Cookeville Regional Health System · Cookeville, TN
34
In-network payers
242
Disclosed rate categories
247
Beds
2
Care quality
Cookeville Regional Medical Center is a 247-bed government - local hospital in Cookeville, TN, affiliated with Cookeville Regional Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 242 disclosed rate categories.
CCN (Medicare provider number)
440059
NPI
1275531956
Type
Short Term Acute Care Hospital
Ownership
Government - Local
Beds
247
Care Quality
2
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 Cookeville 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
$7,482 - $10,937
from 2 insurers · median $9,209
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
$10,865 - $16,739
from 2 insurers · median $13,802
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
$700 - $3,170
from 3 insurers · median $1,436
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$2,418 - $9,149
from 3 insurers · median $5,431
21 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$6,251 - $8,212
from 3 insurers · median $7,939
162 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$425 - $949
from 3 insurers · median $700
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$885 - $5,238
from 3 insurers · median $3,200
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,028 - $3,682
from 3 insurers · median $2,397
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$235 - $361
from 3 insurers · median $284
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$3,399 - $8,529
from 3 insurers · median $7,939
162 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$2,028 - $3,682
from 3 insurers · median $2,397
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$26,102 - $49,690
from 2 insurers · median $37,896
18 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 216
$132,381 - $175,151
from 2 insurers · median $153,766
Hospital reports cardiac thoracic surgery services to CMS
CT imaging
CPT 74176
$700 - $919
from 3 insurers · median $828
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,028 - $3,682
from 3 insurers · median $2,397
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$989 - $3,178
from 3 insurers · median $1,444
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$45,445
negotiated rate
29 Medicare discharges for this DRG in CMS hospital data
X-ray and bone density
CPT 71046
$184 - $309
from 2 insurers · median $246
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$33,036 - $45,388
from 2 insurers · median $39,212
11 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58571
$4,722 - $10,777
from 3 insurers · median $7,939
47 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$7,482 - $10,937
from 2 insurers · median $9,209
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
CT imaging
CPT 71275
$700 - $2,203
from 3 insurers · median $712
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,371
negotiated rate
Common here, based on CMS Medicare volume
Urology
CPT 50590
$5,980 - $7,939
from 3 insurers · median $7,920
136 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
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* | 7 | 398% | 7 | 0 |
| Insurer B* | 23 | 292% | 18 | 2 |
| Insurer C* | 17 | 246% | 12 | 4 |
| Insurer D* | 14 | 134% | 4 | 7 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 4 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 Cookeville Regional Medical Center.
1 Medical Center Boulevard, Cookeville, TN 38501
(931) 783-2000
The nearest hospitals of similar type and size. Their rates are compared with Cookeville Regional Medical Center for the same insurers and services above.
Cumberland Medical Center
▼ Rates typically 41% lower than Cookeville Regional Medical Center (21 services)
Ascension Saint Thomas River Park
▼ Rates typically 27% lower than Cookeville Regional Medical Center (21 services)
Vanderbilt Wilson County Hospital
Rates about the same as Cookeville Regional Medical Center (21 services)
Sumner Regional Medical Center
Rates about the same as Cookeville Regional Medical Center (21 services)
Saint Thomas Rutherford Hospital
▼ Rates typically 25% lower than Cookeville Regional Medical Center (21 services)
Tristar Summit Medical Center
▼ Rates typically 11% lower than Cookeville Regional Medical Center (21 services)
Chi Memorial Hospital - Chattanooga
Greenvile Community Hospital West
Vanderbilt Bedford Hospital
About Cookeville Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Cookeville Regional Medical Center range from $989 to $3,178 across 3 insurers. UnitedHealthcare's rate is $989. The median at nearby comparable hospitals is $614. 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 Cookeville Regional Medical Center range from $700 to $3,170 across 3 insurers. Aetna's rate is $3,170. The median at nearby comparable hospitals is $611. 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 Cookeville Regional Medical Center range from $2,028 to $3,682 across 3 insurers. Blue Cross Blue Shield's rate is $2,028. The median at nearby comparable hospitals is $3,152. 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 Cookeville Regional Medical Center range from $7,482 to $10,937 across 2 insurers. Blue Cross Blue Shield's rate is $10,937. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Cookeville Regional Medical Center range from $235 to $361 across 3 insurers. Cigna's rate is $361. The median at nearby comparable hospitals is $160. 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 Cookeville Regional Medical Center range from $26,102 to $49,690 across 2 insurers. UnitedHealthcare's rate is $26,102. The median at nearby comparable hospitals is $32,390. What a patient pays depends on their plan's deductible, coinsurance and network status.
Cookeville Regional Medical Center has 247 beds. Facility type: Short Term Acute Care Hospital.
Cookeville Regional Medical Center is located at 1 Medical Center Boulevard, Cookeville, TN 38501. Its main phone number is (931) 783-2000.
Cookeville Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 440059.
The National Provider Identifier (NPI) on file for Cookeville Regional Medical Center is 1275531956.
Cookeville Regional Medical Center is affiliated with Cookeville Regional Health System.
Cookeville Regional Medical Center lists 34 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.
242 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