Erlanger Health System · Pikeville, TN
30
In-network payers
313
Disclosed rate categories
25
Beds
Erlanger Bledsoe Hospital is a 25-bed government - hospital district or authority hospital in Pikeville, TN, affiliated with Erlanger Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 313 disclosed rate categories.
CCN (Medicare provider number)
441306
NPI
1770678617
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
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 Erlanger Bledsoe Hospital 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
$227 - $458
from 4 insurers · median $357
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$369 - $1,797
from 3 insurers · median $1,713
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$386 - $1,798
from 4 insurers · median $1,755
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$247 - $2,309
from 4 insurers · median $1,344
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$5,003 - $8,899
from 3 insurers · median $6,819
Typical for a hospital with this service line
Gynecology
CPT 58571
$6,850 - $15,879
from 3 insurers · median $7,816
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$220 - $2,130
from 4 insurers · median $508
Typical for a hospital with this service line
Mammography
CPT 77067
$119 - $226
from 4 insurers · median $140
Typical for a hospital with this service line
CT imaging
CPT 70450
$135 - $227
from 4 insurers · median $180
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$2,311 - $3,479
from 3 insurers · median $3,192
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$5,003 - $8,899
from 3 insurers · median $7,103
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$3,176 - $9,023
from 3 insurers · median $7,103
Typical for a hospital with this service line
CT imaging
CPT 71275
$219 - $482
from 4 insurers · median $354
Typical for a hospital with this service line
Gynecology
CPT 58661
$5,027 - $8,899
from 3 insurers · median $6,478
Typical for a hospital with this service line
CT imaging
CPT 74176
$224 - $320
from 4 insurers · median $253
Typical for a hospital with this service line
Gynecology
CPT 58662
$5,027 - $8,899
from 3 insurers · median $7,103
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$34 - $242
from 4 insurers · median $68
Typical for a hospital with this service line
MRI imaging
CPT 70553
$448 - $903
from 4 insurers · median $471
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$749 - $1,199
from 3 insurers · median $1,136
Typical for a hospital with this service line
Gynecology
CPT 58558
$3,192 - $4,849
from 3 insurers · median $3,224
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$1,722 - $2,320
from 3 insurers · median $2,259
Typical for a hospital with this service line
Urology
CPT 50590
$3,390 - $7,358
from 3 insurers · median $5,260
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$5,027 - $10,896
from 3 insurers · median $7,103
Typical for a hospital with this service line
Medicine & Surgery
CPT 29881
$3,484 - $4,949
from 3 insurers · median $3,937
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* | 23 | 147% | 1 | 16 |
| Insurer B* | 24 | 120% | 14 | 2 |
| Insurer C* | 24 | 112% | 9 | 6 |
| Insurer D* | 11 | 87% | 0 | 10 |
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 Erlanger Bledsoe Hospital.
71 Wheeler Avenue, Pikeville, TN 37367
(423) 447-2112
The nearest hospitals of similar type and size. Their rates are compared with Erlanger Bledsoe Hospital for the same insurers and services above.
Rhea Medical Center
Rates about the same as Erlanger Bledsoe Hospital (23 services)
Riverview Regional Medical Center
▲ Rates typically 36% higher than Erlanger Bledsoe Hospital (24 services)
Trousdale Medical Center
▲ Rates typically 225% higher than Erlanger Bledsoe Hospital (23 services)
Macon County General Hospital
Rates about the same as Erlanger Bledsoe Hospital (24 services)
Cumberland County Hospital
▲ Rates typically 364% higher than Erlanger Bledsoe Hospital (5 services)
Wayne County Hospital
▼ Rates typically 58% lower than Erlanger Bledsoe Hospital (18 services)
Marshall Medical Center
Johnson County Community Hospital
Ascension Saint Thomas Hickman Hospital
Hancock County Hospital
About Erlanger Bledsoe Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Erlanger Bledsoe Hospital range from $448 to $903 across 4 insurers. Aetna's rate is $903. The median at nearby comparable hospitals is $1,839. 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 Erlanger Bledsoe Hospital range from $227 to $458 across 4 insurers. Aetna's rate is $309. The median at nearby comparable hospitals is $2,059. 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 Erlanger Bledsoe Hospital range from $369 to $1,797 across 3 insurers. Blue Cross Blue Shield's rate is $1,797. The median at nearby comparable hospitals is $2,130. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Erlanger Bledsoe Hospital range from $119 to $226 across 4 insurers. Cigna's rate is $226. The median at nearby comparable hospitals is $245. What a patient pays depends on their plan's deductible, coinsurance and network status.
Erlanger Bledsoe Hospital has 25 beds. Facility type: Critical Access Hospital.
Erlanger Bledsoe Hospital is located at 71 Wheeler Avenue, Pikeville, TN 37367. Its main phone number is (423) 447-2112.
Erlanger Bledsoe Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 441306.
The National Provider Identifier (NPI) on file for Erlanger Bledsoe Hospital is 1770678617.
Erlanger Bledsoe Hospital is affiliated with Erlanger Health System.
Erlanger Bledsoe Hospital lists 30 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.
313 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