▸ 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 | $165.00 | $172.00 | 1.8× |
| UnitedHealthcare | 5 | 41 | $56.79 | $141.00 | $237.00 | 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 | $165.00 | $169.20 | $171.58 | 1.0× |
| galaxy health network | 3 | 6 | $247.50 | $250.65 | $253.80 | 1.0× |
| medsave usa | 3 | 6 | $220.00 | $222.80 | $225.60 | 1.0× |
| ccn managed care | 3 | 6 | $233.75 | $236.73 | $239.70 | 1.0× |
| community services network | 3 | 6 | $178.75 | $181.03 | $183.30 | 1.0× |
| national provider network | 3 | 6 | $220.00 | $222.80 | $225.60 | 1.0× |
| novanet | 3 | 6 | $206.25 | $208.88 | $211.50 | 1.0× |
| initial group | 3 | 6 | $242.00 | $245.08 | $248.16 | 1.0× |
| beech street | 3 | 6 | $233.75 | $236.73 | $239.70 | 1.0× |
| correctional medical services | 3 | 6 | $165.00 | $167.10 | $169.20 | 1.0× |
| ehn | 3 | 6 | $123.75 | $125.33 | $126.90 | 1.0× |
| direct care america | 3 | 6 | $220.00 | $222.80 | $225.60 | 1.0× |
| usa managed care organization | 3 | 6 | $192.50 | $194.95 | $197.40 | 1.0× |
| Medicaid | 1 | 4 | $110.43 | $110.43 | $124.40 | 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 | $282.00 | $87.42 | $57.75 | $169.85 | $253.80 |
| Roane County Medical Center | Harriman | TN | 17 | $282.00 | $87.42 | $57.75 | $169.85 | $253.80 |
| Fort Loudoun Medical Center | Lenoir City | TN | 17 | $282.00 | $90.24 | $57.75 | $169.85 | $253.80 |
| Metro Nashville General Hospital | Nashville | TN | 19 | $210.00 | $126.00 | $67.41 | $122.56 | $208.77 |
| Methodist H/C Memphis Hospt. | Memphis | TN | 14 | $339.00 | $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 | — | — | $83.50 | $118.41 | $118.41 |
| Saint Thomas Rutherford Hospital | Murfreesboro | TN | 2 | — | — | $83.50 | $118.41 | $124.32 |
| Saint Thomas West Hospital | Nashville | TN | 2 | — | — | $83.50 | $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 | $63.00 | $18.90 | — | — | — |
| 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.