Does Ascension Saint Thomas Hospital Midtown publish its standard charges and chargemaster?

Yes. Ascension Saint Thomas Hospital Midtown publishes a machine-readable file with 22,385 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Ascension Saint Thomas Hospital Midtown charge for procedures?

Ascension Saint Thomas Hospital Midtown (Nashville, TN) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · TN · CCN 440133

Ascension Saint Thomas Hospital Midtown

Nashville, TN, 37236

425 beds1

Compliance grade

92/100

Rates published

22,385

last crawl 2026-05-24

Procedures tracked

197

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All TN hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tn-csv/620347580-1780778969_saint-thomas-west-hospital_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	23	—	—	$4,750.13	$8,871.08	0.69×	$20,136
Psychiatric diagnostic evaluation	CPT	90791	20	—	—	$105	$153.87	0.87×	$215.42
Psychiatric eval with medical services	CPT	90792	20	—	—	$135	$153.87	0.89×	$215.42
Psychotherapy 30 minutes	CPT	90832	20	—	—	$48	$153.87	1.0×	$215.42
Psychotherapy 45 minutes	CPT	90834	20	—	—	$80	$153.87	0.96×	$215.42
Psychotherapy 60 minutes	CPT	90837	20	—	—	$92	$153.87	0.81×	$215.42
Crisis psychotherapy 60 minutes	CPT	90839	20	—	—	$105	$153.87	0.97×	$215.42
emergency
ED visit level 1	CPT	99281	20	—	—	$33.83	$84.33	0.60×	$1,269
ED visit level 2	CPT	99282	20	—	—	$33.83	$151.66	0.64×	$1,686
ED visit level 3	CPT	99283	20	—	—	$74.42	$265.18	0.65×	$2,166
ED visit level 4	CPT	99284	20	—	—	$115.01	$407.81	0.61×	$3,788
ED visit level 5	CPT	99285	20	—	—	$216.48	$587.17	0.56×	$4,025
Critical care, first hour	CPT	99291	20	—	—	$365.31	$806.97	0.75×	$1,129.76
imaging
CT head without contrast	CPT	70450	21	—	—	$86.77	$101.84	0.49×	$562.76
CT head with contrast	CPT	70460	21	—	—	$120.17	$170.49	0.73×	$562.76
CT head with and without contrast	CPT	70470	21	—	—	$148.64	$170.49	0.64×	$562.76
CT neck with contrast	CPT	70491	21	—	—	$153.44	$170.49	0.62×	$562.76
MRI brain without contrast	CPT	70551	21	—	—	$182.43	$231.5	0.57×	$582.81
MRI brain with contrast	CPT	70552	21	—	—	$259.86	$342.02	0.72×	$860.15
MRI brain with and without contrast	CPT	70553	21	—	—	$297.06	$342.02	0.58×	$981.3
Chest X-ray single view	CPT	71045	21	—	—	$7.8	$84.33	0.89×	$127.7
Chest X-ray 2 views	CPT	71046	21	—	—	$14.38	$84.33	0.86×	$127.7
Chest X-ray 3 views	CPT	71047	21	—	—	$18.33	$84.33	0.88×	$127.7
CT chest without contrast	CPT	71250	21	—	—	$91.66	$103.88	0.48×	$562.76
CT chest with contrast	CPT	71260	21	—	—	$153.44	$173.9	0.62×	$562.76
CT chest with and without contrast	CPT	71270	21	—	—	$153.44	$173.9	0.60×	$617.08
MRI chest without contrast	CPT	71550	21	—	—	$208.35	$236.13	0.55×	$1,273.66
MRI chest with contrast	CPT	71551	21	—	—	$380.82	$756.64	0.93×	$1,380.32
