Tennova Healthcare · La Follette, TN
33
In-network payers
303
Disclosed rate categories
66
Beds
3
Care quality
Lafollette Medical Center is a 66-bed voluntary non-profit - church hospital in La Follette, TN, affiliated with Tennova Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 303 disclosed rate categories.
CCN (Medicare provider number)
440033
NPI
1639151301
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Church
Beds
66
Care Quality
3
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 Lafollette 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.
Medicine & Surgery · Inpatient
MS-DRG 743
$8,953 - $9,992
from 3 insurers · median $9,670
Hospital reports inpatient surgical services to CMS
Digestive procedures
CPT 45385
$1,451 - $4,140
from 4 insurers · median $2,119
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$236 - $469
from 4 insurers · median $363
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$418 - $3,292
from 4 insurers · median $1,668
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$458 - $4,140
from 4 insurers · median $1,874
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,260 - $21,980
from 4 insurers · median $9,508
Typical for a hospital with this service line
Mammography
CPT 77067
$90 - $287
from 4 insurers · median $130
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$2,000 - $20,486
from 4 insurers · median $6,818
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$238 - $719
from 4 insurers · median $450
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$378 - $3,201
from 4 insurers · median $1,649
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$497 - $8,312
from 4 insurers · median $1,088
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$3,179 - $4,815
from 4 insurers · median $3,293
Typical for a hospital with this service line
CT imaging
CPT 70450
$117 - $242
from 4 insurers · median $147
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$393 - $3,156
from 4 insurers · median $628
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$2,923 - $12,317
from 4 insurers · median $7,751
Typical for a hospital with this service line
CT imaging
CPT 74176
$179 - $317
from 4 insurers · median $243
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$196 - $336
from 4 insurers · median $271
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$2,344 - $20,772
from 4 insurers · median $4,731
Typical for a hospital with this service line
Gynecology
CPT 58662
$3,179 - $12,317
from 4 insurers · median $6,818
Typical for a hospital with this service line
Urology
CPT 50590
$5,629 - $12,110
from 4 insurers · median $7,443
Typical for a hospital with this service line
Gynecology
CPT 58558
$2,793 - $6,712
from 4 insurers · median $3,439
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$3,435 - $21,980
from 4 insurers · median $11,359
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$27 - $116
from 4 insurers · median $58
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29888
$6,020 - $25,084
from 3 insurers · median $7,616
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 | 202% | 17 | 4 |
| Insurer B* | 24 | 110% | 10 | 10 |
| Insurer C* | 24 | 108% | 8 | 15 |
| Insurer D* | 23 | 68% | 11 | 8 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 11 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 Lafollette Medical Center.
923 East Central Avenue, La Follette, TN 37766
(423) 907-1200
The nearest hospitals of similar type and size. Their rates are compared with Lafollette Medical Center for the same insurers and services above.
Middlesboro Arh Hospital
▼ Rates typically 14% lower than Lafollette Medical Center (21 services)
Claiborne Medical Center
Rates about the same as Lafollette Medical Center (24 services)
Roane Medical Center
Rates about the same as Lafollette Medical Center (24 services)
Fort Loudoun Medical Center
Rates about the same as Lafollette Medical Center (24 services)
Leconte Medical Center
▼ Rates typically 6% lower than Lafollette Medical Center (24 services)
Adventhealth Manchester
▲ Rates typically 188% higher than Lafollette Medical Center (23 services)
Tennova Healthcare - Cleveland
North Knoxville Medical Center
Tennova Healthcare Clarksville
Newport Medical Center
About Lafollette Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Lafollette Medical Center range from $393 to $3,156 across 4 insurers. UnitedHealthcare's rate is $393. The median at nearby comparable hospitals is $410. 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 Lafollette Medical Center range from $236 to $469 across 4 insurers. Cigna's rate is $469. The median at nearby comparable hospitals is $350. 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 Lafollette Medical Center range from $1,451 to $4,140 across 4 insurers. Blue Cross Blue Shield's rate is $2,072. The median at nearby comparable hospitals is $2,309. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lafollette Medical Center range from $90 to $287 across 4 insurers. Aetna's rate is $121. The median at nearby comparable hospitals is $201. What a patient pays depends on their plan's deductible, coinsurance and network status.
Lafollette Medical Center has 66 beds. Facility type: Short Term Acute Care Hospital.
Lafollette Medical Center is located at 923 East Central Avenue, La Follette, TN 37766. Its main phone number is (423) 907-1200.
Lafollette Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 440033.
The National Provider Identifier (NPI) on file for Lafollette Medical Center is 1639151301.
Lafollette Medical Center is affiliated with Tennova Healthcare.
Lafollette Medical Center lists 33 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.
303 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