Lexington, TN
29
In-network payers
387
Disclosed rate categories
45
Beds
Henderson County Hospital is a 45-bed proprietary hospital in Lexington, TN. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 387 disclosed rate categories.
CCN (Medicare provider number)
440008
NPI
1255302923
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
45
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 Henderson County 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.
Childbirth · Inpatient
MS-DRG 807
$5,737 - $9,854
from 3 insurers · median $7,534
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
$9,091 - $14,013
from 3 insurers · median $10,885
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
CPT 66984
$2,709 - $3,067
from 3 insurers · median $2,967
105 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$5,737 - $9,854
from 3 insurers · median $7,534
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 · Inpatient
MS-DRG 743
$9,053 - $18,133
from 3 insurers · median $14,945
Hospital reports inpatient surgical services to CMS
Digestive procedures
CPT 43239
$1,261 - $2,324
from 3 insurers · median $1,707
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,586 - $2,324
from 3 insurers · median $2,259
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,586 - $2,324
from 3 insurers · median $1,762
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$89 - $441
from 4 insurers · median $307
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$9,030 - $14,000
from 3 insurers · median $10,179
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$7,132 - $9,030
from 3 insurers · median $7,238
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$791 - $2,324
from 3 insurers · median $1,875
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$80 - $181
from 4 insurers · median $123
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$954
negotiated rate
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$2,709 - $7,955
from 3 insurers · median $6,612
Typical for a hospital with this service line
CT imaging
CPT 70450
$67 - $328
from 4 insurers · median $135
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$5,661 - $9,030
from 3 insurers · median $7,132
Typical for a hospital with this service line
Gynecology
CPT 58558
$2,709 - $4,503
from 3 insurers · median $4,276
Typical for a hospital with this service line
Gynecology
CPT 58662
$7,132 - $9,030
from 3 insurers · median $7,643
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$12,201 - $16,129
from 3 insurers · median $14,000
Typical for a hospital with this service line
CT imaging
CPT 74176
$85 - $328
from 4 insurers · median $202
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29888
$6,804 - $9,607
from 3 insurers · median $9,030
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$6,804 - $9,607
from 3 insurers · median $9,030
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$32 - $94
from 4 insurers · median $57
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* | 5 | 135% | 0 | 4 |
| Insurer B* | 24 | 129% | 8 | 7 |
| Insurer C* | 23 | 122% | 11 | 8 |
| Insurer D* | 23 | 117% | 5 | 9 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 13 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 Henderson County Hospital.
200 West Church Street, Lexington, TN 38351
(731) 968-1801
The nearest hospitals of similar type and size. Their rates are compared with Henderson County Hospital for the same insurers and services above.
Baptist Memorial Hospital - Carrol County
â–¼ Rates typically 24% lower than Henderson County Hospital (21 services)
Milan General Hospital
Rates about the same as Henderson County Hospital (21 services)
Hardin Medical Center
â–¼ Rates typically 17% lower than Henderson County Hospital (21 services)
Bolivar Hospital
Rates about the same as Henderson County Hospital (21 services)
Wayne Medical Center
â–² Rates typically 36% higher than Henderson County Hospital (20 services)
North Mississippi Medical Center - Iuka
â–² Rates typically 94% higher than Henderson County Hospital (21 services)
Methodist North Hospital
Lincoln Medical Center
Regional Hospital Of Jackson
Athens Regional Medical Center
About Henderson County Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Henderson County Hospital range from $89 to $441 across 4 insurers. Aetna's rate is $328. The median at nearby comparable hospitals is $676. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Henderson County Hospital range from $1,586 to $2,324 across 3 insurers. Cigna's rate is $1,586. The median at nearby comparable hospitals is $2,065. 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 Henderson County Hospital range from $5,737 to $9,854 across 3 insurers. Blue Cross Blue Shield's rate is $7,534. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Henderson County Hospital range from $80 to $181 across 4 insurers. Aetna's rate is $124. The median at nearby comparable hospitals is $175. What a patient pays depends on their plan's deductible, coinsurance and network status.
Henderson County Hospital has 45 beds. Facility type: Short Term Acute Care Hospital.
Henderson County Hospital is located at 200 West Church Street, Lexington, TN 38351. Its main phone number is (731) 968-1801.
Henderson County Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 440008.
The National Provider Identifier (NPI) on file for Henderson County Hospital is 1255302923.
Henderson County Hospital lists 29 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, 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.
387 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