MRI chest with and without contrast	CPT	71552	21	—	—	$307.82	$348.86	0.58×	$1,736.67
Lumbosacral spine X-ray	CPT	72100	21	—	—	$19.13	$101.84	0.98×	$179.33
CT cervical spine without contrast	CPT	72125	21	—	—	$91.66	$103.88	0.52×	$562.76
CT thoracic spine without contrast	CPT	72128	21	—	—	$91.66	$103.88	0.52×	$562.76
CT lumbar spine without contrast	CPT	72131	21	—	—	$91.66	$103.88	0.51×	$562.76
MRI cervical spine without contrast	CPT	72141	21	—	—	$179.77	$231.5	0.58×	$559.14
MRI thoracic spine without contrast	CPT	72146	21	—	—	$179.77	$231.5	0.62×	$560.44
MRI lumbar spine without contrast	CPT	72148	21	—	—	$179.77	$231.5	0.61×	$559.14
MRI lumbar spine with and without contrast	CPT	72149	21	—	—	$256.45	$342.02	0.75×	$865.43
MRI cervical spine with and without contrast	CPT	72156	21	—	—	$297.44	$342.02	0.63×	$989.22
MRI lumbar spine with contrast	CPT	72158	21	—	—	$295.54	$342.02	0.62×	$985.24
CT pelvis without contrast	CPT	72192	21	—	—	$91.66	$103.1	0.52×	$562.76
CT pelvis with contrast	CPT	72193	21	—	—	$153.44	$173.9	0.62×	$622.36
Shoulder X-ray	CPT	73030	21	—	—	$16.3	$84.33	0.91×	$127.7
Humerus X-ray	CPT	73060	21	—	—	$16.3	$84.33	0.94×	$127.7
Hand X-ray 3 views	CPT	73130	21	—	—	$15.33	$84.33	0.91×	$127.7
MRI upper extremity joint without contrast	CPT	73221	21	—	—	$197.99	$231.5	0.56×	$629.71
MRI upper extremity joint with and without contrast	CPT	73223	21	—	—	$307.82	$348.86	0.57×	$1,351.33
Knee X-ray 1-2 views	CPT	73560	21	—	—	$15.04	$84.33	0.90×	$127.7
Ankle X-ray 3 views	CPT	73610	21	—	—	$15.33	$84.33	0.91×	$127.7
MRI lower extremity joint without contrast	CPT	73721	21	—	—	$198.37	$231.5	0.49×	$629.71
MRI lower extremity joint with and without contrast	CPT	73723	21	—	—	$307.82	$348.86	0.55×	$1,350.03
CT abdomen without contrast	CPT	74150	21	—	—	$91.66	$101.84	0.54×	$562.76
CT abdomen with contrast	CPT	74160	21	—	—	$153.44	$173.9	0.61×	$621.02
CT abdomen with and without contrast	CPT	74170	21	—	—	$153.44	$173.9	0.52×	$714.52
CT abdomen and pelvis without contrast	CPT	74176	21	—	—	$101.11	$231.5	0.64×	$562.76
CT abdomen and pelvis with contrast	CPT	74177	21	—	—	$192.93	$342.02	0.62×	$818.54
CT abdomen and pelvis with and without contrast	CPT	74178	21	—	—	$255.01	$342.02	0.59×	$939.16
MRI abdomen without contrast	CPT	74181	21	—	—	$208.35	$236.13	0.60×	$779.03
MRI abdomen with and without contrast	CPT	74183	21	—	—	$307.82	$348.86	0.62×	$1,180.16
Abdominal ultrasound complete	CPT	76700	21	—	—	$55.69	$101.84	0.68×	$197.73
Abdominal ultrasound limited	CPT	76705	21	—	—	$40.08	$101.84	0.70×	$179.33
Retroperitoneal ultrasound complete	CPT	76770	21	—	—	$55.69	$101.84	0.71×	$184.19
Obstetric ultrasound first trimester	CPT	76801	21	—	—	$29.75	$101.84	0.72×	$179.33
Obstetric ultrasound after first trimester	CPT	76805	21	—	—	$59.47	$101.84	0.67×	$221.46
