Sweetwater, TN
33
In-network payers
238
Disclosed rate categories
59
Beds
2
Care quality
Sweetwater Hospital Association is a 59-bed voluntary non-profit - private hospital in Sweetwater, TN. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 238 disclosed rate categories.
CCN (Medicare provider number)
440084
NPI
1366441370
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
59
Care Quality
2
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 Sweetwater Hospital Association 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.
Medicine & Surgery
CPT 47562
$3,006 - $5,998
from 3 insurers · median $5,171
22 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$2,298
negotiated rate
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
Digestive procedures
CPT 49650
$2,830 - $5,998
from 3 insurers · median $5,171
22 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 788
$2,834
negotiated rate
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
Digestive procedures
CPT 47563
$3,006 - $5,998
from 3 insurers · median $5,171
22 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$2,100 - $2,298
from 3 insurers · median $2,269
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,100 - $2,298
from 3 insurers · median $2,269
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$2,298
negotiated rate
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 66984
$2,730 - $3,447
from 3 insurers · median $3,006
Typical for a hospital with this service line
Gynecology
CPT 58571
$3,214 - $7,797
from 3 insurers · median $5,171
Typical for a hospital with this service line
Orthopedics and pain
CPT 64721
$2,269 - $3,447
from 3 insurers · median $2,730
11 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
CT imaging
CPT 74177
$281
negotiated rate
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$2,523 - $3,549
from 3 insurers · median $3,447
Typical for a hospital with this service line
Gynecology
CPT 58661
$3,006 - $5,998
from 3 insurers · median $5,171
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$2,100 - $2,523
from 3 insurers · median $2,298
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$2,581 - $5,998
from 3 insurers · median $3,447
Typical for a hospital with this service line
Gynecology
CPT 58662
$3,006 - $5,998
from 3 insurers · median $5,171
Typical for a hospital with this service line
Mammography
CPT 77067
$90
negotiated rate
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$2,733 - $4,021
from 3 insurers · median $3,549
Typical for a hospital with this service line
MRI imaging
CPT 72148
$750
negotiated rate
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$750
negotiated rate
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$281
negotiated rate
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$3,006 - $7,797
from 3 insurers · median $6,367
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$263
negotiated rate
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* | 15 | 99% | 2 | 9 |
| Insurer B* | 18 | 84% | 8 | 1 |
| Insurer C* | 21 | 79% | 5 | 5 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 8 are common here based on CMS Medicare volume, and 12 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 Sweetwater Hospital Association.
304 Wright Street, Sweetwater, TN 37874
(865) 213-8200
The nearest hospitals of similar type and size. Their rates are compared with Sweetwater Hospital Association for the same insurers and services above.
Athens Regional Medical Center
â–¼ Rates typically 12% lower than Sweetwater Hospital Association (20 services)
Fort Loudoun Medical Center
Rates about the same as Sweetwater Hospital Association (21 services)
Starr Regional Medical Center
â–¼ Rates typically 33% lower than Sweetwater Hospital Association (11 services)
Roane Medical Center
Rates about the same as Sweetwater Hospital Association (21 services)
Turkey Creek Medical Center
â–² Rates typically 19% higher than Sweetwater Hospital Association (21 services)
Fannin Regional Hospital
â–² Rates typically 80% higher than Sweetwater Hospital Association (21 services)
Tristar Skyline Medical Center
Parkwest Medical Center
Fort Sanders Regional Medical Center
St Thomas Dekalb Hospital
About Sweetwater Hospital Association's rates and hospital price transparency.
For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Sweetwater Hospital Association range from $750 to $750 across 1 insurers. Aetna's rate is $750. The median at nearby comparable hospitals is $544. 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 Sweetwater Hospital Association range from $281 to $281 across 1 insurers. Aetna's rate is $281. The median at nearby comparable hospitals is $398. 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 Sweetwater Hospital Association range from $2,100 to $2,298 across 3 insurers. Blue Cross Blue Shield's rate is $2,100. The median at nearby comparable hospitals is $2,310. 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 Sweetwater Hospital Association range from $2,298 to $2,298 across 1 insurers. UnitedHealthcare's rate is $2,298. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sweetwater Hospital Association range from $90 to $90 across 1 insurers. Aetna's rate is $90. The median at nearby comparable hospitals is $111. What a patient pays depends on their plan's deductible, coinsurance and network status.
Sweetwater Hospital Association has 59 beds. Facility type: Short Term Acute Care Hospital.
Sweetwater Hospital Association is located at 304 Wright Street, Sweetwater, TN 37874. Its main phone number is (865) 213-8200.
Sweetwater Hospital Association's CMS Certification Number (CCN), also called its Medicare provider number, is 440084.
The National Provider Identifier (NPI) on file for Sweetwater Hospital Association is 1366441370.
Sweetwater Hospital Association 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.
238 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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{
"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