network S: $17.25 Beech Street — PPO: $102 Blue Cross of TN — BlueEssential DSNP: $8.58 Blue Cross of TN — BlueEssential HMO: $8.58 Blue Cross of TN — Med Adv Diamond: $8.58
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W MICRO	$32	$10.56	$1.43 – $28.80
Urine test (automated, with microscope): 10 of 54 insurance plan rates Aetna — Commercial: $4.80 Aetna — Medicare Advantage: $3.33 Ambetter — Exchange: $5.74 BCBS TN — Blue Care: $4.40 BCBS TN — Commercial Network P: $6.69 BCBS TN — Commercial Network S: $6.69 Beech Street — PPO: $27.20 Blue Cross of TN — BlueEssential DSNP: $3.33 Blue Cross of TN — BlueEssential HMO: $3.33 Blue Cross of TN — Med Adv Diamond: $3.33
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$1.43 – $6.69
Urine test (automated, with microscope): rates for 7 insurance plans BCBS TN — Blue Care: $4.40 BCBS TN — Commercial Network P: $6.69 BCBS TN — Commercial Network S: $6.69 United Healthcare — All Other Plans: $3.17 United Healthcare — Heritage Select: $3.17 United Healthcare — Options PPO: $3.17 Wellpoint — Medicaid Tenncare: $1.43
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$1.63 – $7.58
Urine test (manual, without microscope): 10 of 54 insurance plan rates Aetna — Commercial: $5.26 Aetna — Medicare Advantage: $3.65 Ambetter — Exchange: $6.30 BCBS TN — Blue Care: $4.35 BCBS TN — Commercial Network P: $6.61 BCBS TN — Commercial Network S: $6.61 Blue Cross of TN — BlueEssential DSNP: $3.65 Blue Cross of TN — BlueEssential HMO: $3.65 Blue Cross of TN — Med Adv Diamond: $3.65 Blue Cross of TN — Med Adv PPO: $3.65
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O MICRO	$23	$7.59	$1.01 – $20.70
Urine test (automated, without microscope): 10 of 54 insurance plan rates Aetna — Commercial: $3.42 Aetna — Medicare Advantage: $2.36 Ambetter — Exchange: $4.07 BCBS TN — Blue Care: $3.11 BCBS TN — Commercial Network P: $4.73 BCBS TN — Commercial Network S: $4.73 Beech Street — PPO: $19.55 Blue Cross of TN — BlueEssential DSNP: $2.36 Blue Cross of TN — BlueEssential HMO: $2.36 Blue Cross of TN — Med Adv Diamond: $2.36
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$1.01 – $4.73
Urine test (automated, without microscope): rates for 7 insurance plans BCBS TN — Blue Care: $3.11 BCBS TN — Commercial Network P: $4.73 BCBS TN — Commercial Network S: $4.73 United Healthcare — All Other Plans: $2.25 United Healthcare — Heritage Select: $2.25 United Healthcare — Options PPO: $2.25 Wellpoint — Medicaid Tenncare: $1.01
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC ANTIGEN TOTAL	$185	$61.05	$8.28 – $166.50
PSA (prostate specific antigen) blood test: 10 of 54 insurance plan rates Aetna — Commercial: $27.86 Aetna — Medicare Advantage: $19.31 Ambetter — Exchange: $33.29 BCBS TN — Blue Care: $25.55 BCBS TN — Commercial Network P: $38.84 BCBS TN — Commercial Network S: $38.84 Beech Street — PPO: $157.25 Blue Cross of TN — BlueEssential DSNP: $19.31 Blue Cross of TN — BlueEssential HMO: $19.31 Blue Cross of TN — Med Adv Diamond: $19.31
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PROSTATE SPECIFIC ANTIGEN TOTAL	$53	$17.49	$8.28 – $47.70
PSA (prostate specific antigen) blood test: 10 of 54 insurance plan rates Aetna — Commercial: $27.86 Aetna — Medicare Advantage: $19.31 Ambetter — Exchange: $33.29 BCBS TN — Blue Care: $25.55 BCBS TN — Commercial Network P: $38.84 BCBS TN — Commercial Network S: $38.84 Beech Street — PPO: $45.05 Blue Cross of TN — BlueEssential DSNP: $19.31 Blue Cross of TN — BlueEssential HMO: $19.31 Blue Cross of TN — Med Adv Diamond: $19.31
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$8.28 – $38.84
PSA (prostate specific antigen) blood test: rates for 7 insurance plans BCBS TN — Blue Care: $25.55 BCBS TN — Commercial Network P: $38.84 BCBS TN — Commercial Network S: $38.84 United Healthcare — All Other Plans: $18.39 United Healthcare — Heritage Select: $18.39 United Healthcare — Options PPO: $18.39 Wellpoint — Medicaid Tenncare: $8.28
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH	$169	$55.77	$7.56 – $152.10
Thyroid stimulating hormone (TSH) test: 10 of 54 insurance plan rates Aetna — Commercial: $25.45 Aetna — Medicare Advantage: $17.64 Ambetter — Exchange: $30.41 BCBS TN — Blue Care: $23.34 BCBS TN — Commercial Network P: $35.47 BCBS TN — Commercial Network S: $35.47 Beech Street — PPO: $143.65 Blue Cross of TN — BlueEssential DSNP: $17.64 Blue Cross of TN — BlueEssential HMO: $17.64 Blue Cross of TN — Med Adv Diamond: $17.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH)	$169	$55.77	$7.56 – $152.10
Thyroid stimulating hormone (TSH) test: 10 of 54 insurance plan rates Aetna — Commercial: $25.45 Aetna — Medicare Advantage: $17.64 Ambetter — Exchange: $30.41 BCBS TN — Blue Care: $23.34 BCBS TN — Commercial Network P: $35.47 BCBS TN — Commercial Network S: $35.47 Beech Street — PPO: $143.65 Blue Cross of TN — BlueEssential DSNP: $17.64 Blue Cross of TN — BlueEssential HMO: $17.64 Blue Cross of TN — Med Adv Diamond: $17.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH)	$48	$15.84	$7.56 – $43.20
Thyroid stimulating hormone (TSH) test: 10 of 54 insurance plan rates Aetna — Commercial: $25.45 Aetna — Medicare Advantage: $17.64 Ambetter — Exchange: $30.41 BCBS TN — Blue Care: $23.34 BCBS TN — Commercial Network P: $35.47 BCBS TN — Commercial Network S: $35.47 Beech Street — PPO: $40.80 Blue Cross of TN — BlueEssential DSNP: $17.64 Blue Cross of TN — BlueEssential HMO: $17.64 Blue Cross of TN — Med Adv Diamond: $17.64
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLD CNT HEMOGRAM PLT W/AUTO DIFF	$90	$29.70	$3.50 – $81
Complete blood count (CBC) with differential: 10 of 54 insurance plan rates Aetna — Commercial: $11.77 Aetna — Medicare Advantage: $8.16 Ambetter — Exchange: $14.06 BCBS TN — Blue Care: $10.79 BCBS TN — Commercial Network P: $16.40 BCBS TN — Commercial Network S: $16.40 Beech Street — PPO: $76.50 Blue Cross of TN — BlueEssential DSNP: $8.16 Blue Cross of TN — BlueEssential HMO: $8.16 Blue Cross of TN — Med Adv Diamond: $8.16
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$3.50 – $16.40
Complete blood count (CBC) with differential: rates for 7 insurance plans BCBS TN — Blue Care: $10.79 BCBS TN — Commercial Network P: $16.40 BCBS TN — Commercial Network S: $16.40 United Healthcare — All Other Plans: $7.77 United Healthcare — Heritage Select: $7.77 United Healthcare — Options PPO: $7.77 Wellpoint — Medicaid Tenncare: $3.50