Obstetric ultrasound with fetal anatomy	CPT	76811	21	—	—	$95.88	$231.5	0.98×	$372.86
Transvaginal ultrasound	CPT	76830	21	—	—	$43.3	$101.84	0.69×	$210.44
Pelvic ultrasound complete	CPT	76856	21	—	—	$43.3	$101.84	0.71×	$182.52
Scrotal ultrasound	CPT	76870	21	—	—	$43.3	$101.84	0.78×	$179.33
Diagnostic mammography unilateral	CPT	77065	22	—	—	$68.4	$76	0.51×	$225.69
Diagnostic mammography bilateral	CPT	77066	22	—	—	$87.17	$96.86	0.51×	$288.33
Screening mammography bilateral	CPT	77067	23	—	—	$72.15	$80.97	0.51×	$238.37
EKG complete	CPT	93000	1	—	—	$23.94	$37.13	1.5×	$41.77
EKG tracing only	CPT	93005	20	—	—	$13.71	$56.89	0.48×	$79.65
EKG interpretation only	CPT	93010	1	—	—	$10.54	$10.54	0.58×	$10.54
Transthoracic echocardiogram complete	CPT	93306	21	—	—	$148.77	$525.11	0.88×	$735.15
Transthoracic echocardiogram	CPT	93307	20	—	—	$117.72	$231.5	0.94×	$324.1
Stress echocardiogram	CPT	93350	20	—	—	$105.21	$525.11	1.0×	$735.15
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	23	—	—	$8,150	$9,972.19	0.65×	$33,676
COPD w MCC	MS-DRG	190	23	—	—	$5,077.97	$7,609.33	0.68×	$19,970
COPD w CC	MS-DRG	191	23	—	—	$4,042.73	$6,019.93	0.68×	$19,970
COPD w/o CC/MCC	MS-DRG	192	23	—	—	$3,050.52	$4,584.57	0.66×	$19,970
Simple pneumonia & pleurisy w CC	MS-DRG	194	23	—	—	$3,930.46	$5,755	0.68×	$19,970
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	23	—	—	$2,917.37	$4,488.18	0.67×	$19,970
AMI discharged alive w MCC	MS-DRG	280	23	—	—	$7,514.74	$10,236	0.65×	$41,599
AMI discharged alive w CC	MS-DRG	281	23	—	—	$4,297.21	$7,540.89	0.78×	$31,529
AMI discharged alive w/o CC/MCC	MS-DRG	282	23	—	—	$3,352.72	$5,932.78	0.76×	$30,484
Heart failure & shock w MCC	MS-DRG	291	23	—	—	$5,986.9	$8,192.43	0.64×	$22,427
Heart failure & shock w CC	MS-DRG	292	23	—	—	$4,036.18	$6,062.78	0.68×	$19,970
Heart failure & shock w/o CC/MCC	MS-DRG	293	23	—	—	$2,621.08	$4,041.85	0.65×	$19,970
Cardiac arrhythmia w MCC	MS-DRG	308	23	—	—	$5,485.42	$8,786.47	0.73×	$29,445
Cardiac arrhythmia w CC	MS-DRG	309	23	—	—	$3,450.49	$5,672.74	0.73×	$19,970
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	23	—	—	$2,578.51	$4,244.42	0.68×	$19,970
GI hemorrhage w CC	MS-DRG	378	23	—	—	$4,567.69	$7,003.25	0.70×	$19,970
GI hemorrhage w/o CC/MCC	MS-DRG	379	23	—	—	$2,964.92	$4,501.73	0.66×	$19,970
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	23	—	—	$3,086.27	$5,279.39	0.66×	$19,970
Fractures of femur w/o MCC	MS-DRG	533	23	—	—	$6,672.23	$10,004	0.66×	$54,622
Kidney/UTI w MCC	MS-DRG	689	23	—	—	$4,855.27	$7,777.16	0.67×	$19,970
Kidney/UTI w/o MCC	MS-DRG	690	23	—	—	$2,913.98	$5,218.93	0.63×	$19,970
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	23	—	—	$8,150	$11,806	0.63×	$28,824
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	23	—	—	$4,769.81	$7,307.47	0.70×	$19,970
