▸ Compare · PriceTransparency
Office visit, established patient, 5 min
CPT 99211 · negotiated-rate distribution across hospitals in TN
Hospitals
15
Min
$8.03
Median
$8.70
Max
$70.20
Range multiplier
8.7×
By payer (41 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Cigna | 5 | 98 | $8.03 | $65.18 | $172.00 | 21.4× |
| UnitedHealthcare | 5 | 68 | $4.47 | $59.00 | $237.00 | 53.0× |
| Blue Cross Blue Shield | 5 | 49 | $8.03 | $48.36 | $112.84 | 14.1× |
| Aetna | 12 | 42 | $8.13 | $8.93 | $93.50 | 11.5× |
| Ambetter | 4 | 16 | $11.38 | $66.60 | $109.20 | 9.6× |
| galaxy health network | 3 | 15 | $70.20 | $99.90 | $163.80 | 2.3× |
| medsave usa | 3 | 15 | $62.40 | $88.80 | $145.60 | 2.3× |
| correctional medical services | 3 | 15 | $46.80 | $66.60 | $109.20 | 2.3× |
| usa managed care organization | 3 | 15 | $54.60 | $77.70 | $127.40 | 2.3× |
| direct care america | 3 | 15 | $62.40 | $88.80 | $145.60 | 2.3× |
| ehn | 3 | 15 | $35.10 | $49.95 | $81.90 | 2.3× |
| ccn managed care | 3 | 15 | $66.30 | $94.35 | $154.70 | 2.3× |
| community services network | 3 | 15 | $50.70 | $72.15 | $118.30 | 2.3× |
| national provider network | 3 | 15 | $62.40 | $88.80 | $145.60 | 2.3× |
| novanet | 3 | 15 | $58.50 | $83.25 | $136.50 | 2.3× |
| initial group | 3 | 15 | $68.64 | $97.68 | $160.16 | 2.3× |
| beech street | 3 | 15 | $66.30 | $94.35 | $154.70 | 2.3× |
| Medicare | 2 | 4 | $8.03 | $8.03 | $8.13 | 1.0× |
| Medicaid | 1 | 4 | $7.29 | $7.29 | $8.94 | 1.2× |
| community plan | 4 | 4 | $26.90 | $26.90 | $26.90 | 1.0× |
| Molina | 1 | 2 | $7.29 | $8.20 | $9.11 | 1.2× |
| Humana | 2 | 2 | $8.03 | $8.08 | $8.13 | 1.0× |
| WellCare | 1 | 1 | $8.13 | $8.13 | $8.13 | 1.0× |
| american health advantage mcr adv [450117] | 1 | 1 | $8.03 | $8.03 | $8.03 | 1.0× |
| amerigroup | 1 | 1 | $7.11 | $7.11 | $7.11 | 1.0× |
| amerivantage | 1 | 1 | $7.11 | $7.11 | $7.11 | 1.0× |
| blue | 1 | 1 | $8.13 | $8.13 | $8.13 | 1.0× |
| bluecare | 1 | 1 | $20.30 | $20.30 | $20.30 | 1.0× |
| carecentrix [450200] | 1 | 1 | $8.03 | $8.03 | $8.03 | 1.0× |
| corecivic | 1 | 1 | $8.94 | $8.94 | $8.94 | 1.0× |
| corizon | 1 | 1 | $5.32 | $5.32 | $5.32 | 1.0× |
| devoted health [450111] | 1 | 1 | $8.03 | $8.03 | $8.03 | 1.0× |
| farm bureau | 1 | 1 | $8.29 | $8.29 | $8.29 | 1.0× |
| generic hospice vbid [10940000101] | 1 | 1 | $8.03 | $8.03 | $8.03 | 1.0× |
| Medicare Advantage | 1 | 1 | $8.03 | $8.03 | $8.03 | 1.0× |
| naphcare | 1 | 1 | $12.20 | $12.20 | $12.20 | 1.0× |
| provider network of america | 1 | 1 | $13.82 | $13.82 | $13.82 | 1.0× |
| tenncare | 1 | 1 | $20.30 | $20.30 | $20.30 | 1.0× |
| transplant optum tenncare [350013] | 1 | 1 | $27.34 | $27.34 | $27.34 | 1.0× |
| upmc | 1 | 1 | $8.13 | $8.13 | $8.13 | 1.0× |
| va hospital [600005] | 1 | 1 | $8.03 | $8.03 | $8.03 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Saint Thomas Highland Hospital | Sparta | TN | 2 | — | — | $8.47 | $8.70 | $26.90 |
| Saint Thomas Stones River Hospital | Woodbury | TN | 2 | — | — | $8.47 | $8.70 | $26.90 |
| St Thomas Dekalb Hospital | Smithville | TN | 2 | — | — | $8.47 | $8.70 | $26.90 |
| Ascension St Thomas River Park | Mcminnville | TN | 2 | — | — | $8.47 | $8.70 | $26.90 |
| Saint Thomas West Hospital | Nashville | TN | 1 | — | — | $8.47 | $8.47 | $8.93 |
| Saint Thomas Midtown Hospital | Nashville | TN | 1 | — | — | $8.47 | $8.47 | $8.47 |
| St Thomas Hickman Hospital | Centerville | TN | 1 | — | — | $8.47 | $8.47 | $8.93 |
| Saint Thomas Rutherford Hospital | Murfreesboro | TN | 1 | — | — | $8.47 | $8.47 | $8.93 |
| Metro Nashville General Hospital | Nashville | TN | 19 | $170.00 | $102.00 | $4.47 | $8.29 | $93.50 |
| Methodist H/C Memphis Hospt. | Memphis | TN | 14 | $173.00 | $38.06 | $7.29 | $8.03 | $93.59 |
| Morristown-Hamblen Hospital | Morristown | TN | 17 | $182.00 | $56.42 | $16.38 | $70.20 | $237.00 |
| Roane County Medical Center | Harriman | TN | 17 | $182.00 | $56.42 | $16.38 | $70.20 | $237.00 |
| Fort Loudoun Medical Center | Lenoir City | TN | 17 | $182.00 | $58.24 | $16.38 | $70.20 | $237.00 |
| Big South Fork Medical Center | Oneida | TN | 0 | $280.00 | $84.09 | — | — | — |
| St Thomas Ascension | Nashville | TN | 0 | $825.85 | $203.98 | — | — | — |
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.