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Mckenzie Regional Hospital

Mckenzie, TN

161 Hospital Drive, Mckenzie, TN 382017313525344

10

In-network payers

About this hospital

Mckenzie Regional Hospital is a hospital in Mckenzie, TN. Below you'll find publicly disclosed negotiated rates and facility details, including 10 in-network payers and 18 disclosed rate categories.

CCN
440182
NPI
1407827157

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

HCPCS Coronavirus Diagnostic Panel

Range: U0001 - U0005

Negotiated

Average

Aetna

Facility

RC All-inclusive Rate

Range: 0100 - 0109

Percentage of Bill Charged

-

Aetna

Facility

RC Alternative Therapy Services

Range: 2100 - 2109

Percentage of Bill Charged

-

Aetna

Facility

RC Behavioral Health Accommodations

Range: 1000 - 1009

Percentage of Bill Charged

-

Aetna

Facility

RC Coronary Care Unit

Range: 0210 - 0219

Percentage of Bill Charged

-

Aetna

Facility

RC Intensive Care Unit

Range: 0200 - 0209

Percentage of Bill Charged

-

Aetna

Facility

RC Leave of Absence

Range: 0180 - 0189

Percentage of Bill Charged

-

Aetna

Facility

RC Nursery

Range: 0170 - 0179

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
Aspirus Health PlanBanner HealthEMI HealthHealth AllianceHealth Alliance HAPKaiser Permanente

More about this hospital

Location

161 Hospital Drive, Mckenzie, TN 38201

7313525344

Get directions

Frequently asked questions

About Mckenzie Regional Hospital's rates and hospital price transparency.

What services does Mckenzie Regional Hospital offer?

CMS lists 17 services at Mckenzie Regional Hospital, including Anesthesia, Clinical Laboratory, Dental Care, Diagnostic Radiology, Dietary Care, Emergency Department.

Where is Mckenzie Regional Hospital and what is its phone number?

Mckenzie Regional Hospital is located at 161 Hospital Drive, Mckenzie, TN 38201. Its main phone number is 7313525344.

What is Mckenzie Regional Hospital's CCN (Medicare provider number)?

Mckenzie Regional Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 440182.

What is Mckenzie Regional Hospital's NPI number?

The National Provider Identifier (NPI) on file for Mckenzie Regional Hospital is 1407827157.

Which insurance plans are in network at Mckenzie Regional Hospital?

Mckenzie Regional Hospital lists 10 in-network payers, including Aetna, Aspirus Health Plan, Banner Health, EMI Health, 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 Mckenzie Regional Hospital?

18 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.

Compliance MRF

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
Talk to us about your MRF
Chargemaster analysis

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
Talk to us about your chargemaster