CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$89 - $807
from 4 insurers · median $363
Typical for a hospital with this service line
Brownsville, TN
9
Beds
325
Inpatient discharges a year
$7.8M
Net patient revenue a year
13
In-network payers
Haywood County Community Hospital Inc is a 9-bed hospital in Brownsville, TN. Below you'll find publicly disclosed negotiated rates and facility details, including 13 in-network payers and 166 disclosed rate categories.
The 24 services Haywood County Community Hospital Inc 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, or start a free trial.
CT imaging
CPT 74177
$89 - $807
from 4 insurers · median $363
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$984 - $2,358
from 2 insurers · median $1,671
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,146 - $2,358
from 2 insurers · median $1,752
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$984 - $2,358
from 2 insurers · median $1,671
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$5,601 - $9,163
from 2 insurers · median $7,382
Typical for a hospital with this service line
Mammography
CPT 77067
$80 - $181
from 3 insurers · median $122
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$4,245 - $9,163
from 2 insurers · median $6,704
Typical for a hospital with this service line
CT imaging
CPT 70450
$67 - $239
from 4 insurers · median $135
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,981 - $2,749
from 2 insurers · median $2,365
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$35 - $94
from 3 insurers · median $78
Typical for a hospital with this service line
Gynecology
CPT 58571
$9,163
negotiated rate
Typical for a hospital with this service line
CT imaging
CPT 74176
$85 - $505
from 4 insurers · median $202
Typical for a hospital with this service line
Gynecology
CPT 58661
$9,163
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$42 - $241
from 2 insurers · median $142
Typical for a hospital with this service line
CT imaging
CPT 71275
$89 - $155
from 3 insurers · median $146
Typical for a hospital with this service line
Gynecology
CPT 58662
$9,163
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$16,367
negotiated rate
Typical for a hospital with this service line
Urology
CPT 50590
$9,163
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76536
$113 - $532
from 4 insurers · median $203
Typical for a hospital with this service line
X-ray and bone density
CPT 73562
$24 - $287
from 2 insurers · median $155
Typical for a hospital with this service line
X-ray and bone density
CPT 73130
$44 - $241
from 2 insurers · median $143
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$97 - $230
from 4 insurers · median $151
Typical for a hospital with this service line
Ultrasound
CPT 76705
$59 - $97
from 3 insurers · median $89
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$81 - $784
from 2 insurers · median $433
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* | 8 | 249% | 7 | 1 |
| Insurer B* | 21 | 148% | 10 | 11 |
| Insurer C* | 9 | 106% | 0 | 9 |
| Insurer D* | 19 | 83% | 3 | 15 |
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 Haywood County Community Hospital Inc, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.



Quality
No Medicare readmissions penalty
See quality ratingsDoctors and services
Accredited by DNV
Finances
$7.8M net patient revenue
Ownership and leadership
Owned by Braden Health Inc
The employer identification numbers (EINs) health plans and networks list for Haywood County Community Hospital Inc in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 85-3679546Haywood County Community Hospital INC | 29Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter, AmeriBen and 24 more | 1720672934 Haywood County Community Hospital Inc1790444933 Haywood County Community Hospital Inc |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
2545 N WASHINGTON AVE, Brownsville, TN 380121688
7319683646
How Medicare adjusts Haywood County Community Hospital Inc's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
0.00% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
DNV (since 2023)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
9
Medicare-certified beds
2023
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Haywood County Community Hospital Inc reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
325
Inpatient discharges
Medicare 66%, Medicaid n/a
1,584
Inpatient days
48% of available bed days used
74
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 841118). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Haywood County Community Hospital Inc reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 347 | 0 | 1,237 | 1,584 |
