Ascension Health · Sparta, TN
33
In-network payers
397
Disclosed rate categories
60
Beds
Saint Thomas Highlands is a 60-bed proprietary hospital in Sparta, TN, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 397 disclosed rate categories.
CCN (Medicare provider number)
440192
NPI
1922487966
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
60
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 Saint Thomas Highlands 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
$7,314 - $11,756
from 4 insurers · median $9,547
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
$10,361 - $16,243
from 4 insurers · median $12,674
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
CPT 47562
$3,142 - $6,519
from 4 insurers · median $4,707
29 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$7,314 - $11,756
from 4 insurers · median $9,547
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
Digestive procedures
CPT 49650
$1,974 - $6,519
from 4 insurers · median $4,891
29 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 47563
$3,142 - $6,519
from 4 insurers · median $4,667
29 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$377 - $756
from 4 insurers · median $584
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$1,974 - $5,355
from 4 insurers · median $3,828
19 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45385
$1,239 - $4,768
from 4 insurers · median $2,649
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$10,300 - $21,795
from 4 insurers · median $16,827
Hospital reports inpatient surgical services to CMS
Digestive procedures
CPT 45380
$1,239 - $4,157
from 4 insurers · median $2,623
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$146 - $241
from 4 insurers · median $161
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$246 - $1,954
from 4 insurers · median $559
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$209 - $980
from 4 insurers · median $388
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29880
$1,974 - $4,447
from 4 insurers · median $3,669
19 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 70450
$136 - $260
from 4 insurers · median $161
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$2,916 - $4,908
from 4 insurers · median $3,090
Typical for a hospital with this service line
Gynecology
CPT 58571
$3,142 - $6,519
from 4 insurers · median $5,331
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$492 - $2,036
from 4 insurers · median $824
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$292 - $773
from 4 insurers · median $387
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$337 - $938
from 4 insurers · median $551
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$2,286 - $6,519
from 4 insurers · median $5,047
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,535 - $3,422
from 4 insurers · median $3,320
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$1,535 - $4,404
from 4 insurers · median $2,614
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* | 24 | 153% | 15 | 5 |
| Insurer B* | 24 | 124% | 5 | 13 |
| Insurer C* | 24 | 101% | 12 | 8 |
| Insurer D* | 24 | 99% | 2 | 11 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 9 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 Saint Thomas Highlands.
401 Sewell Road, Sparta, TN 38583
(931) 738-9211
The nearest hospitals of similar type and size. Their rates are compared with Saint Thomas Highlands for the same insurers and services above.
Livingston Regional Hospital
▼ Rates typically 10% lower than Saint Thomas Highlands (21 services)
Roane Medical Center
▲ Rates typically 7% higher than Saint Thomas Highlands (21 services)
Monroe County Medical Center
▲ Rates typically 146% higher than Saint Thomas Highlands (9 services)
Trustpoint Hospital
▼ Rates typically 27% lower than Saint Thomas Highlands (12 services)
The Medical Center Of Albany
▲ Rates typically 17% higher than Saint Thomas Highlands (12 services)
Athens Regional Medical Center
Rates about the same as Saint Thomas Highlands (20 services)
Saint Thomas Rutherford Hospital
Saint Thomas Stones River
Ascension Saint Thomas River Park
Saint Thomas West Hospital
About Saint Thomas Highlands's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Saint Thomas Highlands range from $337 to $938 across 4 insurers. Blue Cross Blue Shield's rate is $491. The median at nearby comparable hospitals is $1,659. 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 Saint Thomas Highlands range from $377 to $756 across 4 insurers. Cigna's rate is $756. The median at nearby comparable hospitals is $860. 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 Saint Thomas Highlands range from $1,239 to $4,768 across 4 insurers. Blue Cross Blue Shield's rate is $2,147. The median at nearby comparable hospitals is $2,820. 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 Saint Thomas Highlands range from $7,314 to $11,756 across 4 insurers. UnitedHealthcare's rate is $7,314. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Saint Thomas Highlands range from $146 to $241 across 4 insurers. Blue Cross Blue Shield's rate is $162. The median at nearby comparable hospitals is $137. What a patient pays depends on their plan's deductible, coinsurance and network status.
Saint Thomas Highlands has 60 beds. Facility type: Short Term Acute Care Hospital.
Saint Thomas Highlands is located at 401 Sewell Road, Sparta, TN 38583. Its main phone number is (931) 738-9211.
Saint Thomas Highlands's CMS Certification Number (CCN), also called its Medicare provider number, is 440192.
The National Provider Identifier (NPI) on file for Saint Thomas Highlands is 1922487966.
Saint Thomas Highlands is affiliated with Ascension Health.
Saint Thomas Highlands 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.
397 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