Initial hospital care, low complexity	CPT	99221	2	—	—	$57.98	$91.84	0.99×	$91.84
Initial hospital care, moderate complexity	CPT	99222	2	—	—	$95.75	$124.98	0.74×	$124.98
Initial hospital care, high complexity	CPT	99223	2	—	—	$123.3	$184.51	0.82×	$184.51
Hospital discharge, <30 min	CPT	99238	2	—	—	$53.19	$65.76	0.77×	$65.76
Hospital discharge, >30 min	CPT	99239	2	—	—	$73.5	$97.13	0.80×	$97.13
lab
Basic metabolic panel (BMP)	CPT	80048	22	—	—	$3.05	$8.46	0.26×	$32.75
General health panel	CPT	80050	5	—	—	$23.82	$57.42	0.53×	$149.01
Electrolyte panel	CPT	80051	22	—	—	$2.52	$7.01	0.29×	$27.07
Comprehensive metabolic panel	CPT	80053	22	—	—	$3.8	$10.57	0.24×	$40.65
Lipid panel	CPT	80061	22	—	—	$4.82	$13.39	0.35×	$51.92
Renal function panel	CPT	80069	22	—	—	$3.12	$8.69	0.32×	$33.86
Hepatic function panel	CPT	80076	22	—	—	$2.94	$8.17	0.31×	$31.6
Urinalysis non-automated	CPT	81002	22	—	—	$1.25	$3.48	0.50×	$11.28
Urinalysis automated	CPT	81003	21	—	—	$1.79	$2.25	0.16×	$9.01
Glucose quantitative	CPT	82947	22	—	—	$1.41	$3.93	0.22×	$14.69
Hemoglobin A1c	CPT	83036	22	—	—	$3.5	$9.71	0.36×	$37.24
Thyroid stimulating hormone (TSH)	CPT	84443	22	—	—	$6.05	$16.8	0.36×	$65.46
Complete blood count with automated differential	CPT	85025	22	—	—	$2.8	$7.77	0.29×	$30.48
Complete blood count without differential	CPT	85027	22	—	—	$2.33	$6.47	0.30×	$24.85
Urine culture bacterial	CPT	87086	22	—	—	$2.91	$8.07	0.35×	$31.6
Urine culture identification	CPT	87088	22	—	—	$2.91	$8.09	0.36×	$31.6
Tissue exam by pathologist level IV	CPT	88305	21	—	—	$15.18	$51.17	0.50×	$94.34
maternity
Fetal non-stress test	CPT	59025	21	—	—	$7.2	$192.66	1.0×	$6,165
Routine obstetric care including vaginal delivery	CPT	59400	3	—	—	$2,163.04	$3,082.5	1.3×	$6,165
Vaginal delivery only	CPT	59409	3	—	—	$2,163.04	$3,082.5	1.4×	$6,165
Vaginal delivery with postpartum	CPT	59410	2	—	—	$1,752.88	$2,941.25	2.8×	$6,165
Routine obstetric care with C-section	CPT	59510	3	—	—	$2,465.05	$3,082.5	1.2×	$6,165
C-section delivery only	CPT	59514	3	—	—	$2,465.05	$3,082.5	3.2×	$6,165
C-section with postpartum	CPT	59515	2	—	—	$2,800	$3,252.3	2.6×	$6,165
office
Office visit, new patient, 15-29 min	CPT	99202	2	—	—	$41.04	$45.55	0.53×	$45.55
Office visit, new patient, 30-44 minutes	CPT	99203	2	—	—	$56.39	$69.16	0.56×	$69.16
Office visit, new patient, 45-59 min	CPT	99204	2	—	—	$83.5	$118.41	0.68×	$118.41
Office visit, new patient, 60-74 min	CPT	99205	2	—	—	$105.04	$153.26	0.69×	$153.26
Office visit, established patient, 5 min	CPT	99211	1	—	—	$8.47	$8.47	0.13×	$8.47
Office visit, established patient, 10-19 min	CPT	99212	1	—	—	$22.92	$22.92	0.29×	$22.92
Office visit, established patient, 20-29 minutes	CPT	99213	1	—	—	$46.61	$46.61	0.41×	$46.61
Office visit, established patient, 30-39 minutes	CPT	99214	1	—	—	$71.66	$71.66	0.47×	$71.66