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLD CNT HEMOGRAM PLT AUTO	$65	$21.45	$2.91 – $58.50
Complete blood count (CBC), automated: 10 of 54 insurance plan rates Aetna — Commercial: $9.81 Aetna — Medicare Advantage: $6.79 Ambetter — Exchange: $11.71 BCBS TN — Blue Care: $8.98 BCBS TN — Commercial Network P: $13.64 BCBS TN — Commercial Network S: $13.64 Beech Street — PPO: $55.25 Blue Cross of TN — BlueEssential DSNP: $6.79 Blue Cross of TN — BlueEssential HMO: $6.79 Blue Cross of TN — Med Adv Diamond: $6.79
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$2.91 – $13.64
Complete blood count (CBC), automated: rates for 7 insurance plans BCBS TN — Blue Care: $8.98 BCBS TN — Commercial Network P: $13.64 BCBS TN — Commercial Network S: $13.64 United Healthcare — All Other Plans: $6.47 United Healthcare — Heritage Select: $6.47 United Healthcare — Options PPO: $6.47 Wellpoint — Medicaid Tenncare: $2.91
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$40	$13.20	$1.93 – $36
Blood clotting time test (prothrombin time, PT): 10 of 54 insurance plan rates Aetna — Commercial: $6.51 Aetna — Medicare Advantage: $4.50 Ambetter — Exchange: $7.76 BCBS TN — Blue Care: $5.46 BCBS TN — Commercial Network P: $8.30 BCBS TN — Commercial Network S: $8.30 Beech Street — PPO: $34 Blue Cross of TN — BlueEssential DSNP: $4.50 Blue Cross of TN — BlueEssential HMO: $4.50 Blue Cross of TN — Med Adv Diamond: $4.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PROTHROMBIN TIME	$9	$2.97	$1.93 – $9.85
Blood clotting time test (prothrombin time, PT): 10 of 54 insurance plan rates Aetna — Commercial: $6.51 Aetna — Medicare Advantage: $4.50 Ambetter — Exchange: $7.76 BCBS TN — Blue Care: $5.46 BCBS TN — Commercial Network P: $8.30 BCBS TN — Commercial Network S: $8.30 Beech Street — PPO: $7.65 Blue Cross of TN — BlueEssential DSNP: $4.50 Blue Cross of TN — BlueEssential HMO: $4.50 Blue Cross of TN — Med Adv Diamond: $4.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PART (PTT)	$60	$19.80	$2.70 – $54
Blood clotting test (partial thromboplastin time, PTT): 10 of 54 insurance plan rates Aetna — Commercial: $9.11 Aetna — Medicare Advantage: $6.31 Ambetter — Exchange: $10.88 BCBS TN — Blue Care: $8.34 BCBS TN — Commercial Network P: $12.67 BCBS TN — Commercial Network S: $12.67 Beech Street — PPO: $51 Blue Cross of TN — BlueEssential DSNP: $6.31 Blue Cross of TN — BlueEssential HMO: $6.31 Blue Cross of TN — Med Adv Diamond: $6.31
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PART (PTT)	$16	$5.28	$2.70 – $14.40
Blood clotting test (partial thromboplastin time, PTT): 10 of 54 insurance plan rates Aetna — Commercial: $9.11 Aetna — Medicare Advantage: $6.31 Ambetter — Exchange: $10.88 BCBS TN — Blue Care: $8.34 BCBS TN — Commercial Network P: $12.67 BCBS TN — Commercial Network S: $12.67 Beech Street — PPO: $13.60 Blue Cross of TN — BlueEssential DSNP: $6.31 Blue Cross of TN — BlueEssential HMO: $6.31 Blue Cross of TN — Med Adv Diamond: $6.31
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$2.70 – $12.67
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans BCBS TN — Blue Care: $8.34 BCBS TN — Commercial Network P: $12.67 BCBS TN — Commercial Network S: $12.67 United Healthcare — All Other Plans: $6.01 United Healthcare — Heritage Select: $6.01 United Healthcare — Options PPO: $6.01 Wellpoint — Medicaid Tenncare: $2.70

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT HEAD OR BRAIN WO CONT	$1,245	$410.85	$52.56 – $1,120.50
CT scan of the head or brain, without contrast: 10 of 54 insurance plan rates Aetna — Commercial: $415.80 Aetna — Medicare Advantage: $99.59 Ambetter — Exchange: $639 BCBS TN — Blue Care: $83.04 BCBS TN — Commercial Network P: $548 BCBS TN — Commercial Network S: $548 Beech Street — PPO: $1,058.25 Blue Cross of TN — BlueEssential DSNP: $99.59 Blue Cross of TN — BlueEssential HMO: $99.59 Blue Cross of TN — Med Adv Diamond: $99.59
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT HEAD OR BRAIN WO CONTRAST	$1,245	$410.85	$52.56 – $1,120.50
CT scan of the head or brain, without contrast: 10 of 54 insurance plan rates Aetna — Commercial: $415.80 Aetna — Medicare Advantage: $99.59 Ambetter — Exchange: $639 BCBS TN — Blue Care: $83.04 BCBS TN — Commercial Network P: $548 BCBS TN — Commercial Network S: $548 Beech Street — PPO: $1,058.25 Blue Cross of TN — BlueEssential DSNP: $99.59 Blue Cross of TN — BlueEssential HMO: $99.59 Blue Cross of TN — Med Adv Diamond: $99.59
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$83.04 – $639
CT scan of the head or brain, without contrast: rates for 7 insurance plans Ambetter — Exchange: $639 BCBS TN — Blue Care: $83.04 BCBS TN — Commercial Network P: $548 BCBS TN — Commercial Network S: $548 United Healthcare — All Other Plans: $229.76 United Healthcare — Heritage Select: $229.76 United Healthcare — Options PPO: $229.76
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MR BRAIN W&WO CONT	$2,526	$833.58	$198.87 – $2,273.40
MRI of the brain, before and after contrast: 10 of 54 insurance plan rates Aetna — Commercial: $619.77 Aetna — Medicare Advantage: $332.35 Ambetter — Exchange: $1,022 BCBS TN — Blue Care: $291.90 BCBS TN — Commercial Network P: $864 BCBS TN — Commercial Network S: $864 Beech Street — PPO: $2,147.10 Blue Cross of TN — BlueEssential DSNP: $332.35 Blue Cross of TN — BlueEssential HMO: $332.35 Blue Cross of TN — Med Adv Diamond: $332.35
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	$291.90
MRI of the brain, before and after contrast: rates for 7 insurance plans Ambetter — Exchange: $1,022 BCBS TN — Blue Care: $291.90 BCBS TN — Commercial Network P: $864 BCBS TN — Commercial Network S: $864 United Healthcare — All Other Plans: $782.79 United Healthcare — Heritage Select: $782.79 United Healthcare — Options PPO: $782.79
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR CHEST 2 VIEWS	$248	$81.84	$17.98 – $223.20
Chest X-ray, 2 views: 10 of 49 insurance plan rates Aetna — Commercial: $32.66 Aetna — Medicare Advantage: $82.91 Ambetter — Exchange: $104.16 BCBS TN — Blue Care: $17.98 Beech Street — PPO: $210.80 Blue Cross of TN — BlueEssential DSNP: $82.91 Blue Cross of TN — BlueEssential HMO: $82.91 Blue Cross of TN — Med Adv Diamond: $82.91 Blue Cross of TN — Med Adv PPO: $82.91 Blue Cross of TN — Med Adv Ruby: $82.91
