CMS Price Transparency Data

Community mental health services

Facility: Pathways of Tennessee, Inc

Billing Code: H0038 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$11
modeled fair price · typically $4–$29
modeled estimate · not a bill or quote
What this hospital charges insurers
$17
Above the fair price
about $6 over the fair price
Fair price $11 This hospital $17 Hospital's list price $25

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 2 TN hospitals we have prices for — worth calling around.

Cheapest $9 Priciest $17

Black dot = this hospital, among the 2 TN hospitals with a price for this procedure. Full list below.

A fair price for a Community mental health services is about $11. Pathways of Tennessee, Inc charges insurers about $17 — above the fair price. Located in Jackson, TN.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $11. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $10 —
Blue Cross Blue Shieldmajor $19 —
Amerigroup $15 —

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 238 Summar Dr, Jackson, TN 38301
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric