▸ Compare · PriceTransparency
Office visit, new patient, 60-74 min
CPT 99205 · negotiated-rate distribution across hospitals in TN
Hospitals
15
Min
$134.35
Median
$153.26
Max
$190.00
Range multiplier
1.4×
By payer (41 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Cigna | 5 | 54 | $93.59 | $172.00 | $207.00 | 2.2× |
| UnitedHealthcare | 5 | 43 | $80.85 | $166.65 | $237.00 | 2.9× |
| Aetna | 12 | 34 | $120.00 | $153.26 | $166.65 | 1.4× |
| Blue Cross Blue Shield | 12 | 33 | $63.00 | $165.28 | $275.87 | 4.4× |
| Ambetter | 4 | 8 | $180.00 | $207.00 | $233.31 | 1.3× |
| galaxy health network | 3 | 6 | $270.00 | $290.25 | $310.50 | 1.1× |
| ccn managed care | 3 | 6 | $255.00 | $274.13 | $293.25 | 1.1× |
| initial group | 3 | 6 | $264.00 | $283.80 | $303.60 | 1.2× |
| Medicaid | 1 | 6 | $12.00 | $150.03 | $162.43 | 13.5× |
| medsave usa | 3 | 6 | $240.00 | $258.00 | $276.00 | 1.1× |
| novanet | 3 | 6 | $225.00 | $241.88 | $258.75 | 1.1× |
| national provider network | 3 | 6 | $240.00 | $258.00 | $276.00 | 1.1× |
| direct care america | 3 | 6 | $240.00 | $258.00 | $276.00 | 1.1× |
| ehn | 3 | 6 | $135.00 | $145.13 | $155.25 | 1.1× |
| community services network | 3 | 6 | $195.00 | $209.63 | $224.25 | 1.1× |
| usa managed care organization | 3 | 6 | $210.00 | $225.75 | $241.50 | 1.1× |
| beech street | 3 | 6 | $255.00 | $274.13 | $293.25 | 1.1× |
| correctional medical services | 3 | 6 | $180.00 | $193.50 | $207.00 | 1.1× |
| Medicare | 2 | 5 | $165.28 | $165.28 | $166.65 | 1.0× |
| community plan | 4 | 4 | $88.26 | $88.26 | $88.26 | 1.0× |
| Humana | 2 | 3 | $165.28 | $166.55 | $166.65 | 1.0× |
| naphcare | 1 | 2 | $249.83 | $249.91 | $249.98 | 1.0× |
| amerigroup | 1 | 2 | $145.73 | $145.78 | $145.82 | 1.0× |
| amerivantage | 1 | 2 | $145.73 | $145.78 | $145.82 | 1.0× |
| blue | 1 | 2 | $166.55 | $166.60 | $166.65 | 1.0× |
| corecivic | 1 | 2 | $183.21 | $183.27 | $183.32 | 1.0× |
| corizon | 1 | 2 | $108.92 | $108.96 | $108.99 | 1.0× |
| farm bureau | 1 | 2 | $169.88 | $169.93 | $169.98 | 1.0× |
| Molina | 1 | 2 | $150.03 | $168.79 | $187.54 | 1.3× |
| provider network of america | 1 | 2 | $283.14 | $283.23 | $283.31 | 1.0× |
| upmc | 1 | 2 | $166.55 | $166.60 | $166.65 | 1.0× |
| WellCare | 1 | 2 | $166.55 | $166.60 | $166.65 | 1.0× |
| carecentrix [450200] | 1 | 1 | $165.28 | $165.28 | $165.28 | 1.0× |
| american health advantage mcr adv [450117] | 1 | 1 | $165.28 | $165.28 | $165.28 | 1.0× |
| tenncare | 1 | 1 | $87.54 | $87.54 | $87.54 | 1.0× |
| transplant optum tenncare [350013] | 1 | 1 | $80.85 | $80.85 | $80.85 | 1.0× |
| bluecare | 1 | 1 | $87.54 | $87.54 | $87.54 | 1.0× |
| Medicare Advantage | 1 | 1 | $165.28 | $165.28 | $165.28 | 1.0× |
| va hospital [600005] | 1 | 1 | $165.28 | $165.28 | $165.28 | 1.0× |
| generic hospice vbid [10940000101] | 1 | 1 | $165.28 | $165.28 | $165.28 | 1.0× |
| devoted health [450111] | 1 | 1 | $165.28 | $165.28 | $165.28 | 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 | $345.00 | $106.95 | $63.00 | $190.00 | $310.50 |
| Roane County Medical Center | Harriman | TN | 17 | $345.00 | $106.95 | $63.00 | $190.00 | $310.50 |
| Fort Loudoun Medical Center | Lenoir City | TN | 17 | $345.00 | $110.40 | $63.00 | $190.00 | $310.50 |
| Metro Nashville General Hospital | Nashville | TN | 19 | $245.00 | $147.00 | $87.54 | $166.60 | $283.31 |
| Methodist H/C Memphis Hospt. | Memphis | TN | 14 | $409.00 | $89.98 | $12.00 | $165.28 | $196.73 |
| Ascension St Thomas River Park | Mcminnville | TN | 3 | — | — | $88.26 | $155.10 | $199.58 |
| Saint Thomas Midtown Hospital | Nashville | TN | 2 | — | — | $105.04 | $153.26 | $153.26 |
| Saint Thomas Rutherford Hospital | Murfreesboro | TN | 2 | — | — | $105.04 | $153.26 | $162.31 |
| Saint Thomas West Hospital | Nashville | TN | 2 | — | — | $105.04 | $153.26 | $162.31 |
| Saint Thomas Highland Hospital | Sparta | TN | 3 | — | — | $88.26 | $153.26 | $162.31 |
| St Thomas Hickman Hospital | Centerville | TN | 1 | — | — | $153.26 | $153.26 | $162.31 |
| St Thomas Dekalb Hospital | Smithville | TN | 3 | — | — | $88.26 | $146.54 | $162.31 |
| Saint Thomas Stones River Hospital | Woodbury | TN | 3 | — | — | $88.26 | $134.35 | $162.31 |
| Big South Fork Medical Center | Oneida | TN | 0 | $69.00 | $20.70 | — | — | — |
| St Thomas Ascension | Nashville | TN | 0 | $2,387.28 | $589.66 | — | — | — |
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.