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$17.98
Chest X-ray, 2 views: rates for 6 insurance plans BCBS TN — Blue Care: $17.98 BCBS TN — Commercial Network P: $130 BCBS TN — Commercial Network S: $130 United Healthcare — All Other Plans: $163.61 United Healthcare — Heritage Select: $163.61 United Healthcare — Options PPO: $163.61
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR SPINE LUMBOSACRAL MIN 4V	$416	$137.28	$32.34 – $374.40
X-ray of the lower spine, at least 4 views: 10 of 49 insurance plan rates Aetna — Commercial: $54.24 Aetna — Medicare Advantage: $99.59 Ambetter — Exchange: $158.91 BCBS TN — Blue Care: $32.34 Beech Street — PPO: $353.60 Blue Cross of TN — BlueEssential DSNP: $99.59 Blue Cross of TN — BlueEssential HMO: $99.59 Blue Cross of TN — Med Adv Diamond: $99.59 Blue Cross of TN — Med Adv PPO: $99.59 Blue Cross of TN — Med Adv Ruby: $99.59
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$32.34
X-ray of the lower spine, at least 4 views: rates for 6 insurance plans BCBS TN — Blue Care: $32.34 BCBS TN — Commercial Network P: $130 BCBS TN — Commercial Network S: $130 United Healthcare — All Other Plans: $229.76 United Healthcare — Heritage Select: $229.76 United Healthcare — Options PPO: $229.76
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MR LUMBAR SPINE WO CONT	$2,350	$775.50	$105.33 – $2,115
MRI of the lower back (lumbar spine), without contrast: 10 of 54 insurance plan rates Aetna — Commercial: $355.82 Aetna — Medicare Advantage: $227.30 Ambetter — Exchange: $1,022 BCBS TN — Blue Care: $166.65 BCBS TN — Commercial Network P: $864 BCBS TN — Commercial Network S: $864 Beech Street — PPO: $1,997.50 Blue Cross of TN — BlueEssential DSNP: $227.30 Blue Cross of TN — BlueEssential HMO: $227.30 Blue Cross of TN — Med Adv Diamond: $227.30
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$166.65
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans Ambetter — Exchange: $1,022 BCBS TN — Blue Care: $166.65 BCBS TN — Commercial Network P: $864 BCBS TN — Commercial Network S: $864 United Healthcare — All Other Plans: $477.73 United Healthcare — Heritage Select: $477.73 United Healthcare — Options PPO: $477.73
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT PELVIS W CONT	$1,320	$435.60	$123.57 – $1,188
CT scan of the pelvis, with contrast: 10 of 54 insurance plan rates Aetna — Commercial: $415.80 Aetna — Medicare Advantage: $167.10 Ambetter — Exchange: $639 BCBS TN — Blue Care: $199.94 BCBS TN — Commercial Network P: $548 BCBS TN — Commercial Network S: $548 Beech Street — PPO: $1,122 Blue Cross of TN — BlueEssential DSNP: $167.10 Blue Cross of TN — BlueEssential HMO: $167.10 Blue Cross of TN — Med Adv Diamond: $167.10
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$1,320	$435.60	$123.57 – $1,188
CT scan of the pelvis, with contrast: 10 of 54 insurance plan rates Aetna — Commercial: $415.80 Aetna — Medicare Advantage: $167.10 Ambetter — Exchange: $639 BCBS TN — Blue Care: $199.94 BCBS TN — Commercial Network P: $548 BCBS TN — Commercial Network S: $548 Beech Street — PPO: $1,122 Blue Cross of TN — BlueEssential DSNP: $167.10 Blue Cross of TN — BlueEssential HMO: $167.10 Blue Cross of TN — Med Adv Diamond: $167.10
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$199.94 – $639
CT scan of the pelvis, with contrast: rates for 7 insurance plans Ambetter — Exchange: $639 BCBS TN — Blue Care: $199.94 BCBS TN — Commercial Network P: $548 BCBS TN — Commercial Network S: $548 United Healthcare — All Other Plans: $373.55 United Healthcare — Heritage Select: $373.55 United Healthcare — Options PPO: $373.55
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$105.33 – $482
MRI of a leg joint (such as the knee), without contrast: 10 of 54 insurance plan rates Aetna — Commercial: $400.50 Aetna — Medicare Advantage: $227.30 Ambetter — Exchange: $1,022 BCBS TN — Blue Care: $187.59 BCBS TN — Commercial Network P: $864 BCBS TN — Commercial Network S: $864 Blue Cross of TN — BlueEssential DSNP: $227.30 Blue Cross of TN — BlueEssential HMO: $227.30 Blue Cross of TN — Med Adv Diamond: $227.30 Blue Cross of TN — Med Adv PPO: $227.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MR JNT EXT LOWER WO CONT LT	$1,551	$511.83	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MR JNT EXT LOWER WO CONT RT	$1,551	$511.83	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT ABD/PELVIS W CONTRAST	$2,640	$871.20	$123.57 – $2,376
CT scan of the abdomen and pelvis, with contrast: 10 of 54 insurance plan rates Aetna — Commercial: $415.80 Aetna — Medicare Advantage: $332.35 Ambetter — Exchange: $639 BCBS TN — Blue Care: $259.20 BCBS TN — Commercial Network P: $548 BCBS TN — Commercial Network S: $548 Beech Street — PPO: $2,244 Blue Cross of TN — BlueEssential DSNP: $332.35 Blue Cross of TN — BlueEssential HMO: $332.35 Blue Cross of TN — Med Adv Diamond: $332.35
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST	Not listed in the file	Not listed in the file	$259.20 – $782.79
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Ambetter — Exchange: $639 BCBS TN — Blue Care: $259.20 BCBS TN — Commercial Network P: $548 BCBS TN — Commercial Network S: $548 United Healthcare — All Other Plans: $782.79 United Healthcare — Heritage Select: $782.79 United Healthcare — Options PPO: $782.79
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$894	$295.02	$52.56 – $804.60
Ultrasound of the abdomen, complete: 10 of 54 insurance plan rates Aetna — Commercial: $119.02 Aetna — Medicare Advantage: $99.59 Ambetter — Exchange: $369.06 BCBS TN — Blue Care: $69.61 BCBS TN — Commercial Network P: $322 BCBS TN — Commercial Network S: $322 Beech Street — PPO: $759.90 Blue Cross of TN — BlueEssential DSNP: $99.59 Blue Cross of TN — BlueEssential HMO: $99.59 Blue Cross of TN — Med Adv Diamond: $99.59
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$69.61
Ultrasound of the abdomen, complete: rates for 1 insurance plan BCBS TN — Blue Care: $69.61
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US PREGNANT COMP 14+WKS 1ST FETUS	$662	$218.46	$52.56 – $595.80
Pregnancy ultrasound (after the first trimester): 10 of 54 insurance plan rates Aetna — Commercial: $132.28 Aetna — Medicare Advantage: $99.59 Ambetter — Exchange: $424.51 BCBS TN — Blue Care: $74.34 BCBS TN — Commercial Network P: $322 BCBS TN — Commercial Network S: $322 Beech Street — PPO: $562.70 Blue Cross of TN — BlueEssential DSNP: $99.59 Blue Cross of TN — BlueEssential HMO: $99.59 Blue Cross of TN — Med Adv Diamond: $99.59
