LifePoint Health · Winchester, TN
34
In-network payers
187
Disclosed rate categories
152
Beds
3
Care quality
Southern Tennessee Medical Center is a 152-bed proprietary hospital in Winchester, TN, affiliated with LifePoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 187 disclosed rate categories.
CCN (Medicare provider number)
440058
NPI
1467408781
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
152
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 Southern Tennessee 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
$3,056 - $6,590
from 4 insurers · median $6,135
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
$4,814 - $10,799
from 4 insurers · median $8,726
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
CT imaging
CPT 74177
$6,360
negotiated rate
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$3,234 - $25,824
from 3 insurers · median $16,475
20 Medicare discharges for this DRG in CMS hospital data
Nuclear imaging
CPT 78452
$6,585 - $12,062
from 4 insurers · median $8,865
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,245 - $4,318
from 4 insurers · median $2,766
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$4,926 - $6,406
from 2 insurers · median $5,666
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$1,092 - $1,819
from 3 insurers · median $1,120
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$2,930 - $3,438
from 2 insurers · median $3,184
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$3,056 - $6,590
from 4 insurers · median $6,135
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
X-ray and bone density
CPT 71046
$516 - $944
from 4 insurers · median $742
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$2,947 - $43,838
from 4 insurers · median $14,083
20 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71260
$1,715 - $2,922
from 2 insurers · median $2,319
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$292 - $535
from 4 insurers · median $423
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$2,483 - $4,483
from 3 insurers · median $3,985
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$2,483 - $4,435
from 3 insurers · median $3,601
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$4,353 - $43,838
from 4 insurers · median $15,882
20 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Urology
CPT 50590
$4,353 - $25,915
from 4 insurers · median $13,850
30 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$1,800 - $8,859
from 4 insurers · median $3,767
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,775 - $7,045
from 4 insurers · median $2,509
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$2,483 - $4,803
from 3 insurers · median $4,067
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$20,851 - $25,898
from 2 insurers · median $23,375
Hospital reports neurosurgical services to CMS
Medicine & Surgery
CPT 47562
$4,353 - $43,838
from 4 insurers · median $5,152
20 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$3,465 - $30,984
from 4 insurers · median $16,985
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* | 20 | 725% | 15 | 2 |
| Insurer B* | 21 | 614% | 17 | 1 |
| Insurer C* | 23 | 498% | 14 | 6 |
| Insurer D* | 16 | 147% | 4 | 8 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 5 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 Southern Tennessee Medical Center.
185 Hospital Road, Winchester, TN 37398
(931) 967-8295
The nearest hospitals of similar type and size. Their rates are compared with Southern Tennessee Medical Center for the same insurers and services above.
Vanderbilt Tullahoma-Harton Hospital
▼ Rates typically 43% lower than Southern Tennessee Medical Center (21 services)
Highlands Medical Center
▼ Rates typically 75% lower than Southern Tennessee Medical Center (21 services)
Ascension Saint Thomas River Park
▼ Rates typically 80% lower than Southern Tennessee Medical Center (21 services)
Crestwood Medical Center
▼ Rates typically 83% lower than Southern Tennessee Medical Center (20 services)
Parkridge Medical Center
▼ Rates typically 65% lower than Southern Tennessee Medical Center (21 services)
Chi Memorial Hospital - Georgia
▼ Rates typically 42% lower than Southern Tennessee Medical Center (21 services)
Crockett Hospital
Athens Regional Medical Center
Sumner Regional Medical Center
So Tenn Reg Med Ctr Of Pulaski
About Southern Tennessee Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Southern Tennessee Medical Center range from $4,926 to $6,406 across 2 insurers. Aetna's rate is $6,406. The median at nearby comparable hospitals is $508. 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 Southern Tennessee Medical Center range from $6,360 to $6,360 across 1 insurers. The median at nearby comparable hospitals is $611. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Southern Tennessee Medical Center range from $1,800 to $8,859 across 4 insurers. Blue Cross Blue Shield's rate is $1,800. The median at nearby comparable hospitals is $2,121. 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 Southern Tennessee Medical Center range from $3,056 to $6,590 across 4 insurers. Cigna's rate is $5,758. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Southern Tennessee Medical Center range from $292 to $535 across 4 insurers. UnitedHealthcare's rate is $292. The median at nearby comparable hospitals is $153. 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 Southern Tennessee Medical Center range from $3,234 to $25,824 across 3 insurers. Blue Cross Blue Shield's rate is $25,824. The median at nearby comparable hospitals is $28,604. What a patient pays depends on their plan's deductible, coinsurance and network status.
Southern Tennessee Medical Center has 152 beds. Facility type: Short Term Acute Care Hospital.
Southern Tennessee Medical Center is located at 185 Hospital Road, Winchester, TN 37398. Its main phone number is (931) 967-8295.
Southern Tennessee Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 440058.
The National Provider Identifier (NPI) on file for Southern Tennessee Medical Center is 1467408781.
Southern Tennessee Medical Center is affiliated with LifePoint Health.
Southern Tennessee Medical Center lists 34 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.
187 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.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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