| Discharges | 216 | 0 | 109 | 325 |
| Average length of stay | 1.6 days | 11.3 days | 4.9 days | |
| Average daily census | 1.0 | 0.0 | 3.4 | 4.3 |
216
Medicare Advantage days
48
Medicaid managed care days
14 discharges
189
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 9 | 1,054 | 347 | 32% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841118, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Haywood County Community Hospital Inc treats Medicare patients for most often, in 2024. 71 Medicare discharges in 3 published DRGs; 0% surgical; 100% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other infectious and parasitic diseases diagnoses with MCCMS-DRG 867, medical | 35 | $23,220 | $10,032 | $6,409 | 2.09 |
| Nontraumatic stupor and coma with MCCMS-DRG 080, medical | 20 | $24,722 | $10,678 | $6,823 | 2.21 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 16 | $21,773 | $11,085 | $6,009 | 2.09 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
ZIP codes with the most Medicare inpatient stays at Haywood County Community Hospital Inc in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 57 in 2023 to 147 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share |
|---|---|---|---|---|---|
| 38012 | 131 | 89% | 395 | $3.2M | 18% |
| 38069 | 16 | 11% | 49 | $401,282 | 13% |
Source: CMS Hospital Service Area file. Shares are of the 147 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
19 clinicians who bill Medicare list Haywood County Community Hospital Inc as a hospital affiliation. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
L Johnson, MD
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1053410662
See commercial rates for L Johnson, MDTaran Coleman, FNP-C
Nurse Practitioner
NPI 1326632001
See commercial rates for Taran Coleman, FNP-CReggie Henderson, M.D.
Family Medicine Physician
NPI 1528058765
See commercial rates for Reggie Henderson, M.D.Robert Callery, MSN, FNP-C
Family Nurse Practitioner
NPI 1780073213
See commercial rates for Robert Callery, MSN, FNP-CRavinder Machra, MD
Internal Medicine Physician
NPI 1457352577
See commercial rates for Ravinder Machra, MDGregory Mitchell, MD
Family Medicine Physician
NPI 1871596973
See commercial rates for Gregory Mitchell, MDEmmanuel Obi, MD
Internal Medicine Physician
NPI 1518960640
See commercial rates for Emmanuel Obi, MDLeona Washington, RN
Family Nurse Practitioner
NPI 1336738665
See commercial rates for Leona Washington, RNLoren Carroll, MD
Family Medicine Physician
NPI 1104168178
See commercial rates for Loren Carroll, MDKaushal Patel, M.D.
Emergency Medicine Physician
NPI 1174637318
See commercial rates for Kaushal Patel, M.D.Jason Goolsby, DO
Family Medicine Physician
NPI 1801925938
See commercial rates for Jason Goolsby, DOAdam English, D.O.
Family Medicine Physician
NPI 1689628406
See commercial rates for Adam English, D.O.Eric Telfer, M.D.
Emergency Medicine Physician
NPI 1730156423
See commercial rates for Eric Telfer, M.D.Moses Swauncy, MD
Family Medicine Physician
NPI 1568415164
See commercial rates for Moses Swauncy, MDAnthony Ramirez, M.D.
Emergency Medicine Physician
NPI 1912056300
See commercial rates for Anthony Ramirez, M.D.Lauren Hopper, FNP-BC
Family Nurse Practitioner
NPI 1619639481
See commercial rates for Lauren Hopper, FNP-BCRobert Winston, M.D.
Internal Medicine Physician
NPI 1104890201
See commercial rates for Robert Winston, M.D.Rita Mccoy, MSN, APRN, FNP-C
Family Nurse Practitioner
NPI 1689305542
See commercial rates for Rita Mccoy, MSN, APRN, FNP-CStephanie Young, MSN, APRN, NP-C
Family Nurse Practitioner
NPI 1871864330
See commercial rates for Stephanie Young, MSN, APRN, NP-CSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Haywood County Community Hospital Inc reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $41M | 523.1% |
| Inpatient | $11.5M | 147.1% |
| Outpatient | $29.5M | 376.0% |
| Contractual allowances and discounts | -$33.2M | -423.1% |
| Net patient revenue | $7.8M | 100.0% |
| Operating expenses | -$11.4M | -145.1% |
| Operating income from patient care | -$3.5M | -45.1% |
| Other income | $588,820 | 7.5% |
| Other expenses | -$19,792 | -0.3% |
| Net income | -$3M | -37.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $4.4M | 11.2% |
| Medicaid (including managed care) | $7.4M | 19.0% |
| Other payers and self-pay | $27.2M | 69.8% |
| Total charges | $39M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841118, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Haywood County Community Hospital Inc's latest cost report.