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$74.34
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan BCBS TN — Blue Care: $74.34
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US TRANSVAGINAL NON-OB	$279	$92.07	$52.56 – $375.76
Transvaginal ultrasound: 10 of 54 insurance plan rates Aetna — Commercial: $130.30 Aetna — Medicare Advantage: $99.59 Ambetter — Exchange: $375.76 BCBS TN — Blue Care: $54.13 BCBS TN — Commercial Network P: $322 BCBS TN — Commercial Network S: $322 Beech Street — PPO: $237.15 Blue Cross of TN — BlueEssential DSNP: $99.59 Blue Cross of TN — BlueEssential HMO: $99.59 Blue Cross of TN — Med Adv Diamond: $99.59
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$54.13
Transvaginal ultrasound: rates for 1 insurance plan BCBS TN — Blue Care: $54.13
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$44.35 – $392.60
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates Aetna — Commercial: $128.34 Ambetter — Exchange: $392.60 BCBS TN — Blue Care: $86.79 BCBS TN — Commercial Network P: $255 BCBS TN — Commercial Network S: $255 Cigna — HMO: $191 Cigna — IFP: $163 Cigna — Local Plus: $163 Cigna — OAP: $191 Cigna — POS: $191
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MA DIG DX MAMM LT W CAD/TOMO+	$271	$89.43	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MA DIG DX MAMM RT W CAD/TOMO+	$271	$89.43	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MA DIG MAMM DX BIL INC CAD	$348	$114.84	$56.73 – $495.83
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial: $164.17 Ambetter — Exchange: $495.83 BCBS TN — Blue Care: $111.06 BCBS TN — Commercial Network P: $255 BCBS TN — Commercial Network S: $255 Beech Street — PPO: $295.80 CCN Managed Care — PPO: $295.80 Cigna — HMO: $208.10 Cigna — IFP: $176.78 Cigna — Local Plus: $176.78
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MA DIG MAMM DX BIL W CAD/TOMO+	$348	$114.84	$56.73 – $495.83
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial: $164.17 Ambetter — Exchange: $495.83 BCBS TN — Blue Care: $111.06 BCBS TN — Commercial Network P: $255 BCBS TN — Commercial Network S: $255 Beech Street — PPO: $295.80 CCN Managed Care — PPO: $295.80 Cigna — HMO: $208.10 Cigna — IFP: $176.78 Cigna — Local Plus: $176.78
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MA POST PROCEDURE MAMMO BIL	$348	$114.84	$56.73 – $495.83
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial: $164.17 Ambetter — Exchange: $495.83 BCBS TN — Blue Care: $111.06 BCBS TN — Commercial Network P: $255 BCBS TN — Commercial Network S: $255 Beech Street — PPO: $295.80 CCN Managed Care — PPO: $295.80 Cigna — HMO: $208.10 Cigna — IFP: $176.78 Cigna — Local Plus: $176.78
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MA DIG MAM SCR BIL W CAD/TOM+	$234	$77.22	$46.86 – $399.14
Screening mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial: $135.71 Ambetter — Exchange: $399.14 BCBS TN — Blue Care: $91.70 BCBS TN — Commercial Network P: $255 BCBS TN — Commercial Network S: $255 Beech Street — PPO: $198.90 CCN Managed Care — PPO: $198.90 Cigna — HMO: $191 Cigna — IFP: $163 Cigna — Local Plus: $163
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MA DIG MAMM SCR BIL INC CAD	$234	$77.22	$46.86 – $399.14
Screening mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial: $135.71 Ambetter — Exchange: $399.14 BCBS TN — Blue Care: $91.70 BCBS TN — Commercial Network P: $255 BCBS TN — Commercial Network S: $255 Beech Street — PPO: $198.90 CCN Managed Care — PPO: $198.90 Cigna — HMO: $191 Cigna — IFP: $163 Cigna — Local Plus: $163
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$91.70
Screening mammogram, both breasts: rates for 6 insurance plans BCBS TN — Blue Care: $91.70 BCBS TN — Commercial Network P: $255 BCBS TN — Commercial Network S: $255 United Healthcare — All Other Plans: $204.94 United Healthcare — Heritage Select: $204.94 United Healthcare — Options PPO: $204.94

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$19.10 – $23.88
Electrocardiogram (ECG/EKG) with reading: 10 of 25 insurance plan rates Aetna — Commercial: $25.50 BCBS TN — Blue Care: $19.10 BCBS TN — Commercial Network P: $23.88 BCBS TN — Commercial Network S: $23.88 United Healthcare — All Other Plans: $169 United Healthcare — Heritage Select: $199 United Healthcare — Options PPO: $244 Ambetter — Exchange: 60% (a percentage in the contract, not a dollar amount) Beech Street — PPO: 85% (a percentage in the contract, not a dollar amount) CCN Managed Care — PPO: 85% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: LT VENT NO CORONARIES W S&I	$3,986	$1,315.38	$837.06 – $9,765
Left heart catheterization (diagnostic): 10 of 53 insurance plan rates Aetna — Commercial: $9,765 Aetna — Medicare Advantage: $3,088.39 BCBS TN — Blue Care: $837.06 BCBS TN — Commercial Network P: $6,192 BCBS TN — Commercial Network S: $6,192 Beech Street — PPO: $3,388.10 Blue Cross of TN — BlueEssential DSNP: $3,088.39 Blue Cross of TN — BlueEssential HMO: $3,088.39 Blue Cross of TN — Med Adv Diamond: $3,088.39 Blue Cross of TN — Med Adv PPO: $3,088.39
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	$2,009 – $6,582
Left heart catheterization (diagnostic): rates for 7 insurance plans Ambetter — Exchange: $2,009 BCBS TN — Commercial Network P: $6,192 BCBS TN — Commercial Network S: $6,192 United Healthcare — All Other Plans: $4,587 United Healthcare — Heritage Select: $5,394 United Healthcare — Options PPO: $6,582 United Healthcare — Tenncare: $2,438
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: LT VENT NO CORONARIES W S&I XU	$3,986	$1,315.38	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: EP STUDY W/O INDUCTION	$5,731	$1,891.23	$348.47 – $7,430.26
Heart rhythm study (electrophysiology evaluation): 10 of 49 insurance plan rates Aetna — Commercial: $4,558.52 Aetna — Medicare Advantage: $7,430.26 BCBS TN — Blue Care: $348.47 BCBS TN — Commercial Network P: $435.59 BCBS TN — Commercial Network S: $435.59 Beech Street — PPO: $4,871.35 Blue Cross of TN — BlueEssential DSNP: $7,430.26 Blue Cross of TN — BlueEssential HMO: $7,430.26 Blue Cross of TN — Med Adv Diamond: $7,430.26 Blue Cross of TN — Med Adv PPO: $7,430.26
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	$2,009 – $8,693
