Digestive procedures
Upper GI endoscopy with biopsy
CPT 43239
$2,367 - $4,420
from 2 insurers · median $3,394
Aetna$4,420
Insurer A*$2,367
Medicare $927
Typical for a hospital with this service line
Critical Access HospitalVoluntary Non-Profit - Private
Macon County General Hospital
Lafayette, TN
204 Medical Drive, Lafayette, TN 37083(615) 666-2147
31
In-network payers
206
Disclosed rate categories
25
Beds
3
Care quality
About this hospital
Macon County General Hospital is a 25-bed voluntary non-profit - private hospital in Lafayette, TN. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 206 disclosed rate categories.
CCN (Medicare provider number)
441305
NPI
1417938846
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Care Quality
3
Insurance Accepted
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.
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health
Prices for common services
The 24 services Macon County General 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.
Digestive procedures
Colonoscopy with polyp removal
CPT 45385
$2,311 - $3,315
from 2 insurers · median $2,813
Aetna$3,315
Insurer A*$2,311
Medicare $1,223Nearby hospitals $1,57678% above nearby hospitals
Typical for a hospital with this service line
CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$368 - $1,241
from 4 insurers · median $425
Blue Cross$435
Insurer A*$368
Insurer B*$414
Insurer C*$1,241
Medicare $356Nearby hospitals $3,82789% below nearby hospitals
Typical for a hospital with this service line
Cardiology and vascular testing
Complete echocardiogram with Doppler and color flow
CPT 93306
$636 - $1,347
from 4 insurers · median $1,044
UnitedHealthcare$636
Insurer A*$893
Insurer B*$1,195
Insurer C*$1,347
Medicare $558
Typical for a hospital with this service line
Digestive procedures
Colonoscopy with biopsy
CPT 45380
$1,898 - $3,039
from 2 insurers · median $2,468
Aetna$3,039
Insurer A*$1,898
Medicare $1,223Nearby hospitals $1,54460% above nearby hospitals
Typical for a hospital with this service line
Mammography
Screening mammography, bilateral
CPT 77067
$83 - $357
from 4 insurers · median $229
Aetna$357
Insurer A*$83
Insurer B*$179
Insurer C*$279
Medicare $92
Typical for a hospital with this service line
Medicine & Surgery
Laparoscopic cholecystectomy
CPT 47562
$5,475 - $9,095
from 2 insurers · median $7,285
Blue Cross$5,475
Insurer A*$9,095
Medicare $6,176Nearby hospitals $6,11119% above nearby hospitals
Typical for a hospital with this service line
Medicine & Surgery
Cataract removal with lens insertion
CPT 66984
$3,019 - $6,120
from 2 insurers · median $4,570
Blue Cross$3,019
Insurer A*$6,120
Medicare $2,358Nearby hospitals $4,2109% above nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Diagnostic colonoscopy
CPT 45378
$455 - $2,311
from 3 insurers · median $1,466
Aetna$1,466
Insurer A*$455
Insurer B*$2,311
Medicare $950Nearby hospitals $1,544In line with nearby hospitals
Typical for a hospital with this service line
X-ray and bone density
Chest X-ray, two views
CPT 71046
$37 - $222
from 4 insurers · median $119
UnitedHealthcare$77
Insurer A*$37
Insurer B*$162
Insurer C*$222
Medicare $89Nearby hospitals $33564% below nearby hospitals
Typical for a hospital with this service line
CT imaging
CT head or brain without contrast
CPT 70450
$123 - $362
from 4 insurers · median $151
Blue Cross$152
Insurer A*$123
Insurer B*$149
Insurer C*$362
Medicare $107Nearby hospitals $1,02085% below nearby hospitals
Typical for a hospital with this service line
CT imaging
CT angiography of chest blood vessels
CPT 71275
$207 - $613
from 4 insurers · median $443
Blue Cross$518
Insurer A*$207
Insurer B*$368
Insurer C*$613
Medicare $179Nearby hospitals $1,64473% below nearby hospitals
Typical for a hospital with this service line
Nuclear imaging
Nuclear imaging of blood flow to the heart, multiple studies
CPT 78452
$753 - $4,439
from 4 insurers · median $1,136
Aetna$4,439
Insurer A*$753
Insurer B*$758
Insurer C*$1,514
Medicare $1,323
Hospital reports nuclear medicine services to CMS
CT imaging
CT of the abdomen and pelvis, without contrast
CPT 74176
$229 - $794
from 4 insurers · median $261
Blue Cross$241
Insurer A*$229
Insurer B*$280
Insurer C*$794
Medicare $244
Typical for a hospital with this service line
MRI imaging
MRI brain before and after contrast
CPT 70553
$471 - $1,562
from 4 insurers · median $519
Cigna$471
Insurer A*$518
Insurer B*$520
Insurer C*$1,562
Medicare $356
Typical for a hospital with this service line
Lung function and sleep
Attended overnight sleep study
CPT 95810
$1,180 - $3,459
from 4 insurers · median $2,358
Cigna$2,499
Insurer A*$1,180
Insurer B*$2,218
Insurer C*$3,459
Medicare $877
Typical for a hospital with this service line
MRI imaging
MRI of the abdomen, before and after contrast
CPT 74183
$522 - $1,518
from 4 insurers · median $911
Cigna$522
Insurer A*$760
Insurer B*$1,062
Insurer C*$1,518
Medicare $356
Typical for a hospital with this service line
Lung function and sleep
Overnight sleep study with positive-airway-pressure titration
CPT 95811
$2,320 - $3,459
from 4 insurers · median $2,460
Cigna$2,499
Insurer A*$2,320
Insurer B*$2,421
Insurer C*$3,459
Medicare $877
Typical for a hospital with this service line
Cardiology and vascular testing
Complete ultrasound of veins in both arms or both legs
CPT 93970
$280 - $822
from 4 insurers · median $560
UnitedHealthcare$280
Insurer A*$527
Insurer B*$594
Insurer C*$822
Medicare $244
Typical for a hospital with this service line
MRI imaging
MRI of the pelvis, before and after contrast
CPT 72197
$519 - $1,518
from 4 insurers · median $910
Cigna$519
Insurer A*$757
Insurer B*$1,062
Insurer C*$1,518
Medicare $356
Typical for a hospital with this service line
Mammography
Diagnostic mammography, bilateral
CPT 77066
$204 - $482
from 4 insurers · median $328
Aetna$482
Insurer A*$204
Insurer B*$226
Insurer C*$431