-45.1%
Operating margin
Operating income from patient care / net patient revenue
-35.2%
Total margin
Net income / net patient revenue plus other income
-26.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
52% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$33.47
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-38.9%
Return on assets
Net income for a year / total assets
0.09
Current ratio
Current assets / current liabilities
0.09
Quick ratio
Cash, temporary investments and net receivables / current liabilities
1 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
68 days
Days in patient receivables
Net patient receivables / daily net patient revenue
591 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.11
Asset turnover
Total revenue for a year / total assets
2.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 841118, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
What Haywood County Community Hospital Inc owned and owed at the end of its reporting period (Dec 2025), across all fund types: $7.6M in total assets and a -$9.9M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $27,840 | 0.4% |
| Patient receivables, net | $1.5M | 19.2% |
| Inventory | $37,255 | 0.5% |
| Total current assets | $1.5M | 20.1% |
| Property and equipment, net of depreciation | $6.1M | 79.9% |
| Total assets | $7.6M | 100.0% |
| Current liabilities | $17.2M | 226.2% |
| Total liabilities | $17.5M | 229.5% |
| Fund balance (net assets) | -$9.9M | -129.5% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841118, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Care Haywood County Community Hospital Inc provided without full payment, as reported on Worksheet S-10 of its cost report.
$631,591
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$2.1M
Bad debt
Patient bills written off as uncollectible, at charges
$1.4M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$2.6M
Total unreimbursed and uncompensated care
23.3% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 841118, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Haywood County Community Hospital Inc's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|
| Net patient revenue | $3.8M | $5.5M | $7.8M |
| Operating expenses | $8.1M | $9.9M | $11.4M |
| Operating margin | -114.6% | -79.9% | -45.1% |
| Net income | -$1.3M | -$3.8M | -$3M |
| Total assets | $9.2M | $7.6M | $7.6M |
| Discharges | 179 | 301 | 325 |
| Inpatient days | 778 | 1,862 | 1,584 |
| Medicare Advantage days | 216 | ||
| Beds | 9 | 9 | 9 |
| Employees (FTE) | 51 | 70 | 74 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841118, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Haywood County Community Hospital Inc reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $682,223 | $2.1M | $18.1M | 0.11 | 3,428 |
| Radiology-diagnostic | $480,000 | $1.6M | $2.9M | 0.56 | 3,009 |
| Laboratory | $502,276 | $1.5M | $1.7M | 0.87 | 828 |
| Drugs charged to patients | $898,892 | $8.1M | 0.11 | ||
| Observation beds (non-distinct part | $648,028 | $529,354 | 1.22 | ||
| Respiratory therapy | $248,544 | $483,419 | $342,853 | 1.41 | |
| Medical supplies charged to patient | $383,855 | $451,696 | 0.85 | ||
| Physical therapy | $95,862 | $48,595 | $59,637 | 0.81 | 300 |
| Whole blood & packed red blood cell | $46,769 | $104,683 | 0.45 | ||
| Intravenous therapy | $17,764 | $634,061 | 0.03 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $927,944 | $4.3M | $6.1M | 0.70 | 31,153 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $731,183 | $3M | 20,104 | $23.13 | 4,901 |
| Employee benefits department | $1.2M | ||||
| Cap rel costs-bldg & fixt | $587,270 | 52,619 | |||
| Dietary | $326,159 | $457,688 | 19,565 | $16.67 | 3,080 |
| Operation of plant | $86,098 | $457,548 | 1,070 | $80.47 | 349 |
| Housekeeping | $285,224 | $327,756 | 16,808 | $16.97 | |
| Pharmacy | $410,490 | $287,996 | 2,802 | $85.44 | 670 |
| Nursing administration | $156,100 | 2,080 | $75.05 | ||
| Cap rel costs-mvble equip | $138,988 | ||||
| Medical records & library | $28,755 | $127,496 | 1,930 | $14.90 | |
| Social service | $70,148 | $70,148 | 1,632 | $42.98 | |
| Laundry & linen service | $62,807 | ||||
| Central services & supply | $32,266 | $30,403 | 2,066 | $15.62 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841118, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Haywood County Community Hospital Inc for an inpatient stay.
