Covenant Health · Oak Ridge, TN
30
In-network payers
332
Disclosed rate categories
301
Beds
3
Care quality
Methodist Medical Center is a 301-bed voluntary non-profit - private hospital in Oak Ridge, TN, affiliated with Covenant Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 332 disclosed rate categories.
CCN (Medicare provider number)
440034
NPI
1700870672
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
301
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 Methodist 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.
Childbirth · Inpatient
MS-DRG 807
$3,311 - $7,573
from 4 insurers · median $6,309
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 neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$4,813 - $8,918
from 4 insurers · median $7,374
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 neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 216
$116,900 - $129,141
from 2 insurers · median $123,021
Hospital reports cardiac thoracic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$3,311 - $7,573
from 4 insurers · median $6,309
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 neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$2,812 - $6,721
from 4 insurers · median $4,932
66 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$899 - $2,329
from 4 insurers · median $2,178
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,276 - $2,329
from 4 insurers · median $2,170
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$3,606 - $35,115
from 4 insurers · median $13,245
12 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 49650
$2,561 - $6,721
from 4 insurers · median $4,180
66 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$269 - $783
from 4 insurers · median $370
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$124 - $243
from 4 insurers · median $210
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,276 - $2,329
from 4 insurers · median $2,236
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$301 - $749
from 4 insurers · median $513
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$2,561 - $4,411
from 4 insurers · median $2,968
24 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
CT imaging
CPT 70450
$72 - $269
from 4 insurers · median $166
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$522 - $2,608
from 4 insurers · median $1,020
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$2,687 - $5,120
from 4 insurers · median $3,067
Typical for a hospital with this service line
CT imaging
CPT 74176
$232 - $478
from 4 insurers · median $304
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,392 - $6,757
from 4 insurers · median $5,575
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$2,873 - $6,721
from 4 insurers · median $4,766
61 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
MRI imaging
CPT 70553
$342 - $783
from 3 insurers · median $454
Common here, based on CMS Medicare volume
Urology
CPT 50590
$3,049 - $10,645
from 4 insurers · median $5,175
25 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$30 - $164
from 4 insurers · median $71
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$232 - $544
from 4 insurers · median $466
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* | 24 | 184% | 5 | 14 |
| Insurer B* | 23 | 127% | 4 | 13 |
| Insurer C* | 24 | 95% | 3 | 8 |
| Insurer D* | 22 | 85% | 1 | 15 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 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 Methodist Medical Center.
990 Oak Ridge Turnpike, Oak Ridge, TN 37830
(865) 835-1000
The nearest hospitals of similar type and size. Their rates are compared with Methodist Medical Center for the same insurers and services above.
North Knoxville Medical Center
▲ Rates typically 13% higher than Methodist Medical Center (21 services)
University Of Tennessee Medical Cent
Rates about the same as Methodist Medical Center (21 services)
Blount Memorial Hospital
▲ Rates typically 18% higher than Methodist Medical Center (20 services)
Baptist Health Corbin
▲ Rates typically 59% higher than Methodist Medical Center (21 services)
Tennova Healthcare - Cleveland
▲ Rates typically 53% higher than Methodist Medical Center (19 services)
Cookeville Regional Medical Center
▲ Rates typically 67% higher than Methodist Medical Center (21 services)
Roane Medical Center
Morristown-Hamblen Healthcare System
Fort Loudoun Medical Center
Cumberland Medical Center
About Methodist Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Methodist Medical Center range from $342 to $783 across 3 insurers. Blue Cross Blue Shield's rate is $342. The median at nearby comparable hospitals is $902. 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 Methodist Medical Center range from $269 to $783 across 4 insurers. UnitedHealthcare's rate is $783. The median at nearby comparable hospitals is $865. 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 Methodist Medical Center range from $1,276 to $2,329 across 4 insurers. Aetna's rate is $2,310. The median at nearby comparable hospitals is $2,213. 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 Methodist Medical Center range from $3,311 to $7,573 across 4 insurers. Cigna's rate is $3,311. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Methodist Medical Center range from $124 to $243 across 4 insurers. Aetna's rate is $124. The median at nearby comparable hospitals is $226. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Methodist Medical Center range from $3,606 to $35,115 across 4 insurers. Blue Cross Blue Shield's rate is $35,115. The median at nearby comparable hospitals is $19,385. What a patient pays depends on their plan's deductible, coinsurance and network status.
Methodist Medical Center has 301 beds. Facility type: Short Term Acute Care Hospital.
Methodist Medical Center is located at 990 Oak Ridge Turnpike, Oak Ridge, TN 37830. Its main phone number is (865) 835-1000.
Methodist Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 440034.
The National Provider Identifier (NPI) on file for Methodist Medical Center is 1700870672.
Methodist Medical Center is affiliated with Covenant Health.
Methodist Medical Center lists 30 in-network payers, including Aetna, Ambetter, Ameri Health, 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.
332 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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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.
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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