Office visit, established patient, 40-54 min in Tennessee
What Tennessee hospitals charge for office visit, established patient, 40-54 min (CPT 99215). Rates sourced from federally-mandated machine-readable files.
Hospitals
15
Rate rows
440
Neg. median
$135.52
Min
$32.34
Max
$248.4
Cash median
$85.56
Across 15 Tennessee hospitals, the negotiated rate for Office visit, established patient, 40-54 min ranges from $32.34 to $248.4, with a median of $135.52. The interquartile range is $107.26 to $171.56. Cash-pay patients typically pay $85.56; gross charges median $275.
By payer in Tennessee
Top 30 payers for Office visit, established patient, 40-54 min in Tennessee.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 12 | 37 | $100.98 |
| UnitedHealthcare | 5 | 52 | $137.5 |
| Cigna | 5 | 69 | $140.76 |
| Blue Cross Blue Shield | 5 | 31 | $131.36 |
| community plan | 4 | 4 | $65.21 |
| Ambetter | 4 | 11 | $165 |
| novanet | 3 | 9 | $206.25 |
| correctional medical services | 3 | 9 | $165 |
| direct care america | 3 | 9 | $220 |
| national provider network | 3 | 9 | $220 |
| initial group | 3 | 9 | $242 |
| community services network | 3 | 9 | $178.75 |
| medsave usa | 3 | 9 | $220 |
| beech street | 3 | 9 | $233.75 |
| galaxy health network | 3 | 9 | $247.5 |
| usa managed care organization | 3 | 9 | $192.5 |
| ccn managed care | 3 | 9 | $233.75 |
| ehn | 3 | 9 | $123.75 |
| Medicare | 2 | 5 | $131.36 |
| Humana | 2 | 3 | $132.16 |
| va hospital [600005] | 1 | 1 | $131.36 |
| WellCare | 1 | 2 | $132.51 |
| american health advantage mcr adv [450117] | 1 | 1 | $131.36 |
| amerigroup | 1 | 2 | $115.95 |
| amerivantage | 1 | 2 | $115.95 |
| blue | 1 | 2 | $132.51 |
| bluecare | 1 | 1 | $63.5 |
| carecentrix [450200] | 1 | 1 | $131.36 |
| corecivic | 1 | 2 | $145.77 |
| corizon | 1 | 2 | $86.66 |
Hospital comparison — Office visit, established patient, 40-54 min in Tennessee
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Saint Thomas Highland Hospital | Sparta | $100.98 | — | — |
| Saint Thomas Stones River Hospital | Woodbury | $100.98 | — | — |
| St Thomas Hickman Hospital | Centerville | $100.98 | — | — |
| Saint Thomas Rutherford Hospital | Murfreesboro | $100.98 | — | — |
| Saint Thomas West Hospital | Nashville | $100.98 | — | — |
| St Thomas Dekalb Hospital | Smithville | $100.98 | — | — |
| Ascension St Thomas River Park | Mcminnville | $100.98 | — | — |
| Saint Thomas Midtown Hospital | Nashville | $100.98 | — | — |
| Methodist H/C Memphis Hospt. | Memphis | $131.36 | $89.98 | $409 |
| Metro Nashville General Hospital | Nashville | $132.51 | $110.1 | $183.5 |
| Morristown-Hamblen Hospital | Morristown | $140.76 | $85.25 | $275 |
| Roane County Medical Center | Harriman | $140.76 | $85.25 | $275 |
| Fort Loudoun Medical Center | Lenoir City | $140.76 | $88 | $275 |
| Big South Fork Medical Center | Oneida | — | $18.6 | $62 |
| St Thomas Ascension | Nashville | — | $399.31 | $1,616.62 |