1.96
Case mix index
Higher than 75% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
10.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
122
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|
| Case mix index | 2.11 | 1.92 | 1.96 |
| Wage index | 0.809 | 0.813 | 0.817 |
| Readmissions adjustment | 0.00% | 0.00% | 0.00% |
| Value-based purchasing adjustment | 0.00% | 0.00% | 0.00% |
| Medicare inpatient stays | 37 | 102 | 122 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Haywood County Community Hospital Inc reports to Medicare as owners or with operational control. 2 individuals also hold ownership interests; they are not listed here.
Braden Health Inc
5% or greater direct ownership interest, 100%, since 2021
Sources: CMS Hospital All Owners.
The officers and board members on Haywood County Community Hospital Inc's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 3 of 4 are shown.
Haywood county community hospital
CCN 44U238, certified 2023, Medicare prospective payment
Source: Worksheet S-2 Part I of Haywood County Community Hospital Inc's latest Medicare cost report (HCRIS).
About Haywood County Community Hospital Inc's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Haywood County Community Hospital Inc range from $89 to $807 across 4 insurers. Blue Cross Blue Shield's rate is $286. The median at nearby comparable hospitals is $409. 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 Haywood County Community Hospital Inc range from $1,146 to $2,358 across 2 insurers. UnitedHealthcare's rate is $2,358. The median at nearby comparable hospitals is $2,047. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Haywood County Community Hospital Inc range from $80 to $181 across 3 insurers. Cigna's rate is $80. The median at nearby comparable hospitals is $164. What a patient pays depends on their plan's deductible, coinsurance and network status.
CMS reports no Medicare-funded interns or residents at Haywood County Community Hospital Inc for fiscal year 2027.
No. Haywood County Community Hospital Inc has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were other infectious and parasitic diseases diagnoses with mcc (35 discharges), nontraumatic stupor and coma with mcc (20 discharges), other circulatory system diagnoses with mcc (16 discharges).
Haywood County Community Hospital Inc's Medicare case mix index is 1.96 for fiscal year 2027, higher than 75% of hospitals paid under the inpatient prospective payment system.
Haywood County Community Hospital Inc reported 325 inpatient discharges and 1,584 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Haywood County Community Hospital Inc reported 74 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Haywood County Community Hospital Inc reported $7.8M in net patient revenue on $41M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -45.1%, and net income of -$3M.
Haywood County Community Hospital Inc reported $2.6M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $631,591 of charity care at cost.
Insurers' price transparency files list Haywood County Community Hospital Inc under employer identification number 85-3679546 (Haywood County Community Hospital INC). 29 health plans and networks list 85-3679546 for it.
19 clinicians who bill Medicare list Haywood County Community Hospital Inc as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (6), family nurse practitioner (5), emergency medicine physician (3).
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Haywood County Community Hospital Inc, effective 2023.
In its Medicare enrollment, Haywood County Community Hospital Inc reports Braden Health Inc as 5% or greater direct ownership interest (100%).
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Haywood County Community Hospital Inc came from ZIP codes 38012 (131), 38069 (16).
Haywood County Community Hospital Inc has 9 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report.
Haywood County Community Hospital Inc is located at 2545 N WASHINGTON AVE, Brownsville, TN 380121688. Its main phone number is 7319683646.
Haywood County Community Hospital Inc's CMS Certification Number (CCN), also called its Medicare provider number, is 440238.
The National Provider Identifier (NPI) on file for Haywood County Community Hospital Inc is 1720672934.
Haywood County Community Hospital Inc lists 13 in-network payers, including Avera Health Plans, Cigna, Harvard Pilgrim Health Care (Point32Health), Johns Hopkins Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
166 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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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