Medicare $112
Typical for a hospital with this service line
Gynecology
Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g
CPT 58571
$5,520
negotiated rate
Blue Cross$5,520
Medicare $10,860Nearby hospitals $3,43161% above nearby hospitals
Typical for a hospital with this service line
Ultrasound
Limited ultrasound of the abdomen
CPT 76705
$123 - $273
from 4 insurers · median $139
Cigna$129
Insurer A*$123
Insurer B*$149
Insurer C*$273
Medicare $107Nearby hospitals $98386% below nearby hospitals
Typical for a hospital with this service line
Skin and soft tissue
Needle biopsy with ultrasound guidance, first lesion
CPT 10005
$1,675 - $2,279
from 4 insurers · median $1,927
UnitedHealthcare$1,675
Insurer A*$1,728
Insurer B*$2,125
Insurer C*$2,279
Medicare $723
Typical for a hospital with this service line
How the insurers pay at Macon County General Hospital
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 | 337% | 0 | 5 |
| Insurer B* | 24 | 191% | 4 | 2 |
| Insurer C* | 18 | 164% | 0 | 0 |
| Insurer D* | 17 | 116% | 0 | 0 |
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 Macon County General Hospital.
Location
204 Medical Drive, Lafayette, TN 37083
(615) 666-2147
Comparable hospitals nearby
The nearest hospitals of similar type and size. Their rates are compared with Macon County General Hospital for the same insurers and services above.
Trousdale Medical Center
Hartsville, TN · 12 mi · 25 bedsView rates
â–² Rates typically 281% higher than Macon County General Hospital (22 services)
Riverview Regional Medical Center
Carthage, TN · 18 mi · 25 bedsView rates
â–² Rates typically 221% higher than Macon County General Hospital (24 services)
The Medical Center At Scottsville
Scottsville, KY · 20 mi · 25 bedsView rates
Too few shared services to compare rates
The Medical Center At Franklin
Franklin, KY · 33 mi · 25 bedsView rates
Too few shared services to compare rates
Cumberland County Hospital
Burkesville, KY · 41 mi · 25 bedsView rates
â–² Rates typically 83% higher than Macon County General Hospital (5 services)
The Medical Center At Caverna
Horse Cave, KY · 45 mi · 25 bedsView rates
Too few shared services to compare rates
Houston County Community Hospital
Erin, TNView rates
Hancock County Hospital
Sneedville, TNView rates
Tristar Ashland City Medical Center
Ashland City, TNView rates
Johnson County Community Hospital
Mountain City, TNView rates
Frequently asked questions
About Macon County General Hospital's rates and hospital price transparency.
How much does an MRI cost at Macon County General Hospital?
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Macon County General Hospital range from $471 to $1,562 across 4 insurers. Cigna's rate is $471. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a CT scan cost at Macon County General Hospital?
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Macon County General Hospital range from $368 to $1,241 across 4 insurers. Blue Cross Blue Shield's rate is $435. The median at nearby comparable hospitals is $3,827. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a colonoscopy cost at Macon County General Hospital?
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Macon County General Hospital range from $2,311 to $3,315 across 2 insurers. Aetna's rate is $3,315. The median at nearby comparable hospitals is $1,576. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a mammogram cost at Macon County General Hospital?
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Macon County General Hospital range from $83 to $357 across 4 insurers. Aetna's rate is $357. What a patient pays depends on their plan's deductible, coinsurance and network status.
How many beds does Macon County General Hospital have?
Macon County General Hospital has 25 beds. Facility type: Critical Access Hospital.
Where is Macon County General Hospital and what is its phone number?
Macon County General Hospital is located at 204 Medical Drive, Lafayette, TN 37083. Its main phone number is (615) 666-2147.
What is Macon County General Hospital's CCN (Medicare provider number)?
Macon County General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 441305.
What is Macon County General Hospital's NPI number?
The National Provider Identifier (NPI) on file for Macon County General Hospital is 1417938846.
Which insurance plans are in network at Macon County General Hospital?
Macon County General Hospital lists 31 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.
What price transparency data is available for Macon County General Hospital?
206 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.
What is a hospital price transparency MRF?
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.
What is a chargemaster review?
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.
For hospital finance and compliance teams
Running price transparency at a hospital like this one?
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.
Publish a CMS-compliant machine-readable file
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
CMS v3 example: standard_charge_information[0]
{
"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
}
]
}]
}- CMS template layout, in JSON or CSV
- Gross, discounted cash, payer-specific and de-identified min / max charges
- cms-hpt.txt file and homepage footer link
- Refreshed when your contracts change
Get your chargemaster right for billing and payer contracts
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
CodingPricingPayer contractsCompliance
- CPT, HCPCS, revenue code and modifier errors flagged line by line
- Missing, duplicate and outdated charge lines identified
- Charges set below payer allowables caught before lesser-of clauses cut payment
- Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
- Your negotiated rates benchmarked against peer hospitals for the same payers