LifePoint Health · Athens, TN
37
In-network payers
184
Disclosed rate categories
118
Beds
3
Care quality
Athens Regional Medical Center is a 118-bed proprietary hospital in Athens, TN, affiliated with LifePoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 184 disclosed rate categories.
CCN (Medicare provider number)
440068
NPI
1669567319
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
118
Care Quality
3
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 Athens Regional Medical Center 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.
Childbirth · Inpatient
MS-DRG 807
$6,590 - $7,436
from 2 insurers · median $7,013
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$9,623 - $10,908
from 3 insurers · median $10,799
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$6,155
negotiated rate
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$6,590 - $7,436
from 2 insurers · median $7,013
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$4,353 - $12,770
from 3 insurers · median $5,509
24 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$24,501 - $29,579
from 2 insurers · median $27,040
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$19,358 - $30,937
from 2 insurers · median $25,148
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 49650
$3,236 - $19,122
from 3 insurers · median $4,353
24 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$1,346
negotiated rate
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,976 - $2,350
from 3 insurers · median $2,184
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$3,452
negotiated rate
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$5,460
negotiated rate
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$41,747
negotiated rate
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45385
$1,775 - $2,350
from 2 insurers · median $2,063
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$3,214
negotiated rate
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$4,353 - $13,906
from 3 insurers · median $5,017
24 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$2,066
negotiated rate
Common here, based on CMS Medicare volume
Urology
CPT 50590
$4,353 - $6,099
from 2 insurers · median $5,226
28 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Nuclear imaging
CPT 78452
$5,650
negotiated rate
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$2,694 - $7,180
from 2 insurers · median $4,937
Typical for a hospital with this service line
Mammography
CPT 77067
$386
negotiated rate
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$3,737
negotiated rate
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$6,252
negotiated rate
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$3,734
negotiated rate
Common here, based on CMS Medicare volume
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* | 15 | 488% | 14 | 1 |
| Insurer B* | 13 | 145% | 2 | 6 |
| Insurer C* | 10 | 114% | 2 | 5 |
| Insurer D* | 3 | - | 0 | 2 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 7 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 Athens Regional Medical Center.
1114 West Madison Avenue, Athens, TN 37303
(423) 745-1411
The nearest hospitals of similar type and size. Their rates are compared with Athens Regional Medical Center for the same insurers and services above.
Sweetwater Hospital Association
▼ Rates typically 78% lower than Athens Regional Medical Center (18 services)
Turkey Creek Medical Center
▼ Rates typically 12% lower than Athens Regional Medical Center (21 services)
Cumberland Medical Center
▼ Rates typically 63% lower than Athens Regional Medical Center (19 services)
Chi Memorial Hospital - Georgia
▼ Rates typically 18% lower than Athens Regional Medical Center (19 services)
North Knoxville Medical Center
Rates about the same as Athens Regional Medical Center (21 services)
Saint Thomas Highlands
▼ Rates typically 62% lower than Athens Regional Medical Center (21 services)
Crockett Hospital
Southern Tennessee Medical Center
Sumner Regional Medical Center
So Tenn Reg Med Ctr Of Pulaski
About Athens Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Athens Regional Medical Center range from $5,460 to $5,460 across 1 insurers. Aetna's rate is $5,460. The median at nearby comparable hospitals is $629. 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 Athens Regional Medical Center range from $6,155 to $6,155 across 1 insurers. Aetna's rate is $6,155. The median at nearby comparable hospitals is $557. 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 Athens Regional Medical Center range from $1,775 to $2,350 across 2 insurers. UnitedHealthcare's rate is $2,350. The median at nearby comparable hospitals is $2,105. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Athens Regional Medical Center range from $6,590 to $7,436 across 2 insurers. Blue Cross Blue Shield's rate is $7,436. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Athens Regional Medical Center range from $386 to $386 across 1 insurers. Aetna's rate is $386. The median at nearby comparable hospitals is $146. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Athens Regional Medical Center range from $19,358 to $30,937 across 2 insurers. Blue Cross Blue Shield's rate is $30,937. The median at nearby comparable hospitals is $32,166. What a patient pays depends on their plan's deductible, coinsurance and network status.
Athens Regional Medical Center has 118 beds. Facility type: Short Term Acute Care Hospital.
Athens Regional Medical Center is located at 1114 West Madison Avenue, Athens, TN 37303. Its main phone number is (423) 745-1411.
Athens Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 440068.
The National Provider Identifier (NPI) on file for Athens Regional Medical Center is 1669567319.
Athens Regional Medical Center is affiliated with LifePoint Health.
Athens Regional Medical Center lists 37 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.
184 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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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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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.
What a review covers