Covenant Health · Tazewell, TN
28
In-network payers
347
Disclosed rate categories
85
Beds
3
Care quality
Claiborne Medical Center is an 85-bed government - local hospital in Tazewell, TN, affiliated with Covenant Health. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 347 disclosed rate categories.
CCN (Medicare provider number)
440057
NPI
1942205166
Type
Short Term Acute Care Hospital
Ownership
Government - Local
Beds
85
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 Claiborne 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.
Medicine & Surgery
CPT 47562
$1,730 - $6,559
from 4 insurers · median $5,430
19 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$3,257 - $6,848
from 3 insurers · median $6,559
19 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 47563
$1,756 - $6,848
from 4 insurers · median $5,494
19 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$1,242 - $2,388
from 4 insurers · median $2,190
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$269 - $783
from 4 insurers · median $347
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,276 - $2,635
from 4 insurers · median $1,821
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$104 - $261
from 4 insurers · median $194
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$109 - $337
from 4 insurers · median $249
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$244 - $563
from 3 insurers · median $507
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$3,606 - $14,072
from 4 insurers · median $5,200
Hospital reports inpatient surgical services to CMS
Nuclear imaging
CPT 78452
$414 - $2,608
from 4 insurers · median $1,064
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,429 - $8,561
from 3 insurers · median $6,559
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,627 - $5,120
from 4 insurers · median $3,237
Typical for a hospital with this service line
CT imaging
CPT 74176
$248 - $478
from 4 insurers · median $303
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$183 - $374
from 4 insurers · median $286
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$235 - $783
from 4 insurers · median $410
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$28 - $164
from 4 insurers · median $72
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$1,644 - $6,559
from 4 insurers · median $5,104
Typical for a hospital with this service line
MRI imaging
CPT 72148
$248 - $478
from 4 insurers · median $423
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$3,295 - $11,565
from 3 insurers · median $10,691
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$1,291 - $2,805
from 4 insurers · median $2,360
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,342 - $4,036
from 4 insurers · median $2,926
Typical for a hospital with this service line
MRI imaging
CPT 70551
$197 - $478
from 4 insurers · median $351
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$2,669 - $6,432
from 3 insurers · median $3,182
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 | 135% | 14 | 7 |
| Insurer B* | 24 | 103% | 9 | 13 |
| Insurer C* | 23 | 96% | 6 | 17 |
| Insurer D* | 20 | 81% | 3 | 17 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 8 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 Claiborne Medical Center.
1850 Old Knoxville Road, Tazewell, TN 37879
(423) 626-4211
The nearest hospitals of similar type and size. Their rates are compared with Claiborne Medical Center for the same insurers and services above.
Middlesboro Arh Hospital
▲ Rates typically 29% higher than Claiborne Medical Center (20 services)
Jefferson Memorial Hospital
▲ Rates typically 14% higher than Claiborne Medical Center (24 services)
Lafollette Medical Center
Rates about the same as Claiborne Medical Center (24 services)
Hawkins County Memorial Hospital
▲ Rates typically 25% higher than Claiborne Medical Center (24 services)
Newport Medical Center
Rates about the same as Claiborne Medical Center (24 services)
Greenvile Community Hospital West
▲ Rates typically 17% higher than Claiborne Medical Center (24 services)
Roane Medical Center
Leconte Medical Center
Cumberland Medical Center
Morristown-Hamblen Healthcare System
About Claiborne Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Claiborne Medical Center range from $235 to $783 across 4 insurers. Aetna's rate is $235. The median at nearby comparable hospitals is $630. 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 Claiborne Medical Center range from $269 to $783 across 4 insurers. Aetna's rate is $326. The median at nearby comparable hospitals is $470. 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 Claiborne Medical Center range from $1,276 to $2,635 across 4 insurers. Cigna's rate is $2,329. The median at nearby comparable hospitals is $1,761. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Claiborne Medical Center range from $104 to $261 across 4 insurers. Blue Cross Blue Shield's rate is $261. The median at nearby comparable hospitals is $149. What a patient pays depends on their plan's deductible, coinsurance and network status.
Claiborne Medical Center has 85 beds. Facility type: Short Term Acute Care Hospital.
Claiborne Medical Center is located at 1850 Old Knoxville Road, Tazewell, TN 37879. Its main phone number is (423) 626-4211.
Claiborne Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 440057.
The National Provider Identifier (NPI) on file for Claiborne Medical Center is 1942205166.
Claiborne Medical Center is affiliated with Covenant Health.
Claiborne Medical Center lists 28 in-network payers, including Aetna, Ambetter, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
347 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.
What a review covers