How many shoppable procedure prices are published for Marshall Medical Center?

Marshall Medical Center in Lewisburg, TN currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Marshall Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Marshall Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 25 Beds · rural Updated: 1/1/2025

Marshall Medical Center

1080 North Ellington Parkway, Lewisburg, TN 37091 · 121 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.93×vs. Fair Market Price

Typical commercial prices here are 7% below the fair benchmark (0.93×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 61% of the Time

File Completeness66

Price Logic95

Peer Alignment79

Clean Billing90

Real Cash Discount100

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Marshall Medical Center prices shoppable and inpatient services (1.1× to 1.0× Medicare, divergence 0.91×) in alignment with regional hospital peers (0.93× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#27 of 84 in TN · 30th State Percentile#883 of 3,385 in U.S. · 26th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 7% below peer Fair BaseRate (0.93×)
Self-pay cash beats commercial insurance on 61% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (70/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Commercial insurance median sits at 0.94× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.93× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.91× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+13% Upper Tail

Q25 0.71× · Q50 0.94× · Q75 1.06×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.9× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

61% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at Marshall Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$8,302	$13,413	0.6×
Total knee replacement CPT Code: `27447`	—	$8,302	$13,523	0.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,971	$6,109	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,668	$3,372	unverified
Inguinal hernia repair CPT Code: `49505`	—	$3,668	$3,629	unverified
Breast lump removal CPT Code: `19120`	—	$3,337	$3,875	0.9×
Bunion correction surgery CPT Code: `28296`	—	$2,834	$3,446	0.8×
Colonoscopy with biopsy CPT Code: `45380`	$846	$1,552	$1,256	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$1,436	$2,680	0.5×
Cataract surgery with lens implant CPT Code: `66984`	$1,105	$1,105	$2,540	0.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$846	$917	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$846	$917	$987	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,407	$915	$1,021	0.9×
Trauma team activation HCPCS Code: `G0390`	—	$840	$1,453	0.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,491	$730	$511	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$696	$855	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,012	$428	$343	1.2×
MRI, knee or other leg joint CPT Code: `73721`	$1,054	$449	$369	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$1,059	$442	$338	unverified
Blood transfusion CPT Code: `36430`	$388	$380	$498	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$892	$367	$583	0.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,771	$337	$448	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$930	$336	$258	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$819	$282	$169	1.7×
CT scan, head (with contrast) CPT Code: `70460`	$687	$271	$242	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$770	$282	$167	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$861	$282	$168	unverified
CT scan, pelvis CPT Code: `72192`	$701	$233	$163	1.4×
CT scan, sinuses CPT Code: `70486`	$727	$226	$166	1.4×
CT scan, head (no contrast) CPT Code: `70450`	$557	$196	$160	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$470	$215	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,452	$215	$303	0.7×
Rabies immune globulin HCPCS Code: `90375`	$3,151	$228	$322	0.7×
Psychological testing by technician CPT Code: `96138`	—	$179	$395	0.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,036	$195	$151	unverified
Family therapy session CPT Code: `90847`	$204	$132	$173	0.8×
Neurobehavioral status check CPT Code: `96116`	—	$136	$231	0.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$222	$150	$148	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$206	$124	$123	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$94	$94	$86	1.1×
Care planning with family CPT Code: `90887`	—	$92	$107	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	—	$86	$110	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$298	$96	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$273	$96	$130	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$227	$96	$132	0.7×
X-ray, lower back CPT Code: `72110`	$262	$81	$112	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$329	$96	$134	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$200	$99	$166	0.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$204	$99	$181	0.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$99	$185	0.5×
Typhoid vaccine HCPCS Code: `90675`	$580	$415	$347	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$179	$179	$140	1.3×
Drug screening test HCPCS Code: `G0480`	$70	$114	$116	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$130	$203	0.6×
Physical therapy (gait training) CPT Code: `97116`	$53	$47	$33	1.4×
Prosthetic fitting and training CPT Code: `97761`	$51	$63	$45	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	$66	$53	$38	1.4×
Speech therapy (language evaluation) CPT Code: `92507`	$135	$72	$86	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$143	$91	$111	0.8×
X-ray, hip CPT Code: `73502`	$67	$72	$93	0.8×
X-ray, ankle CPT Code: `73610`	$161	$61	$93	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$110	$86	$56	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$52	$25	2.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$60	$48	$35	1.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$58	$87	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$161	$59	$93	0.6×
X-ray, hand CPT Code: `73130`	$161	$59	$93	0.6×
X-ray, foot CPT Code: `73630`	$161	$56	$92	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$74	$123	0.6×
Orthotic fitting and training CPT Code: `97760`	$54	$73	$51	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$28	$22	$14	1.6×
Hepatitis B vaccine HCPCS Code: `90744`	$69	$47	$37	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$58	$43	$34	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$51	$47	$38	1.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$69	$44	$39	1.1×
Psychological testing evaluation CPT Code: `96136`	—	$60	$128	0.5×
Blood test, vitamin D CPT Code: `82306`	$69	$30	$31	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$32	$32	$49	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$32	$32	$49	0.7×
X-ray, shoulder CPT Code: `73030`	$161	$51	$92	0.6×
X-ray, chest (two views) CPT Code: `71046`	$142	$47	$93	0.5×
X-ray, pelvis CPT Code: `72170`	$94	$48	$110	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$54	$53	$201	0.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$60	$54	$38	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$66	$61	$40	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$67	$11	$11	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$24	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$17	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$16	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$46	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$24	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$46	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$63	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$23	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$24	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$20	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$27	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$26	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$34	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$68	$9	$9	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$53	$34	$35	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$61	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$61	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$56	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$47	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$41	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$57	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$48	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$46	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$38	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	$42	$24	$27	0.9×
Blood test, amylase CPT Code: `82150`	$38	$6	$7	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$21	$25	0.8×
Blood antibody screen CPT Code: `86850`	$24	$30	$46	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$32	$28	$48	0.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$114	$27	$64	0.4×
Group therapy session CPT Code: `90853`	$543	$36	$100	0.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$21	$4	$5	0.8×
X-ray, chest (single view) CPT Code: `71045`	$129	$28	$92	0.3×
Blood test, hemoglobin CPT Code: `85018`	$13	$2	$3	0.7×

Showing top 25 high-impact procedures of 121 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Marshall Medical Center (Zero PHI Required)

CMS CCN: 441309

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $8,302

1. Amount on Your Bill or Quote ($) Pre-filled with Marshall Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Marshall Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$6,512 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($19,925) is $6,512 above the denoised Fair BaseRate ($13,413) and 1.5× the $13,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Marshall Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

Safety Composite70/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)88%

Median ER Wait117 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (65 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Marshall Medical Center.

Price Index: 1.00× regional baseline

Quality: 56/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

+67.5%

Median Household Income$70,829U.S. Census ACS

Local Uninsured Share8.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 86/100 · Verified CMS CCN 441309

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 441309) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage1/1/2025

Validated Rate Rows2,258 (CMS v2.0.0)

File Integrity DigestVerified · CCN 441309

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy