▸ Compare · PriceTransparency
Office visit, established patient, 20-29 minutes
CPT 99213 · negotiated-rate distribution across hospitals in TN
Hospitals
15
Min
$46.61
Median
$46.61
Max
$102.30
Range multiplier
2.2×
By payer (41 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Cigna | 5 | 68 | $49.52 | $99.00 | $172.00 | 3.5× |
| UnitedHealthcare | 5 | 50 | $33.43 | $95.32 | $237.00 | 7.1× |
| Aetna | 12 | 36 | $43.20 | $46.61 | $96.25 | 2.2× |
| Blue Cross Blue Shield | 5 | 31 | $22.68 | $66.96 | $139.50 | 6.2× |
| Ambetter | 4 | 10 | $64.80 | $99.00 | $135.00 | 2.1× |
| medsave usa | 3 | 9 | $86.40 | $132.00 | $180.00 | 2.1× |
| galaxy health network | 3 | 9 | $97.20 | $148.50 | $202.50 | 2.1× |
| initial group | 3 | 9 | $95.04 | $145.20 | $198.00 | 2.1× |
| usa managed care organization | 3 | 9 | $75.60 | $115.50 | $157.50 | 2.1× |
| direct care america | 3 | 9 | $86.40 | $132.00 | $180.00 | 2.1× |
| ehn | 3 | 9 | $48.60 | $74.25 | $101.25 | 2.1× |
| ccn managed care | 3 | 9 | $91.80 | $140.25 | $191.25 | 2.1× |
| community services network | 3 | 9 | $70.20 | $107.25 | $146.25 | 2.1× |
| national provider network | 3 | 9 | $86.40 | $132.00 | $180.00 | 2.1× |
| novanet | 3 | 9 | $81.00 | $123.75 | $168.75 | 2.1× |
| beech street | 3 | 9 | $91.80 | $140.25 | $191.25 | 2.1× |
| correctional medical services | 3 | 9 | $64.80 | $99.00 | $135.00 | 2.1× |
| community plan | 4 | 4 | $36.06 | $36.06 | $36.06 | 1.0× |
| Medicare | 2 | 4 | $60.33 | $60.33 | $60.78 | 1.0× |
| Medicaid | 1 | 4 | $49.54 | $54.64 | $54.64 | 1.1× |
| Molina | 1 | 2 | $54.64 | $61.47 | $68.30 | 1.3× |
| Humana | 2 | 2 | $60.33 | $60.56 | $60.78 | 1.0× |
| WellCare | 1 | 1 | $60.78 | $60.78 | $60.78 | 1.0× |
| american health advantage mcr adv [450117] | 1 | 1 | $60.33 | $60.33 | $60.33 | 1.0× |
| amerigroup | 1 | 1 | $53.18 | $53.18 | $53.18 | 1.0× |
| amerivantage | 1 | 1 | $53.18 | $53.18 | $53.18 | 1.0× |
| blue | 1 | 1 | $60.78 | $60.78 | $60.78 | 1.0× |
| bluecare | 1 | 1 | $31.57 | $31.57 | $31.57 | 1.0× |
| carecentrix [450200] | 1 | 1 | $60.33 | $60.33 | $60.33 | 1.0× |
| corecivic | 1 | 1 | $66.86 | $66.86 | $66.86 | 1.0× |
| corizon | 1 | 1 | $39.75 | $39.75 | $39.75 | 1.0× |
| devoted health [450111] | 1 | 1 | $60.33 | $60.33 | $60.33 | 1.0× |
| farm bureau | 1 | 1 | $62.00 | $62.00 | $62.00 | 1.0× |
| generic hospice vbid [10940000101] | 1 | 1 | $60.33 | $60.33 | $60.33 | 1.0× |
| Medicare Advantage | 1 | 1 | $60.33 | $60.33 | $60.33 | 1.0× |
| naphcare | 1 | 1 | $91.17 | $91.17 | $91.17 | 1.0× |
| provider network of america | 1 | 1 | $103.33 | $103.33 | $103.33 | 1.0× |
| tenncare | 1 | 1 | $31.57 | $31.57 | $31.57 | 1.0× |
| transplant optum tenncare [350013] | 1 | 1 | $34.48 | $34.48 | $34.48 | 1.0× |
| upmc | 1 | 1 | $60.78 | $60.78 | $60.78 | 1.0× |
| va hospital [600005] | 1 | 1 | $60.33 | $60.33 | $60.33 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Metro Nashville General Hospital | Nashville | TN | 19 | $175.00 | $105.00 | $31.57 | $60.78 | $113.49 |
| Methodist H/C Memphis Hospt. | Memphis | TN | 14 | $281.00 | $61.82 | $34.48 | $60.33 | $135.16 |
| St Thomas Hickman Hospital | Centerville | TN | 1 | — | — | $46.61 | $46.61 | $49.51 |
| Saint Thomas Rutherford Hospital | Murfreesboro | TN | 1 | — | — | $46.61 | $46.61 | $49.51 |
| Saint Thomas West Hospital | Nashville | TN | 1 | — | — | $46.61 | $46.61 | $49.51 |
| Saint Thomas Midtown Hospital | Nashville | TN | 1 | — | — | $46.61 | $46.61 | $46.61 |
| St Thomas Dekalb Hospital | Smithville | TN | 2 | — | — | $36.06 | $46.61 | $49.51 |
| Saint Thomas Highland Hospital | Sparta | TN | 2 | — | — | $36.06 | $46.61 | $49.51 |
| Ascension St Thomas River Park | Mcminnville | TN | 2 | — | — | $36.06 | $46.61 | $49.51 |
| Saint Thomas Stones River Hospital | Woodbury | TN | 2 | — | — | $36.06 | $46.61 | $49.51 |
| Morristown-Hamblen Hospital | Morristown | TN | 17 | $225.00 | $69.75 | $22.68 | $102.30 | $237.00 |
| Roane County Medical Center | Harriman | TN | 17 | $225.00 | $69.75 | $22.68 | $102.30 | $237.00 |
| Fort Loudoun Medical Center | Lenoir City | TN | 17 | $225.00 | $72.00 | $22.68 | $102.30 | $237.00 |
| Big South Fork Medical Center | Oneida | TN | 0 | $54.00 | $16.20 | — | — | — |
| St Thomas Ascension | Nashville | TN | 0 | $995.17 | $245.81 | — | — | — |
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.