PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates

Behavioral Health Of Rocky Top Llc

Rocky Top, TN

Rocky Top, TN

18

Beds

98

Inpatient discharges a year

$1.4M

Net patient revenue a year

17

In-network payers

About this hospital

Behavioral Health Of Rocky Top Llc is an 18-bed hospital in Rocky Top, TN. Below you'll find publicly disclosed negotiated rates and facility details, including 17 in-network payers and 14 disclosed rate categories.

CCN
444028
NPI
1174033906
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

Book a call about hospital compliance MRFs
PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Facility

RC Intensive Care Unit

Range: 0200 - 0209

Per Diem

Very Low

Aetna

Facility

RC Room and Board (3 and 4 beds)

Range: 0130 - 0139

Per Diem

Very Low

Aetna

Facility

RC Room and Board Deluxe Private

Range: 0140 - 0149

Per Diem

Very Low

Aetna

Facility

RC Room and Board Private (one bed)

Range: 0110 - 0119

Per Diem

Very Low

Aetna

Facility

RC Room and Board Semi-private (two beds)

Range: 0120 - 0129

Per Diem

Very Low

Aetna

Facility

RC Room and Board Ward

Range: 0150 - 0159

Per Diem

Very Low

Cigna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Cigna

Outpatient

HCPCS Procedures / Professional Services

Range: G0008 - G9987

Negotiated

Very Low

Cigna

Facility

RC Intensive Care Unit

Range: 0200 - 0209

Negotiated

Very Low

Cigna

Facility

RC Room and Board (3 and 4 beds)

Range: 0130 - 0139

Negotiated

Very Low

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
Cigna
Aspirus Health PlanBanner HealthEMI HealthHealth AllianceHealth Alliance HAPJohns Hopkins Health Plans

More about this hospital

  • Finances

    $1.4M net patient revenue

    • Operating margin on patient care -33.3%
    • -$455,926 net income
    See finances

Location

Rocky Top, TN

Get directions

Frequently asked questions

About Behavioral Health Of Rocky Top Llc's rates and hospital price transparency.

How many patients does Behavioral Health Of Rocky Top Llc admit?

Behavioral Health Of Rocky Top Llc reported 98 inpatient discharges and 1,559 inpatient days from Jul 1, 2021 to Jun 30, 2022.

How many employees does Behavioral Health Of Rocky Top Llc have?

Behavioral Health Of Rocky Top Llc reported 11 full-time-equivalent employees on payroll from Jul 1, 2021 to Jun 30, 2022.

How much revenue does Behavioral Health Of Rocky Top Llc make?

Behavioral Health Of Rocky Top Llc reported $1.4M in net patient revenue on $3.2M of gross charges for Jul 1, 2021 to Jun 30, 2022, an operating margin of -33.3%, and net income of -$455,926.

How many beds does Behavioral Health Of Rocky Top Llc have?

Behavioral Health Of Rocky Top Llc has 18 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report.

Where is Behavioral Health Of Rocky Top Llc and what is its phone number?

Behavioral Health Of Rocky Top Llc is located at Rocky Top, TN.

What is Behavioral Health Of Rocky Top Llc's CCN (Medicare provider number)?

Behavioral Health Of Rocky Top Llc's CMS Certification Number (CCN), also called its Medicare provider number, is 444028.

What is Behavioral Health Of Rocky Top Llc's NPI number?

The National Provider Identifier (NPI) on file for Behavioral Health Of Rocky Top Llc is 1174033906.

Which insurance plans are in network at Behavioral Health Of Rocky Top Llc?

Behavioral Health Of Rocky Top Llc lists 17 in-network payers, including Aetna, Aspirus Health Plan, Banner Health, Cigna, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Behavioral Health Of Rocky Top Llc?

14 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.

What is a hospital price transparency MRF?

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.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster