Covenant Health · Knoxville, TN
30
In-network payers
318
Disclosed rate categories
517
Beds
4
Care quality
Fort Sanders Regional Medical Center is a 517-bed voluntary non-profit - private hospital in Knoxville, TN, affiliated with Covenant Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 318 disclosed rate categories.
CCN (Medicare provider number)
440125
NPI
1942294814
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
517
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 Fort Sanders 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
$5,998 - $7,214
from 3 insurers · median $6,300
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
$7,995 - $10,671
from 3 insurers · median $8,287
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
Medicine & Surgery · Inpatient
MS-DRG 460
$39,389 - $40,985
from 2 insurers · median $40,187
17 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$2,443 - $2,916
from 3 insurers · median $2,882
23 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$5,998 - $7,214
from 3 insurers · median $6,300
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
Medicine & Surgery · Inpatient
MS-DRG 470
$19,587 - $33,571
from 2 insurers · median $26,579
18 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$338 - $710
from 2 insurers · median $524
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$99,806 - $116,495
from 2 insurers · median $108,150
Hospital reports cardiac thoracic surgery services to CMS
Gynecology
CPT 58571
$3,475 - $6,382
from 3 insurers · median $5,938
51 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$72 - $710
from 2 insurers · median $391
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,764 - $2,678
from 3 insurers · median $1,857
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,320 - $2,310
from 3 insurers · median $1,882
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$2,873 - $5,938
from 3 insurers · median $4,899
70 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$1,320 - $2,310
from 3 insurers · median $1,949
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$99 - $226
from 2 insurers · median $163
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$398 - $710
from 2 insurers · median $554
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,320 - $2,310
from 3 insurers · median $2,065
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$398 - $710
from 2 insurers · median $554
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$2,569 - $2,882
from 3 insurers · median $2,843
Typical for a hospital with this service line
MRI imaging
CPT 72148
$544 - $1,008
from 2 insurers · median $776
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$544 - $1,008
from 2 insurers · median $776
Common here, based on CMS Medicare volume
Urology
CPT 50590
$2,561 - $5,938
from 3 insurers · median $4,448
81 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Nuclear imaging
CPT 78452
$418 - $788
from 2 insurers · median $603
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$2,873 - $5,938
from 3 insurers · median $5,193
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* | 2 | 173% | 1 | 1 |
| Insurer B* | 22 | 152% | 5 | 12 |
| Insurer C* | 21 | 124% | 5 | 13 |
| Insurer D* | 16 | 99% | 0 | 11 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 12 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 Fort Sanders Regional Medical Center.
1901 West Clinch Avenue, Knoxville, TN 37916
(865) 541-1101
The nearest hospitals of similar type and size. Their rates are compared with Fort Sanders Regional Medical Center for the same insurers and services above.
University Of Tennessee Medical Cent
Rates about the same as Fort Sanders Regional Medical Center (21 services)
Blount Memorial Hospital
▲ Rates typically 28% higher than Fort Sanders Regional Medical Center (20 services)
Baptist Health Corbin
▲ Rates typically 41% higher than Fort Sanders Regional Medical Center (21 services)
Mission Hospital - Memorial Campus
▲ Rates typically 195% higher than Fort Sanders Regional Medical Center (21 services)
Holston Valley Hosp & Med Ctr
▲ Rates typically 42% higher than Fort Sanders Regional Medical Center (21 services)
Johnson City Medical Center
▲ Rates typically 60% higher than Fort Sanders Regional Medical Center (21 services)
Parkwest Medical Center
Turkey Creek Medical Center
Cumberland Medical Center
About Fort Sanders Regional Medical Center's rates and hospital price transparency.
For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Fort Sanders Regional Medical Center range from $544 to $1,008 across 2 insurers. UnitedHealthcare's rate is $1,008. The median at nearby comparable hospitals is $698. 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 Fort Sanders Regional Medical Center range from $338 to $710 across 2 insurers. Aetna's rate is $338. The median at nearby comparable hospitals is $815. 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 Fort Sanders Regional Medical Center range from $1,320 to $2,310 across 3 insurers. UnitedHealthcare's rate is $1,320. The median at nearby comparable hospitals is $1,942. 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 Fort Sanders Regional Medical Center range from $5,998 to $7,214 across 3 insurers. Aetna's rate is $6,300. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Fort Sanders Regional Medical Center range from $99 to $226 across 2 insurers. Cigna's rate is $226. The median at nearby comparable hospitals is $192. 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 Fort Sanders Regional Medical Center range from $19,587 to $33,571 across 2 insurers. Blue Cross Blue Shield's rate is $33,571. The median at nearby comparable hospitals is $27,079. What a patient pays depends on their plan's deductible, coinsurance and network status.
Fort Sanders Regional Medical Center has 517 beds. Facility type: Short Term Acute Care Hospital.
Fort Sanders Regional Medical Center is located at 1901 West Clinch Avenue, Knoxville, TN 37916. Its main phone number is (865) 541-1101.
Fort Sanders Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 440125.
The National Provider Identifier (NPI) on file for Fort Sanders Regional Medical Center is 1942294814.
Fort Sanders Regional Medical Center is affiliated with Covenant Health.
Fort Sanders Regional Medical Center lists 30 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.
318 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