▸ Compare · PriceTransparency
ED visit level 5
CPT 99285 · negotiated-rate distribution across hospitals in TN
Hospitals
15
Min
$258.15
Median
$590.28
Max
$2,380.00
Range multiplier
9.2×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 13 | 149 | $88.74 | $3,228.00 | $4,558.00 | 51.4× |
| Blue Cross Blue Shield | 13 | 139 | $170.30 | $994.00 | $10,136 | 59.5× |
| Aetna | 12 | 74 | $158.13 | $598.91 | $3,200.05 | 20.2× |
| Cigna | 12 | 46 | $161.34 | $1,065.46 | $2,043.00 | 12.7× |
| Medicare | 9 | 32 | $161.34 | $581.30 | $616.53 | 3.8× |
| Humana | 12 | 29 | $161.34 | $578.71 | $989.00 | 6.1× |
| amerigroup mcr replacement | 8 | 24 | $326.00 | $326.00 | $604.79 | 1.9× |
| Ambetter | 11 | 19 | $225.88 | $763.32 | $1,250.00 | 5.5× |
| Medicare Advantage | 8 | 18 | $561.42 | $587.17 | $587.17 | 1.0× |
| healthspring mcr replacement | 7 | 14 | $578.71 | $587.17 | $587.17 | 1.0× |
| point comfort underwriters | 7 | 14 | $520.84 | $528.45 | $528.45 | 1.0× |
| centurion of tn | 7 | 14 | $578.71 | $587.17 | $587.17 | 1.0× |
| smart health | 7 | 14 | $810.19 | $822.04 | $822.04 | 1.0× |
| optum va | 7 | 14 | $578.71 | $587.17 | $587.17 | 1.0× |
| nhc advantage | 7 | 14 | $578.71 | $587.17 | $587.17 | 1.0× |
| ascension complete | 6 | 12 | $578.71 | $582.94 | $587.17 | 1.0× |
| Medicaid | 1 | 11 | $51.00 | $475.89 | $900.00 | 17.6× |
| wellpoint | 3 | 9 | $587.82 | $587.82 | $682.50 | 1.2× |
| farm bureau | 4 | 8 | $164.57 | $559.86 | $624.23 | 3.8× |
| Oscar Health | 7 | 7 | $810.19 | $822.04 | $822.04 | 1.0× |
| Self-Pay (Cash) | 7 | 7 | $578.71 | $587.17 | $587.17 | 1.0× |
| TRICARE | 5 | 7 | $559.83 | $563.68 | $574.57 | 1.0× |
| devoted health | 3 | 6 | $587.82 | $587.82 | $587.82 | 1.0× |
| triwest va pccc | 3 | 6 | $587.17 | $587.17 | $587.17 | 1.0× |
| WellCare | 4 | 5 | $161.34 | $587.82 | $611.99 | 3.8× |
| Molina | 1 | 4 | $475.89 | $535.38 | $594.86 | 1.2× |
| correctional medical services | 3 | 3 | $686.40 | $686.40 | $686.40 | 1.0× |
| direct care america | 3 | 3 | $915.20 | $915.20 | $915.20 | 1.0× |
| galaxy health network | 3 | 3 | $1,029.60 | $1,029.60 | $1,029.60 | 1.0× |
| initial group | 3 | 3 | $1,006.72 | $1,006.72 | $1,006.72 | 1.0× |
| community services network | 3 | 3 | $743.60 | $743.60 | $743.60 | 1.0× |
| ccn managed care | 3 | 3 | $972.40 | $972.40 | $972.40 | 1.0× |
| medsave usa | 3 | 3 | $915.20 | $915.20 | $915.20 | 1.0× |
| national provider network | 3 | 3 | $915.20 | $915.20 | $915.20 | 1.0× |
| novanet | 3 | 3 | $858.00 | $858.00 | $858.00 | 1.0× |
| optum | 3 | 3 | $559.83 | $559.83 | $559.83 | 1.0× |
| beech street | 3 | 3 | $972.40 | $972.40 | $972.40 | 1.0× |
| amerigroup | 2 | 3 | $141.17 | $535.49 | $546.07 | 3.9× |
| usa managed care organization | 3 | 3 | $800.80 | $800.80 | $800.80 | 1.0× |
| ehn | 3 | 3 | $514.80 | $514.80 | $514.80 | 1.0× |
| americhoice mcr replacement | 1 | 2 | $551.94 | $566.62 | $581.30 | 1.1× |
| american health advantage mcr adv [450117] | 1 | 2 | $561.42 | $561.42 | $561.42 | 1.0× |
| carecentrix [450200] | 1 | 2 | $561.42 | $561.42 | $561.42 | 1.0× |
| upmc | 1 | 2 | $161.34 | $386.67 | $611.99 | 3.8× |
| blue | 1 | 2 | $161.34 | $386.67 | $611.99 | 3.8× |
| devoted health [450111] | 1 | 2 | $578.26 | $578.26 | $578.26 | 1.0× |
| provider network of america | 1 | 2 | $274.28 | $657.33 | $1,040.38 | 3.8× |
| amerivantage | 1 | 2 | $141.17 | $338.33 | $535.49 | 3.8× |
| corizon | 1 | 2 | $105.52 | $252.88 | $400.24 | 3.8× |
| corecivic | 1 | 2 | $177.47 | $425.33 | $673.19 | 3.8× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Saint Thomas West Hospital | Nashville | TN | 19 | $3,200.00 | $960.00 | $158.13 | $616.53 | $4,558.00 |
| Saint Thomas Rutherford Hospital | Murfreesboro | TN | 19 | $3,200.00 | $960.00 | $158.13 | $616.53 | $4,558.00 |
| Saint Thomas Stones River Hospital | Woodbury | TN | 18 | $3,200.05 | $960.02 | $158.13 | $598.91 | $4,558.00 |
| Methodist H/C Memphis Hospt. | Memphis | TN | 15 | $28,901 | $6,358.22 | $51.00 | $594.86 | $10,136 |
| St Thomas Dekalb Hospital | Smithville | TN | 18 | $3,200.05 | $960.02 | $158.13 | $590.28 | $4,558.00 |
| Saint Thomas Highland Hospital | Sparta | TN | 18 | $3,200.05 | $960.02 | $158.13 | $590.28 | $4,558.00 |
| Roane County Medical Center | Harriman | TN | 24 | $1,144.00 | $354.64 | $514.80 | $587.82 | $3,207.00 |
| Morristown-Hamblen Hospital | Morristown | TN | 24 | $1,144.00 | $354.64 | $514.80 | $587.82 | $3,207.00 |
| Fort Loudoun Medical Center | Lenoir City | TN | 24 | $1,144.00 | $366.08 | $514.80 | $587.82 | $3,207.00 |
| Saint Thomas Midtown Hospital | Nashville | TN | 20 | — | — | $216.48 | $587.17 | $4,025.00 |
| Ascension St Thomas River Park | Mcminnville | TN | 19 | $3,200.05 | $960.02 | $158.13 | $584.50 | $4,558.00 |
| Metro Nashville General Hospital | Nashville | TN | 19 | $1,875.00 | $1,125.00 | $88.74 | $258.15 | $1,040.38 |
| St Thomas Hickman Hospital | Centerville | TN | 5 | — | — | $158.13 | $2,380.00 | $4,558.00 |
| Big South Fork Medical Center | Oneida | TN | 0 | $2,523.00 | $756.90 | — | — | — |
| St Thomas Ascension | Nashville | TN | 0 | $3,745.50 | $925.14 | — | — | — |
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.