Office visit, established patient, 40-54 min	CPT	99215	1	—	—	$100.98	$100.98	0.54×	$100.98
preventive
Upper GI endoscopy diagnostic	CPT	43235	21	—	—	$733.5	$897.9	0.98×	$1,614
Upper GI endoscopy with biopsy	CPT	43239	21	—	—	$808.11	$897.9	0.93×	$3,284
Sigmoidoscopy diagnostic	CPT	45330	21	—	—	$37.88	$873.14	1.0×	$1,614
Sigmoidoscopy with biopsy	CPT	45331	21	—	—	$48.71	$873.14	0.98×	$1,614
Colonoscopy diagnostic	CPT	45378	21	—	—	$785.83	$873.14	0.99×	$3,284
Colonoscopy with biopsy	CPT	45380	2	—	—	$1,492	$1,588.27	1.3×	$3,284
Colonoscopy with polyp removal	CPT	45385	2	—	—	$1,492	$1,588.27	1.3×	$3,284
surgery
Total shoulder arthroplasty	CPT	23472	5	—	—	$2,465.05	$22,768	5.5×	$26,000
Hip hemiarthroplasty	CPT	27125	4	—	—	$2,800	$23,491	18.8×	$26,000
Total hip replacement	CPT	27130	4	—	—	$1,752.88	$23,130	5.3×	$26,000
Total knee replacement	CPT	27447	4	—	—	$2,800	$21,369	5.1×	$24,487
Knee revision arthroplasty single component	CPT	27486	3	—	—	$2,800	$14,105	8.4×	$23,491
Knee revision arthroplasty all components	CPT	27487	3	—	—	$2,800	$15,158	7.6×	$23,491
Shoulder arthroscopy with decompression	CPT	29826	2	—	—	$1,549.5	$1,729.19	5.3×	$3,411
Shoulder arthroscopy with rotator cuff repair	CPT	29827	2	—	—	$2,444	$3,036.8	0.92×	$5,303
Knee arthroscopy with meniscectomy	CPT	29881	2	—	—	$1,790	$2,067.02	1.0×	$3,942
ACL reconstruction	CPT	29888	2	—	—	$1,549.5	$1,934.27	0.58×	$3,411
Major small/large bowel procedures w MCC	MS-DRG	329	23	—	—	$8,150	$27,935	0.65×	$77,045
Major small/large bowel procedures w CC	MS-DRG	330	23	—	—	$8,150	$14,569	0.63×	$41,941
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	23	—	—	$7,888.83	$10,688	0.65×	$28,621
CABG single arterial graft	CPT	33533	1	—	—	$2,800	$3,082.5	1.6×	$6,165
CABG 2 arterial grafts	CPT	33534	1	—	—	$2,800	$3,082.5	1.4×	$6,165
CABG 3 arterial grafts	CPT	33535	1	—	—	$2,800	$3,082.5	1.4×	$6,165
CABG 4+ arterial grafts	CPT	33536	1	—	—	$2,800	$3,082.5	1.3×	$6,165
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	23	—	—	$7,770.16	$10,795	0.65×	$39,111
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	23	—	—	$6,104.79	$8,715.69	0.64×	$22,540
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	23	—	—	$8,150	$20,707	0.64×	$50,419
Open appendectomy	CPT	44950	2	—	—	$1,141.72	$2,941.25	2.6×	$6,165
Laparoscopic appendectomy	CPT	44970	2	—	—	$1,790	$2,218.03	1.4×	$3,942
Major joint replacement w MCC	MS-DRG	469	23	—	—	$8,150	$18,434	0.62×	$67,355
Major joint replacement w/o MCC	MS-DRG	470	23	—	—	$8,150	$11,840	0.63×	$56,674
Laparoscopic cholecystectomy	CPT	47562	2	—	—	$2,543	$4,197.75	2.4×	$6,992.13
Lap cholecystectomy with cholangiography	CPT	47563	2	—	—	$2,543	$3,842.88	2.0×	$5,597
Hip & femur procedures except major joint w MCC	MS-DRG	480	23	—	—	$8,150	$17,700	0.63×	$58,323
