▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in TN
Hospitals
15
Min
$105.09
Median
$118.41
Max
$169.85
Range multiplier
1.6×
By payer (41 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Cigna | 5 | 53 | $93.59 | $165 | $172 | 1.8× |
| UnitedHealthcare | 5 | 41 | $56.79 | $141 | $237 | 4.2× |
| Blue Cross Blue Shield | 12 | 33 | $57.75 | $125.25 | $208.77 | 3.6× |
| Aetna | 12 | 33 | $100.65 | $118.41 | $124.32 | 1.2× |
| Ambetter | 4 | 7 | $165 | $169.2 | $171.58 | 1.0× |
| galaxy health network | 3 | 6 | $247.5 | $250.65 | $253.8 | 1.0× |
| medsave usa | 3 | 6 | $220 | $222.8 | $225.6 | 1.0× |
| ccn managed care | 3 | 6 | $233.75 | $236.73 | $239.7 | 1.0× |
| community services network | 3 | 6 | $178.75 | $181.03 | $183.3 | 1.0× |
| national provider network | 3 | 6 | $220 | $222.8 | $225.6 | 1.0× |
| novanet | 3 | 6 | $206.25 | $208.88 | $211.5 | 1.0× |
| initial group | 3 | 6 | $242 | $245.08 | $248.16 | 1.0× |
| beech street | 3 | 6 | $233.75 | $236.73 | $239.7 | 1.0× |
| correctional medical services | 3 | 6 | $165 | $167.1 | $169.2 | 1.0× |
| ehn | 3 | 6 | $123.75 | $125.33 | $126.9 | 1.0× |
| direct care america | 3 | 6 | $220 | $222.8 | $225.6 | 1.0× |
| usa managed care organization | 3 | 6 | $192.5 | $194.95 | $197.4 | 1.0× |
| Medicaid | 1 | 4 | $110.43 | $110.43 | $124.4 | 1.1× |
| community plan | 4 | 4 | $65.21 | $65.21 | $65.21 | 1.0× |
| Medicare | 2 | 4 | $121.65 | $121.65 | $122.56 | 1.0× |
| Molina | 1 | 2 | $110.43 | $124.24 | $138.04 | 1.3× |
| Humana | 2 | 2 | $121.65 | $122.11 | $122.56 | 1.0× |
| WellCare | 1 | 1 | $122.56 | $122.56 | $122.56 | 1.0× |
| american health advantage mcr adv [450117] | 1 | 1 | $121.65 | $121.65 | $121.65 | 1.0× |
| amerigroup | 1 | 1 | $107.24 | $107.24 | $107.24 | 1.0× |
| amerivantage | 1 | 1 | $107.24 | $107.24 | $107.24 | 1.0× |
| blue | 1 | 1 | $122.56 | $122.56 | $122.56 | 1.0× |
| bluecare | 1 | 1 | $69.58 | $69.58 | $69.58 | 1.0× |
| carecentrix [450200] | 1 | 1 | $121.65 | $121.65 | $121.65 | 1.0× |
| corecivic | 1 | 1 | $134.82 | $134.82 | $134.82 | 1.0× |
| corizon | 1 | 1 | $80.15 | $80.15 | $80.15 | 1.0× |
| devoted health [450111] | 1 | 1 | $121.65 | $121.65 | $121.65 | 1.0× |
| farm bureau | 1 | 1 | $125.01 | $125.01 | $125.01 | 1.0× |
| generic hospice vbid [10940000101] | 1 | 1 | $121.65 | $121.65 | $121.65 | 1.0× |
| Medicare Advantage | 1 | 1 | $121.65 | $121.65 | $121.65 | 1.0× |
| naphcare | 1 | 1 | $183.84 | $183.84 | $183.84 | 1.0× |
| provider network of america | 1 | 1 | $208.35 | $208.35 | $208.35 | 1.0× |
| tenncare | 1 | 1 | $69.58 | $69.58 | $69.58 | 1.0× |
| transplant optum tenncare [350013] | 1 | 1 | $56.79 | $56.79 | $56.79 | 1.0× |
| upmc | 1 | 1 | $122.56 | $122.56 | $122.56 | 1.0× |
| va hospital [600005] | 1 | 1 | $121.65 | $121.65 | $121.65 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| MORRISTOWN-HAMBLEN HOSPITAL | MORRISTOWN | TN | 17 | $282 | $87.42 | $57.75 | $169.85 | $253.8 |
| ROANE COUNTY MEDICAL CENTER | HARRIMAN | TN | 17 | $282 | $87.42 | $57.75 | $169.85 | $253.8 |
| FORT LOUDOUN MEDICAL CENTER | LENOIR CITY | TN | 17 | $282 | $90.24 | $57.75 | $169.85 | $253.8 |
| METRO NASHVILLE GENERAL HOSPITAL | NASHVILLE | TN | 19 | $210 | $126 | $67.41 | $122.56 | $208.77 |
| METHODIST H/C MEMPHIS HOSPT. | MEMPHIS | TN | 14 | $339 | $74.58 | $56.79 | $121.65 | $163.06 |
| ASCENSION ST THOMAS RIVER PARK | MCMINNVILLE | TN | 3 | — | — | $65.21 | $121.37 | $158.65 |
| SAINT THOMAS MIDTOWN HOSPITAL | NASHVILLE | TN | 2 | — | — | $83.5 | $118.41 | $118.41 |
| SAINT THOMAS RUTHERFORD HOSPITAL | MURFREESBORO | TN | 2 | — | — | $83.5 | $118.41 | $124.32 |
| SAINT THOMAS WEST HOSPITAL | NASHVILLE | TN | 2 | — | — | $83.5 | $118.41 | $124.32 |
| SAINT THOMAS HIGHLAND HOSPITAL | SPARTA | TN | 3 | — | — | $65.21 | $118.41 | $125.25 |
| ST THOMAS HICKMAN HOSPITAL | CENTERVILLE | TN | 1 | — | — | $118.41 | $118.41 | $124.32 |
| ST THOMAS DEKALB HOSPITAL | SMITHVILLE | TN | 3 | — | — | $65.21 | $114.78 | $124.32 |
| SAINT THOMAS STONES RIVER HOSPITAL | WOODBURY | TN | 3 | — | — | $65.21 | $105.09 | $124.32 |
| BIG SOUTH FORK MEDICAL CENTER | ONEIDA | TN | 0 | $63 | $18.9 | — | — | — |
| ST THOMAS ASCENSION | NASHVILLE | TN | 0 | $1,616.62 | $399.31 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.