Heart rhythm study (electrophysiology evaluation): rates for 5 insurance plans Ambetter — Exchange: $2,009 United Healthcare — All Other Plans: $6,058 United Healthcare — Heritage Select: $7,125 United Healthcare — Options PPO: $8,693 United Healthcare — Tenncare: $2,671
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: CMP EP L/RA RV HS AFIB ABL PV 3D	$15,781	$5,207.73	$4,558.52 – $28,759
Heart rhythm study with ablation for atrial fibrillation: 10 of 53 insurance plan rates Aetna — Commercial: $4,558.52 Aetna — Medicare Advantage: $24,899.92 BCBS TN — Blue Care: $12,206 BCBS TN — Commercial Network P: $19,659 BCBS TN — Commercial Network S: $19,659 Beech Street — PPO: $13,413.85 Blue Cross of TN — BlueEssential DSNP: $24,899.92 Blue Cross of TN — BlueEssential HMO: $24,899.92 Blue Cross of TN — Med Adv Diamond: $24,899.92 Blue Cross of TN — Med Adv PPO: $24,899.92
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	$2,009 – $28,759
Heart rhythm study with ablation for atrial fibrillation: rates for 8 insurance plans Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $12,206 BCBS TN — Commercial Network P: $19,659 BCBS TN — Commercial Network S: $19,659 United Healthcare — All Other Plans: $20,041 United Healthcare — Heritage Select: $23,568 United Healthcare — Options PPO: $28,759 United Healthcare — Tenncare: $8,097
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: CMP EP L/RA RV HS AF ABL PV 3D 52	$15,781	$5,207.73	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: SC POLYSOMNOGRA 4 OR MORE PARA	$2,822	$931.26	$432.27 – $2,539.80
Sleep study (overnight, in a sleep lab): 10 of 54 insurance plan rates Aetna — Commercial: $836.52 Aetna — Medicare Advantage: $818.07 Ambetter — Exchange: $1,693.20 BCBS TN — Blue Care: $540.16 BCBS TN — Commercial Network P: $675.20 BCBS TN — Commercial Network S: $675.20 Beech Street — PPO: $2,398.70 Blue Cross of TN — BlueEssential DSNP: $818.07 Blue Cross of TN — BlueEssential HMO: $818.07 Blue Cross of TN — Med Adv Diamond: $818.07
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	$1,615 – $2,320
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans United Healthcare — All Other Plans: $1,615 United Healthcare — Heritage Select: $1,899 United Healthcare — Options PPO: $2,320
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: SC NPSG 4 OR MORE PARA INTERRUPT	$2,822	$931.26	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$35.51 – $190
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates Aetna — Commercial: $158 Ambetter — Exchange: $161 BCBS TN — Blue Care: $35.51 BCBS TN — Commercial Network P: $44.39 BCBS TN — Commercial Network S: $44.39 Cigna — HMO: $190 Cigna — IFP: $144 Cigna — Local Plus: $162 Cigna — OAP: $190 Cigna — POS: $190
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: THERAPEUTIC EXERCISE 15 MIN	$50	$16.50	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$97.85 – $190
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates Aetna — Commercial: $158 Ambetter — Exchange: $161 BCBS TN — Blue Care: $97.85 BCBS TN — Commercial Network P: $122.31 BCBS TN — Commercial Network S: $122.31 Cigna — HMO: $190 Cigna — IFP: $144 Cigna — Local Plus: $162 Cigna — OAP: $190 Cigna — POS: $190
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVALUATION LOW	$182	$60.06	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$97.85 – $190
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates Aetna — Commercial: $158 Ambetter — Exchange: $161 BCBS TN — Blue Care: $97.85 BCBS TN — Commercial Network P: $122.31 BCBS TN — Commercial Network S: $122.31 Cigna — HMO: $190 Cigna — IFP: $144 Cigna — Local Plus: $162 Cigna — OAP: $190 Cigna — POS: $190
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVALUATION MOD	$182	$60.06	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$97.85 – $190
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates Aetna — Commercial: $158 Ambetter — Exchange: $161 BCBS TN — Blue Care: $97.85 BCBS TN — Commercial Network P: $122.31 BCBS TN — Commercial Network S: $122.31 Cigna — HMO: $190 Cigna — IFP: $144 Cigna — Local Plus: $162 Cigna — OAP: $190 Cigna — POS: $190
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVALUATION HIGH	$182	$60.06	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$35.13 – $169.09
Psychotherapy, 30 minutes: 10 of 54 insurance plan rates Aetna — Medicare Advantage: $169.09 Blue Cross of TN — BlueEssential DSNP: $169.09 Blue Cross of TN — BlueEssential HMO: $169.09 Blue Cross of TN — Med Adv Diamond: $169.09 Blue Cross of TN — Med Adv PPO: $169.09 Blue Cross of TN — Med Adv Ruby: $169.09 Blue Cross of TN — Med Adv Sapphire: $169.09 Cigna — Medicare HMO: $169.09 Cigna — Medicare HMO-POS: $169.09 Cigna — Medicare PPO: $169.09
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$63.01 – $169.09
Psychotherapy, 45 minutes: 10 of 54 insurance plan rates Aetna — Medicare Advantage: $169.09 Blue Cross of TN — BlueEssential DSNP: $169.09 Blue Cross of TN — BlueEssential HMO: $169.09 Blue Cross of TN — Med Adv Diamond: $169.09 Blue Cross of TN — Med Adv PPO: $169.09 Blue Cross of TN — Med Adv Ruby: $169.09 Blue Cross of TN — Med Adv Sapphire: $169.09 Cigna — Medicare HMO: $169.09 Cigna — Medicare HMO-POS: $169.09 Cigna — Medicare PPO: $169.09
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$63.01 – $169.09
Psychotherapy, 60 minutes: 10 of 54 insurance plan rates Aetna — Medicare Advantage: $169.09 Blue Cross of TN — BlueEssential DSNP: $169.09 Blue Cross of TN — BlueEssential HMO: $169.09 Blue Cross of TN — Med Adv Diamond: $169.09 Blue Cross of TN — Med Adv PPO: $169.09 Blue Cross of TN — Med Adv Ruby: $169.09 Blue Cross of TN — Med Adv Sapphire: $169.09 Cigna — Medicare HMO: $169.09 Cigna — Medicare HMO-POS: $169.09 Cigna — Medicare PPO: $169.09
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$63.01 – $169.09
Family psychotherapy, without the patient: 10 of 54 insurance plan rates Aetna — Medicare Advantage: $169.09 Blue Cross of TN — BlueEssential DSNP: $169.09 Blue Cross of TN — BlueEssential HMO: $169.09 Blue Cross of TN — Med Adv Diamond: $169.09 Blue Cross of TN — Med Adv PPO: $169.09 Blue Cross of TN — Med Adv Ruby: $169.09 Blue Cross of TN — Med Adv Sapphire: $169.09 Cigna — Medicare HMO: $169.09 Cigna — Medicare HMO-POS: $169.09 Cigna — Medicare PPO: $169.09
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$63.01 – $169.09
Family psychotherapy, with the patient: 10 of 54 insurance plan rates Aetna — Medicare Advantage: $169.09 Blue Cross of TN — BlueEssential DSNP: $169.09 Blue Cross of TN — BlueEssential HMO: $169.09 Blue Cross of TN — Med Adv Diamond: $169.09 Blue Cross of TN — Med Adv PPO: $169.09 Blue Cross of TN — Med Adv Ruby: $169.09 Blue Cross of TN — Med Adv Sapphire: $169.09 Cigna — Medicare HMO: $169.09 Cigna — Medicare HMO-POS: $169.09 Cigna — Medicare PPO: $169.09
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$35.13 – $96.78
Group psychotherapy: 10 of 54 insurance plan rates Aetna — Medicare Advantage: $96.78 Blue Cross of TN — BlueEssential DSNP: $96.78 Blue Cross of TN — BlueEssential HMO: $96.78 Blue Cross of TN — Med Adv Diamond: $96.78 Blue Cross of TN — Med Adv PPO: $96.78 Blue Cross of TN — Med Adv Ruby: $96.78 Blue Cross of TN — Med Adv Sapphire: $96.78 Cigna — Medicare HMO: $96.78 Cigna — Medicare HMO-POS: $96.78 Cigna — Medicare PPO: $96.78

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$1,921 – $3,729.99
Removal of breast growth (open surgery): 10 of 54 insurance plan rates Aetna — Commercial: $2,074.32 Aetna — Medicare Advantage: $3,729.99 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $1,890 BCBS TN — Commercial Network P: $3,202 BCBS TN — Commercial Network S: $3,202 Blue Cross of TN — BlueEssential DSNP: $3,729.99 Blue Cross of TN — BlueEssential HMO: $3,729.99 Blue Cross of TN — Med Adv Diamond: $3,729.99 Blue Cross of TN — Med Adv PPO: $3,729.99
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,372 – $13,125
Total hip replacement: 10 of 54 insurance plan rates Aetna — Commercial: $4,136.74 Aetna — Medicare Advantage: $12,230.62 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $11,500 BCBS TN — Commercial Network P: $21,350 BCBS TN — Commercial Network S: $21,350 Blue Cross of TN — BlueEssential DSNP: $12,230.62 Blue Cross of TN — BlueEssential HMO: $12,230.62 Blue Cross of TN — Med Adv Diamond: $12,230.62 Blue Cross of TN — Med Adv PPO: $12,230.62
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,372 – $13,125.50
Total knee replacement: 10 of 54 insurance plan rates Aetna — Commercial: $4,136.74 Aetna — Medicare Advantage: $12,230.62 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $11,500 BCBS TN — Commercial Network P: $22,018 BCBS TN — Commercial Network S: $22,018 Blue Cross of TN — BlueEssential DSNP: $12,230.62 Blue Cross of TN — BlueEssential HMO: $12,230.62 Blue Cross of TN — Med Adv Diamond: $12,230.62 Blue Cross of TN — Med Adv PPO: $12,230.62
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$307.90 – $2,769
Shoulder arthroscopy: shaving of shoulder bone: 10 of 27 insurance plan rates Aetna — Commercial: $2,074.32 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $3,885 BCBS TN — Commercial Network P: $154 BCBS TN — Commercial Network S: $154 Cigna — HMO: $2,769 Cigna — IFP: $1,921 Cigna — Local Plus: $2,354 Cigna — OAP: $2,769 Cigna — POS: $2,769
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$2,372 – $3,379
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 54 insurance plan rates Aetna — Commercial: $2,560.99 Aetna — Medicare Advantage: $3,117.03 Ambetter — Exchange: $2,480 BCBS TN — Blue Care: $3,885 BCBS TN — Commercial Network P: $3,202 BCBS TN — Commercial Network S: $3,202 Blue Cross of TN — BlueEssential DSNP: $3,117.03 Blue Cross of TN — BlueEssential HMO: $3,117.03 Blue Cross of TN — Med Adv Diamond: $3,117.03 Blue Cross of TN — Med Adv PPO: $3,117.03
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$1,921 – $5,639.46
Removal of tonsils and adenoids (under age 12): 10 of 54 insurance plan rates Aetna — Commercial: $2,074.32 Aetna — Medicare Advantage: $5,639.46 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $2,730 BCBS TN — Commercial Network P: $5,705 BCBS TN — Commercial Network S: $5,705 Blue Cross of TN — BlueEssential DSNP: $5,639.46 Blue Cross of TN — BlueEssential HMO: $5,639.46 Blue Cross of TN — Med Adv Diamond: $5,639.46 Blue Cross of TN — Med Adv PPO: $5,639.46
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	$822.88 – $1,802
Upper GI endoscopy (diagnostic): 10 of 54 insurance plan rates Aetna — Commercial: $1,349.71 Aetna — Medicare Advantage: $864.02 Ambetter — Exchange: $1,308 BCBS TN — Blue Care: $1,155 BCBS TN — Commercial Network P: $2,269 BCBS TN — Commercial Network S: $2,269 Blue Cross of TN — BlueEssential DSNP: $864.02 Blue Cross of TN — BlueEssential HMO: $864.02 Blue Cross of TN — Med Adv Diamond: $864.02 Blue Cross of TN — Med Adv PPO: $864.02
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	$822.88 – $2,416
Upper GI endoscopy with biopsy: 10 of 54 insurance plan rates Aetna — Commercial: $1,808.27 Aetna — Medicare Advantage: $864.02 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $2,269 BCBS TN — Commercial Network S: $2,269 Blue Cross of TN — BlueEssential DSNP: $864.02 Blue Cross of TN — BlueEssential HMO: $864.02 Blue Cross of TN — Med Adv Diamond: $864.02 Blue Cross of TN — Med Adv PPO: $864.02
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	$843.73 – $2,416
Colonoscopy (diagnostic): 10 of 54 insurance plan rates Aetna — Commercial: $1,808.27 Aetna — Medicare Advantage: $885.92 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $2,269 BCBS TN — Commercial Network S: $2,269 Blue Cross of TN — BlueEssential DSNP: $885.92 Blue Cross of TN — BlueEssential HMO: $885.92 Blue Cross of TN — Med Adv Diamond: $885.92 Blue Cross of TN — Med Adv PPO: $885.92
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$1,085.68 – $2,416
Colonoscopy with biopsy: 10 of 54 insurance plan rates Aetna — Commercial: $1,808.27 Aetna — Medicare Advantage: $1,139.96 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $2,269 BCBS TN — Commercial Network S: $2,269 Blue Cross of TN — BlueEssential DSNP: $1,139.96 Blue Cross of TN — BlueEssential HMO: $1,139.96 Blue Cross of TN — Med Adv Diamond: $1,139.96 Blue Cross of TN — Med Adv PPO: $1,139.96
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$1,085.68 – $2,416
Colonoscopy with removal of polyps (snare): 10 of 54 insurance plan rates Aetna — Commercial: $1,808.27 Aetna — Medicare Advantage: $1,139.96 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $2,269 BCBS TN — Commercial Network S: $2,269 Blue Cross of TN — BlueEssential DSNP: $1,139.96 Blue Cross of TN — BlueEssential HMO: $1,139.96 Blue Cross of TN — Med Adv Diamond: $1,139.96 Blue Cross of TN — Med Adv PPO: $1,139.96
