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Initial hospital care, low complexity

CPT 99221 · negotiated-rate distribution across hospitals in TN

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Hospitals
12
Min
$91.84
Median
$91.84
Max
$160.15
Range multiplier
1.7×

By payer (18 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna1127$91.84$91.84$135.001.5×
Cigna324$111.00$135.00$3,311.0029.8×
Blue Cross Blue Shield1020$57.98$98.57$4,066.0070.1×
UnitedHealthcare312$3,005.00$3,903.50$4,949.001.6×
correctional medical services36$111.00$123.00$135.001.2×
direct care america36$148.00$164.00$180.001.2×
galaxy health network36$166.50$184.50$202.501.2×
initial group36$162.80$180.40$198.001.2×
medsave usa36$148.00$164.00$180.001.2×
national provider network36$148.00$164.00$180.001.2×
novanet36$138.75$153.75$168.751.2×
ehn36$83.25$92.25$101.251.2×
beech street36$157.25$174.25$191.251.2×
ccn managed care36$157.25$174.25$191.251.2×
community services network36$120.25$133.25$146.251.2×
usa managed care organization36$129.50$143.50$157.501.2×
wellpoint33$2,250.00$2,250.00$2,250.001.0×
Ambetter33$2,500.00$2,500.00$2,500.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St Thomas Hickman HospitalCentervilleTN1$91.84$91.84$97.29
St Thomas Dekalb HospitalSmithvilleTN2$57.98$91.84$97.29
Ascension St Thomas River ParkMcminnvilleTN2$86.63$91.84$110.16
Saint Thomas Highland HospitalSpartaTN2$57.98$91.84$97.29
Saint Thomas Stones River HospitalWoodburyTN2$57.98$91.84$97.29
Saint Thomas Rutherford HospitalMurfreesboroTN2$57.98$91.84$97.29
Saint Thomas West HospitalNashvilleTN2$57.98$91.84$97.29
Saint Thomas Midtown HospitalNashvilleTN2$57.98$91.84$91.84
Roane County Medical CenterHarrimanTN18$225.00$69.75$83.25$160.15$4,949.00
Morristown-Hamblen HospitalMorristownTN18$225.00$69.75$83.25$160.15$4,949.00
Fort Loudoun Medical CenterLenoir CityTN18$225.00$72.00$83.25$160.15$4,949.00
Big South Fork Medical CenterOneidaTN0$310.00$92.99

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.