Oneida, TN
26
In-network payers
184
Disclosed rate categories
25
Beds
Big South Fork Medical Center is a 25-bed proprietary hospital in Oneida, TN. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 184 disclosed rate categories.
CCN (Medicare provider number)
440235
NPI
1932646049
Type
Short Term Acute Care Hospital
Ownership
Proprietary
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 Big South Fork 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.
CT imaging
CPT 74177
$786 - $2,673
from 4 insurers · median $2,673
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$3,371 - $3,371
from 4 insurers · median $3,371
Typical for a hospital with this service line
CT imaging
CPT 70450
$177 - $785
from 4 insurers · median $785
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,425 - $7,633
from 4 insurers · median $7,633
Hospital reports nuclear medicine services to CMS
CT imaging
CPT 74176
$490 - $1,631
from 4 insurers · median $1,631
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$120 - $479
from 4 insurers · median $479
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,673 - $2,673
from 4 insurers · median $2,673
Typical for a hospital with this service line
CT imaging
CPT 71275
$368 - $1,276
from 4 insurers · median $1,276
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,031 - $2,940
from 4 insurers · median $2,058
Typical for a hospital with this service line
Mammography
CPT 77067
$107 - $358
from 4 insurers · median $247
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,631 - $1,631
from 4 insurers · median $1,631
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,631 - $1,631
from 4 insurers · median $1,631
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$6,374 - $6,374
from 4 insurers · median $6,374
Typical for a hospital with this service line
MRI imaging
CPT 74183
$2,673 - $2,673
from 4 insurers · median $2,673
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,076 - $1,175
from 2 insurers · median $1,126
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$141 - $672
from 4 insurers · median $672
Typical for a hospital with this service line
Ultrasound
CPT 76830
$141 - $785
from 4 insurers · median $785
Typical for a hospital with this service line
Ultrasound
CPT 76705
$141 - $785
from 4 insurers · median $471
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$141 - $1,152
from 4 insurers · median $749
Typical for a hospital with this service line
Ultrasound
CPT 76856
$141 - $785
from 4 insurers · median $785
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$283 - $1,574
from 4 insurers · median $1,574
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$420 - $1,175
from 4 insurers · median $726
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$2,545 - $5,400
from 2 insurers · median $3,973
Typical for a hospital with this service line
Ultrasound
CPT 76770
$141 - $785
from 4 insurers · median $785
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* | 24 | 669% | 20 | 4 |
| Insurer B* | 24 | 669% | 19 | 2 |
| Insurer C* | 22 | 591% | 12 | 8 |
| Insurer D* | 22 | 390% | 14 | 7 |
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 Big South Fork Medical Center.
18797 Alberta Street, Oneida, TN 37841
(423) 286-5300
The nearest hospitals of similar type and size. Their rates are compared with Big South Fork Medical Center for the same insurers and services above.
The Medical Center Of Albany
â–¼ Rates typically 32% lower than Big South Fork Medical Center (10 services)
Fort Loudoun Medical Center
â–¼ Rates typically 78% lower than Big South Fork Medical Center (24 services)
Tj Health Columbia
â–¼ Rates typically 42% lower than Big South Fork Medical Center (20 services)
Rockcastle Hospt. & Respir Care Ctr
â–¼ Rates typically 44% lower than Big South Fork Medical Center (23 services)
Adventhealth Manchester
â–² Rates typically 10% higher than Big South Fork Medical Center (24 services)
Monroe County Medical Center
â–¼ Rates typically 45% lower than Big South Fork Medical Center (21 services)
Saint Thomas Midtown Hospital
Southern Tennessee Medical Center
Trustpoint Hospital
About Big South Fork Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Big South Fork Medical Center range from $2,673 to $2,673 across 4 insurers. Blue Cross Blue Shield's rate is $2,673. The median at nearby comparable hospitals is $885. 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 Big South Fork Medical Center range from $786 to $2,673 across 4 insurers. Aetna's rate is $786. The median at nearby comparable hospitals is $897. 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 Big South Fork Medical Center range from $1,031 to $2,940 across 4 insurers. Blue Cross Blue Shield's rate is $1,031. The median at nearby comparable hospitals is $1,413. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Big South Fork Medical Center range from $107 to $358 across 4 insurers. UnitedHealthcare's rate is $358. The median at nearby comparable hospitals is $143. What a patient pays depends on their plan's deductible, coinsurance and network status.
Big South Fork Medical Center has 25 beds. Facility type: Short Term Acute Care Hospital.
Big South Fork Medical Center is located at 18797 Alberta Street, Oneida, TN 37841. Its main phone number is (423) 286-5300.
Big South Fork Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 440235.
The National Provider Identifier (NPI) on file for Big South Fork Medical Center is 1932646049.
Big South Fork Medical Center lists 26 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.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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