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$1,085.68 – $2,416
Ultrasound of the lower bowel by endoscope: 10 of 54 insurance plan rates Aetna — Commercial: $1,808.27 Aetna — Medicare Advantage: $1,139.96 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $2,269 BCBS TN — Commercial Network S: $2,269 Blue Cross of TN — BlueEssential DSNP: $1,139.96 Blue Cross of TN — BlueEssential HMO: $1,139.96 Blue Cross of TN — Med Adv Diamond: $1,139.96 Blue Cross of TN — Med Adv PPO: $1,139.96
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	$843.73 – $2,416
Screening colonoscopy (not high risk): 10 of 54 insurance plan rates Aetna — Commercial: $1,808.27 Aetna — Medicare Advantage: $885.92 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,155 BCBS TN — Commercial Network P: $2,269 BCBS TN — Commercial Network S: $2,269 Blue Cross of TN — BlueEssential DSNP: $885.92 Blue Cross of TN — BlueEssential HMO: $885.92 Blue Cross of TN — Med Adv Diamond: $885.92 Blue Cross of TN — Med Adv PPO: $885.92
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$2,934.11 – $5,759.20
Gallbladder removal by laparoscope: 10 of 54 insurance plan rates Aetna — Commercial: $2,934.11 Aetna — Medicare Advantage: $5,759.20 Ambetter — Exchange: $3,332 BCBS TN — Blue Care: $8,610 BCBS TN — Commercial Network P: $5,705 BCBS TN — Commercial Network S: $5,705 Blue Cross of TN — BlueEssential DSNP: $5,759.20 Blue Cross of TN — BlueEssential HMO: $5,759.20 Blue Cross of TN — Med Adv Diamond: $5,759.20 Blue Cross of TN — Med Adv PPO: $5,759.20
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$2,372 – $3,410.83
Groin (inguinal) hernia repair, age 5 or older: 10 of 54 insurance plan rates Aetna — Commercial: $2,560.99 Aetna — Medicare Advantage: $3,410.83 Ambetter — Exchange: $2,480 BCBS TN — Blue Care: $2,310 BCBS TN — Commercial Network P: $3,202 BCBS TN — Commercial Network S: $3,202 Blue Cross of TN — BlueEssential DSNP: $3,410.83 Blue Cross of TN — BlueEssential HMO: $3,410.83 Blue Cross of TN — Med Adv Diamond: $3,410.83 Blue Cross of TN — Med Adv PPO: $3,410.83
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$1,391 – $2,416
Prostate biopsy: 10 of 27 insurance plan rates Aetna — Commercial: $1,808.27 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $2,269 BCBS TN — Commercial Network S: $2,269 Cigna — HMO: $2,416 Cigna — IFP: $1,674 Cigna — Local Plus: $2,053 Cigna — OAP: $2,416 Cigna — POS: $2,416
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$2,372 – $10,126.39
Prostate removal by laparoscope (radical prostatectomy): 10 of 54 insurance plan rates Aetna — Commercial: $2,934.11 Aetna — Medicare Advantage: $10,126.39 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $2,310 BCBS TN — Commercial Network P: $7,553 BCBS TN — Commercial Network S: $7,553 Blue Cross of TN — BlueEssential DSNP: $10,126.39 Blue Cross of TN — BlueEssential HMO: $10,126.39 Blue Cross of TN — Med Adv Diamond: $10,126.39 Blue Cross of TN — Med Adv PPO: $10,126.39
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,921 – $3,083.81
Hysteroscopy with biopsy of the uterus lining: 10 of 54 insurance plan rates Aetna — Commercial: $2,074.32 Aetna — Medicare Advantage: $3,083.81 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $1,890 BCBS TN — Commercial Network P: $3,202 BCBS TN — Commercial Network S: $3,202 Blue Cross of TN — BlueEssential DSNP: $3,083.81 Blue Cross of TN — BlueEssential HMO: $3,083.81 Blue Cross of TN — Med Adv Diamond: $3,083.81 Blue Cross of TN — Med Adv PPO: $3,083.81
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: SP INJ DX/THRP LUMBAR SAC W IMG	$1,240	$409.20	$558 – $1,869
Spinal injection, lower back (epidural), with imaging guidance: 10 of 54 insurance plan rates Aetna — Commercial: $1,349.71 Aetna — Medicare Advantage: $672.45 Ambetter — Exchange: $1,308 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $1,869 BCBS TN — Commercial Network S: $1,869 Beech Street — PPO: $1,054 Blue Cross of TN — BlueEssential DSNP: $672.45 Blue Cross of TN — BlueEssential HMO: $672.45 Blue Cross of TN — Med Adv Diamond: $672.45
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: XR INJ DX/THRP LUMBAR SAC W IMG	$1,240	$409.20	$558 – $1,802
Spinal injection, lower back (epidural), with imaging guidance: 10 of 46 insurance plan rates Aetna — Commercial: $1,349.71 Aetna — Medicare Advantage: $672.45 Beech Street — PPO: $1,054 Blue Cross of TN — BlueEssential DSNP: $672.45 Blue Cross of TN — BlueEssential HMO: $672.45 Blue Cross of TN — Med Adv Diamond: $672.45 Blue Cross of TN — Med Adv PPO: $672.45 Blue Cross of TN — Med Adv Ruby: $672.45 Blue Cross of TN — Med Adv Sapphire: $672.45 CCN Managed Care — PPO: $1,054
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	$865 – $1,869
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans Ambetter — Exchange: $1,308 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $1,869 BCBS TN — Commercial Network S: $1,869 United Healthcare — All Other Plans: $1,066 United Healthcare — Heritage Select: $1,254 United Healthcare — Options PPO: $1,526 United Healthcare — Tenncare: $865
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: XR INJ L/SP STEROID BLK W IMAG GU	$1,355	$447.15	$609.75 – $1,869
Nerve root injection, lower back, with imaging guidance: 10 of 54 insurance plan rates Aetna — Commercial: $1,349.71 Aetna — Medicare Advantage: $842.58 Ambetter — Exchange: $1,308 BCBS TN — Blue Care: $1,155 BCBS TN — Commercial Network P: $1,869 BCBS TN — Commercial Network S: $1,869 Beech Street — PPO: $1,151.75 Blue Cross of TN — BlueEssential DSNP: $842.58 Blue Cross of TN — BlueEssential HMO: $842.58 Blue Cross of TN — Med Adv Diamond: $842.58
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	$865 – $1,869
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans Ambetter — Exchange: $1,308 BCBS TN — Blue Care: $1,155 BCBS TN — Commercial Network P: $1,869 BCBS TN — Commercial Network S: $1,869 United Healthcare — All Other Plans: $1,066 United Healthcare — Heritage Select: $1,254 United Healthcare — Options PPO: $1,526 United Healthcare — Tenncare: $865
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,674 – $2,416