Hip & femur procedures except major joint w CC	MS-DRG	481	23	—	—	$8,150	$12,857	0.63×	$51,852
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	23	—	—	$7,700.46	$10,408	0.65×	$39,187
Open umbilical hernia repair	CPT	49560	2	—	—	$2,163.04	$2,941.25	1.5×	$6,165
Umbilical hernia repair age 5+	CPT	49585	2	—	—	$2,163.04	$2,941.25	2.2×	$6,165
Lap inguinal hernia repair	CPT	49650	2	—	—	$1,790	$2,218.03	2.0×	$3,942
Lap incisional hernia repair	CPT	49652	2	—	—	$2,465.05	$2,941.25	1.1×	$6,165
Total abdominal hysterectomy	CPT	58150	3	—	—	$2,800	$4,813	4.9×	$6,165
Vaginal hysterectomy	CPT	58260	3	—	—	$2,543	$4,813	2.7×	$5,597
Lap-assisted vaginal hysterectomy	CPT	58550	2	—	—	$2,543	$3,110.3	2.1×	$5,597
Lap-assisted vaginal hysterectomy >250g	CPT	58552	2	—	—	$2,444	$3,036.8	1.4×	$5,303
Lap salpingo-oophorectomy	CPT	58661	2	—	—	$2,163.04	$2,547.75	1.3×	$5,303
OR procedure for obesity w MCC	MS-DRG	619	23	—	—	$8,150	$17,548	0.65×	$58,554
OR procedure for obesity w CC	MS-DRG	620	23	—	—	$7,885.24	$10,212	0.63×	$42,362
OR procedure for obesity w/o CC/MCC	MS-DRG	621	23	—	—	$7,274.29	$9,625.69	0.63×	$36,239
Complex cataract surgery	CPT	66982	2	—	—	$1,669.5	$2,605.32	1.2×	$3,673
Cataract surgery with lens implant	CPT	66984	2	—	—	$1,669.5	$2,605.32	1.2×	$3,673
Intravitreal injection	CPT	67028	21	—	—	$285.89	$317.66	0.93×	$1,614
Vitrectomy mechanical	CPT	67042	2	—	—	$2,543	$3,110.3	1.2×	$5,597
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	23	—	—	$4,809.15	$8,033.7	0.65×	$19,970
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	23	—	—	$6,872.54	$12,453	0.65×	$27,913
PCI single major coronary artery	CPT	92920	5	—	—	$440.44	$14,250	2.5×	$18,779
PCI with drug-eluting stent	CPT	92928	5	—	—	$489.99	$14,250	1.4×	$18,779
PCI bypass graft	CPT	92937	5	—	—	$489.68	$14,250	1.3×	$18,779
Left heart catheterization	CPT	93452	4	—	—	$462.57	$9,492	3.1×	$13,050
Coronary angiography with cath	CPT	93455	4	—	—	$550.37	$8,515.5	2.7×	$13,050
Coronary angiography with bypass cath	CPT	93458	4	—	—	$560.1	$9,492	3.0×	$13,050

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 24)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	186	$240.76
Cigna	165	$2,800
Aetna	162	$348.86
UnitedHealthcare	147	$317.66
Humana	143	$231.5
amerigroup	136	$215.29
centurion of tn	136	$170.49
americhoice mcr replacement	136	$168.79
healthspring mcr replacement	136	$170.49
Ambetter	136	$221.64
TRICARE	136	$163.67
triwest va pccc	136	$170.49
amerigroup mcr replacement	136	$175.6
Medicare	136	$179.01
Medicare Advantage	136	$170.49
nhc advantage	136	$170.49
optum va	136	$170.49
Oscar Health	136	$324.1
point comfort underwriters	136	$153.44
Self-Pay (Cash)	136	$231.5
smart health	136	$478.83
community plan	60	$4,452.52
phcs	40	$13,288
md save	6	$4,504.5

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