Covenant Health · Crossville, TN
29
In-network payers
312
Disclosed rate categories
189
Beds
4
Care quality
Cumberland Medical Center is a 189-bed voluntary non-profit - private hospital in Crossville, TN, affiliated with Covenant Health. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 312 disclosed rate categories.
CCN (Medicare provider number)
440009
NPI
1871596403
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
189
Care Quality
4
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 Cumberland 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
$3,311 - $6,684
from 4 insurers · median $5,749
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 obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$4,813 - $9,229
from 4 insurers · median $7,764
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 obstetrics / child birth services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$3,825 - $23,290
from 4 insurers · median $20,965
40 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$3,311 - $6,684
from 4 insurers · median $5,749
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 obstetrics / child birth services to CMS
Medicine & Surgery
CPT 49505
$2,687 - $4,308
from 4 insurers · median $3,401
45 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$31,299 - $43,697
from 2 insurers · median $37,498
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$2,050 - $2,388
from 4 insurers · median $2,320
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$2,843 - $6,848
from 4 insurers · median $5,494
27 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$1,276 - $2,805
from 4 insurers · median $2,320
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$269 - $783
from 4 insurers · median $353
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,276 - $2,805
from 4 insurers · median $2,265
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$124 - $261
from 4 insurers · median $194
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$21,069 - $29,554
from 3 insurers · median $21,274
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 49650
$2,687 - $6,848
from 4 insurers · median $4,908
27 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78815
$1,498 - $5,223
from 4 insurers · median $2,638
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$301 - $749
from 4 insurers · median $535
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$72 - $269
from 4 insurers · median $169
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$522 - $2,608
from 4 insurers · median $1,048
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$248 - $478
from 4 insurers · median $334
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,475 - $8,561
from 4 insurers · median $5,494
Typical for a hospital with this service line
Orthopedics and pain
CPT 64721
$2,310 - $3,505
from 4 insurers · median $2,756
63 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Orthopedics and pain
CPT 63030
$2,812 - $7,336
from 4 insurers · median $5,494
42 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Urology
CPT 50590
$3,545 - $10,645
from 4 insurers · median $5,503
22 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
CT imaging
CPT 71275
$183 - $398
from 4 insurers · median $321
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* | 24 | 171% | 12 | 3 |
| Insurer B* | 24 | 125% | 4 | 14 |
| Insurer C* | 22 | 105% | 0 | 17 |
| Insurer D* | 23 | 102% | 13 | 6 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 6 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 Cumberland Medical Center.
421 South Main Street, Crossville, TN 38555
(931) 484-9511
The nearest hospitals of similar type and size. Their rates are compared with Cumberland Medical Center for the same insurers and services above.
Cookeville Regional Medical Center
▲ Rates typically 61% higher than Cumberland Medical Center (21 services)
Livingston Regional Hospital
▲ Rates typically 24% higher than Cumberland Medical Center (19 services)
Athens Regional Medical Center
▲ Rates typically 19% higher than Cumberland Medical Center (19 services)
Ascension Saint Thomas River Park
Rates about the same as Cumberland Medical Center (21 services)
Turkey Creek Medical Center
▲ Rates typically 22% higher than Cumberland Medical Center (21 services)
Tennova Healthcare - Cleveland
▲ Rates typically 29% higher than Cumberland Medical Center (18 services)
Parkwest Medical Center
Fort Sanders Regional Medical Center
Fort Loudoun Medical Center
Roane Medical Center
About Cumberland Medical Center's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Cumberland Medical Center range from $269 to $783 across 4 insurers. Blue Cross Blue Shield's rate is $367. The median at nearby comparable hospitals is $684. 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 Cumberland Medical Center range from $1,276 to $2,805 across 4 insurers. Aetna's rate is $2,310. The median at nearby comparable hospitals is $2,413. 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 Cumberland Medical Center range from $3,311 to $6,684 across 4 insurers. UnitedHealthcare's rate is $6,684. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Cumberland Medical Center range from $124 to $261 across 4 insurers. Cigna's rate is $184. The median at nearby comparable hospitals is $179. 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 Cumberland Medical Center range from $3,825 to $23,290 across 4 insurers. Cigna's rate is $19,329. The median at nearby comparable hospitals is $16,901. What a patient pays depends on their plan's deductible, coinsurance and network status.
Cumberland Medical Center has 189 beds. Facility type: Short Term Acute Care Hospital.
Cumberland Medical Center is located at 421 South Main Street, Crossville, TN 38555. Its main phone number is (931) 484-9511.
Cumberland Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 440009.
The National Provider Identifier (NPI) on file for Cumberland Medical Center is 1871596403.
Cumberland Medical Center is affiliated with Covenant Health.
Cumberland Medical Center lists 29 in-network payers, including Aetna, Ambetter, Ameri Health, 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.
312 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.
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