Carpal tunnel release: 10 of 54 insurance plan rates Aetna — Commercial: $1,808.27 Aetna — Medicare Advantage: $1,860.24 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $2,821 BCBS TN — Commercial Network S: $2,821 Blue Cross of TN — BlueEssential DSNP: $1,860.24 Blue Cross of TN — BlueEssential HMO: $1,860.24 Blue Cross of TN — Med Adv Diamond: $1,860.24 Blue Cross of TN — Med Adv PPO: $1,860.24
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	$499 – $2,416
Laser treatment of clouding after cataract surgery: 10 of 54 insurance plan rates Aetna — Commercial: $1,808.27 Aetna — Medicare Advantage: $523.95 Ambetter — Exchange: $1,751 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $1,869 BCBS TN — Commercial Network S: $1,869 Blue Cross of TN — BlueEssential DSNP: $523.95 Blue Cross of TN — BlueEssential HMO: $523.95 Blue Cross of TN — Med Adv Diamond: $523.95 Blue Cross of TN — Med Adv PPO: $523.95
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,093.83 – $5,312
Cataract removal with lens implant: 10 of 54 insurance plan rates Aetna — Commercial: $2,934.11 Aetna — Medicare Advantage: $2,198.52 Ambetter — Exchange: $3,854 BCBS TN — Blue Care: $4,200 BCBS TN — Commercial Network P: $2,821 BCBS TN — Commercial Network S: $2,821 Blue Cross of TN — BlueEssential DSNP: $2,198.52 Blue Cross of TN — BlueEssential HMO: $2,198.52 Blue Cross of TN — Med Adv Diamond: $2,198.52 Blue Cross of TN — Med Adv PPO: $2,198.52

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$1,587.60 – $3,419
Vaginal delivery, with care before and after: 10 of 27 insurance plan rates Aetna — Commercial: $2,811.90 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $2,310 BCBS TN — Commercial Network P: $2,269 BCBS TN — Commercial Network S: $2,269 Cigna — HMO: $3,419 Cigna — IFP: $2,372 Cigna — Local Plus: $2,857 Cigna — OAP: $3,419 Cigna — POS: $3,419
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$1,587.60 – $3,419
Cesarean delivery (C-section), with care before and after: 10 of 27 insurance plan rates Aetna — Commercial: $2,811.90 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $1,575 BCBS TN — Commercial Network P: $2,269 BCBS TN — Commercial Network S: $2,269 Cigna — HMO: $3,419 Cigna — IFP: $2,372 Cigna — Local Plus: $2,857 Cigna — OAP: $3,419 Cigna — POS: $3,419
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$1,587.60 – $3,419
Vaginal delivery after a previous C-section, with care before and after: 10 of 27 insurance plan rates Aetna — Commercial: $2,811.90 Ambetter — Exchange: $2,009 BCBS TN — Blue Care: $2,310 BCBS TN — Commercial Network P: $2,269 BCBS TN — Commercial Network S: $2,269 Cigna — HMO: $3,419 Cigna — IFP: $2,372 Cigna — Local Plus: $2,857 Cigna — OAP: $3,419 Cigna — POS: $3,419

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$5,306 – $156,886.76
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 54 insurance plan rates Aetna — Commercial: $4,016.25 Aetna — Medicare Advantage: $76,983.26 Ambetter — Exchange: $3,022 BCBS TN — Blue Care: $46,708.18 BCBS TN — Commercial Network P: $135,601.21 BCBS TN — Commercial Network S: $135,601.21 Blue Cross of TN — BlueEssential DSNP: $76,983.26 Blue Cross of TN — BlueEssential HMO: $76,983.26 Blue Cross of TN — Med Adv Diamond: $76,983.26 Blue Cross of TN — Med Adv PPO: $76,983.26
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without MCC	Not listed in the file	Not listed in the file	$24,118.84
Spinal fusion (not neck), without major complications: rates for 1 insurance plan Wellpoint — Medicaid Tenncare: $24,118.84
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$2,651 – $36,871.70
Hip or knee replacement (major joint of the leg), without major complications: 10 of 54 insurance plan rates Aetna — Commercial: $4,016.25 Aetna — Medicare Advantage: $15,178.99 Ambetter — Exchange: $3,022 BCBS TN — Blue Care: $12,700.55 BCBS TN — Commercial Network P: $36,871.70 BCBS TN — Commercial Network S: $36,871.70 Blue Cross of TN — BlueEssential DSNP: $15,178.99 Blue Cross of TN — BlueEssential HMO: $15,178.99 Blue Cross of TN — Med Adv Diamond: $15,178.99 Blue Cross of TN — Med Adv PPO: $15,178.99
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$2,651 – $39,151.13
Neck (cervical) spinal fusion, without complications: 10 of 54 insurance plan rates Aetna — Commercial: $4,016.25 Aetna — Medicare Advantage: $19,211.19 Ambetter — Exchange: $3,022 BCBS TN — Blue Care: $11,600.93 BCBS TN — Commercial Network P: $33,679.32 BCBS TN — Commercial Network S: $33,679.32 Blue Cross of TN — BlueEssential DSNP: $19,211.19 Blue Cross of TN — BlueEssential HMO: $19,211.19 Blue Cross of TN — Med Adv Diamond: $19,211.19 Blue Cross of TN — Med Adv PPO: $19,211.19
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$2,651 – $19,897.11
Uterus and ovary surgery (not for cancer), without complications: 10 of 54 insurance plan rates Aetna — Commercial: $4,016.25 Aetna — Medicare Advantage: $9,763.37 Ambetter — Exchange: $3,022 BCBS TN — Blue Care: $3,367.75 BCBS TN — Commercial Network P: $9,777.11 BCBS TN — Commercial Network S: $9,777.11 Blue Cross of TN — BlueEssential DSNP: $9,763.37 Blue Cross of TN — BlueEssential HMO: $9,763.37 Blue Cross of TN — Med Adv Diamond: $9,763.37 Blue Cross of TN — Med Adv PPO: $9,763.37

Source: Methodist Medical Center of Oak Ridge’s standard charges file (mrfs.hyvehealthcare.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 5, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	990 Oak Ridge Turnpike Box 529, Oak Ridge, TN 37830
County	Anderson County
State	Tennessee
Phone	(865) 835‑1000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	440034
Name in Medicare records	METHODIST MEDICAL CENTER OF OAK RIDGE
Profile level	Medicare data + hospital website
Official website	covenanthealth.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-10-31.

Map and Directions | Methodist Medical Center of Oak Ridge — covenanthealth.com
Patient and Visitor Information | Methodist Medical Center — covenanthealth.com
Accolades - Covenant Health — covenanthealth.com
Methodist Services - Covenant Health — covenanthealth.com
Cardiology - Methodist Medical Center | Heart Care in Oak Ridge — covenanthealth.com
Cancer Care in Oak Ridge | Methodist Medical Center — covenanthealth.com
Emergency Services - Methodist Medical Center — covenanthealth.com
Accolades and Awards - Methodist Medical Center — covenanthealth.com
Count on the Stroke Team at Methodist! | Methodist Medical Center of Oak Ridge — covenanthealth.com
About Methodist Medical Center of Oak Ridge - Covenant Health — covenanthealth.com