Waverly, TN
29
In-network payers
378
Disclosed rate categories
25
Beds
Ascension Saint Thomas Three Rivers is a 25-bed voluntary non-profit - private hospital in Waverly, TN. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 378 disclosed rate categories.
CCN (Medicare provider number)
441303
NPI
1235387044
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Ascension Saint Thomas Three Rivers most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$240 - $2,455
from 3 insurers · median $1,949
Typical for a hospital with this service line
CT imaging
CPT 70450
$155 - $947
from 3 insurers · median $751
Typical for a hospital with this service line
CT imaging
CPT 74176
$155 - $1,770
from 3 insurers · median $1,405
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,089 - $2,614
from 3 insurers · median $1,986
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,089 - $3,475
from 3 insurers · median $1,907
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,089 - $2,085
from 3 insurers · median $1,907
Typical for a hospital with this service line
CT imaging
CPT 71260
$240 - $1,228
from 3 insurers · median $974
Typical for a hospital with this service line
Mammography
CPT 77067
$83 - $225
from 2 insurers · median $154
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,089 - $2,540
from 3 insurers · median $1,986
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$50 - $203
from 2 insurers · median $126
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$4,238 - $4,347
from 2 insurers · median $4,293
Typical for a hospital with this service line
Gynecology
CPT 58571
$4,238 - $4,706
from 2 insurers · median $4,472
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$3,065 - $3,862
from 2 insurers · median $3,463
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,270 - $2,656
from 2 insurers · median $1,963
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$368 - $463
from 2 insurers · median $416
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$3,221 - $4,059
from 2 insurers · median $3,640
Typical for a hospital with this service line
Ultrasound
CPT 76830
$77 - $428
from 3 insurers · median $340
Typical for a hospital with this service line
Gynecology
CPT 58661
$4,238 - $4,465
from 2 insurers · median $4,352
Typical for a hospital with this service line
Ultrasound
CPT 76856
$77 - $434
from 3 insurers · median $362
Typical for a hospital with this service line
Ultrasound
CPT 76705
$77 - $317
from 3 insurers · median $200
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$363 - $1,364
from 2 insurers · median $864
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$553 - $697
from 2 insurers · median $625
Typical for a hospital with this service line
MRI imaging
CPT 70551
$274 - $575
from 2 insurers · median $425
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,270 - $3,279
from 2 insurers · median $2,275
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 17 | 401% | 14 | 3 |
| Insurer B* | 12 | 347% | 10 | 2 |
| Insurer C* | 10 | 134% | 7 | 2 |
| Insurer D* | 20 | 72% | 0 | 20 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ascension Saint Thomas Three Rivers.
451 Highway 13 South, Waverly, TN 37185
(931) 296-4203
The nearest hospitals of similar type and size. Their rates are compared with Ascension Saint Thomas Three Rivers for the same insurers and services above.
Camden General Hospital
â–² Rates typically 48% higher than Ascension Saint Thomas Three Rivers (24 services)
Houston County Community Hospital
â–¼ Rates typically 32% lower than Ascension Saint Thomas Three Rivers (20 services)
Ascension Saint Thomas Hickman Hospital
â–² Rates typically 13% higher than Ascension Saint Thomas Three Rivers (24 services)
Tristar Ashland City Medical Center
â–² Rates typically 42% higher than Ascension Saint Thomas Three Rivers (24 services)
Trigg County Hospital
â–² Rates typically 113% higher than Ascension Saint Thomas Three Rivers (19 services)
Marshall County Hospital
â–² Rates typically 157% higher than Ascension Saint Thomas Three Rivers (14 services)
Macon County General Hospital
Rhea Medical Center
Riverview Regional Medical Center
About Ascension Saint Thomas Three Rivers's rates and hospital price transparency.
For MRI of the brain, without contrast (CPT 70551), published negotiated rates at Ascension Saint Thomas Three Rivers range from $274 to $575 across 2 insurers. Cigna's rate is $575. The median at nearby comparable hospitals is $1,371. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ascension Saint Thomas Three Rivers range from $240 to $2,455 across 3 insurers. Aetna's rate is $2,455. The median at nearby comparable hospitals is $987. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ascension Saint Thomas Three Rivers range from $1,089 to $3,475 across 3 insurers. Blue Cross Blue Shield's rate is $1,907. The median at nearby comparable hospitals is $1,629. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ascension Saint Thomas Three Rivers range from $83 to $225 across 2 insurers. UnitedHealthcare's rate is $83. The median at nearby comparable hospitals is $184. What a patient pays depends on their plan's deductible, coinsurance and network status.
Ascension Saint Thomas Three Rivers has 25 beds. Facility type: Critical Access Hospital.
Ascension Saint Thomas Three Rivers is located at 451 Highway 13 South, Waverly, TN 37185. Its main phone number is (931) 296-4203.
Ascension Saint Thomas Three Rivers's CMS Certification Number (CCN), also called its Medicare provider number, is 441303.
The National Provider Identifier (NPI) on file for Ascension Saint Thomas Three Rivers is 1235387044.
Ascension Saint Thomas Three Rivers lists 29 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
378 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
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