How many shoppable procedure prices are published for Methodist Medical Center of Oak Ridge?

Methodist Medical Center of Oak Ridge in Oak Ridge, TN currently has 125 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Methodist Medical Center of Oak Ridge's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Methodist Medical Center of Oak Ridge's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Methodist Medical Center of Oak Ridge's CMS Care Compare overall star rating?

CMS Care Compare assigns Methodist Medical Center of Oak Ridge an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 157 Beds · urban Updated: 2026-08-05

Methodist Medical Center of Oak Ridge

990 Oak Ridge Turnpike Box 529, Oak Ridge, TN 37830 · 125 Priced Procedures · 69% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

0.97×vs. Fair Market Price

Typical commercial prices here are 3% below the fair benchmark (0.97×) after accounting for local nurse/doctor wages and patient complexity.

90/100 · Verified

90/100Self-Pay Cash Beats Insurance 53% of the Time

File Completeness100

Price Logic91

Peer Alignment80

Clean Billing75

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.97× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Methodist Medical Center of Oak Ridge prices shoppable and inpatient services (1.1× to 1.0× Medicare, divergence 0.91×) in alignment with regional hospital peers (0.97× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#41 of 84 in TN · 47th State Percentile#1,131 of 3,385 in U.S. · 33rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 3% below peer Fair BaseRate (0.97×)
Self-pay cash beats commercial insurance on 53% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 69% patient recommendation (69/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (25.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.97× 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.
Commercial insurance median sits at 0.95× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.6× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 6.4× Medicare (17¢ true HCRIS cost per $1 gross)

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+7% Upper Tail

Q25 0.89× · Q50 0.95× · Q75 1.02×

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

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.7× MedicareFair

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

1.6× MedicareGood

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

53% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 69/100Fair

Procedure Prices at Methodist Medical Center of Oak Ridge

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 125 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$25,421	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,286	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$15,179	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,873	$17,936	0.8×
Total hip replacement CPT Code: `27130`	—	$12,231	$13,413	0.9×
Total knee replacement CPT Code: `27447`	—	$12,231	$13,523	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,135	$8,223	0.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,759	$6,109	0.9×
Breast lump removal CPT Code: `19120`	—	$3,694	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,411	$3,629	unverified
Bunion correction surgery CPT Code: `28296`	—	$3,117	$3,446	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,117	$3,372	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$2,372	$2,680	0.9×
C-section delivery (full package) CPT Code: `59510`	—	$2,372	$2,975	0.8×
Rabies immune globulin HCPCS Code: `90375`	$2,262	$2,262	$322	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$2,199	$2,540	0.9×
Trauma team activation HCPCS Code: `G0390`	—	$1,270	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,140	$1,256	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$886	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	—	$864	$987	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$931	$818	$1,021	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$536	$672	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$412	$521	$583	0.9×
Psychological testing by technician CPT Code: `96138`	—	$426	$395	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$834	$414	$511	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$871	$332	$448	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$585	$297	$343	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$776	$292	$338	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$115	$247	$148	1.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$871	$253	$303	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$411	$224	$242	0.9×
Neurobehavioral status check CPT Code: `96116`	—	$206	$231	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$636	$224	$258	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$249	$227	$272	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$512	$227	$369	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$77	$191	$123	1.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$155	$200	$151	1.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$599	$189	$169	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$111	$209	$201	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$55	$162	$86	1.9×
CT scan, head (no contrast) CPT Code: `70450`	$411	$167	$160	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$525	$172	$167	1.0×
CT scan, pelvis CPT Code: `72192`	$436	$167	$163	1.0×
CT scan, sinuses CPT Code: `70486`	$381	$170	$166	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$169	$166	1.0×
Family therapy session CPT Code: `90847`	—	$169	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$169	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$169	$185	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$599	$188	$168	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$64	$116	$110	1.1×
Psychological testing evaluation CPT Code: `96136`	—	$127	$128	1.0×
Group therapy session CPT Code: `90853`	—	$97	$100	1.0×
X-ray, pelvis CPT Code: `72170`	$83	$100	$110	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$161	$100	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$120	$100	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$152	$100	$132	0.8×
Blood transfusion CPT Code: `36430`	$118	$118	$498	0.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$45	$84	$87	1.0×
X-ray, chest (single view) CPT Code: `71045`	$53	$83	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$108	$83	$92	0.9×
X-ray, foot CPT Code: `73630`	$108	$83	$92	0.9×
X-ray, lower back CPT Code: `72110`	$137	$100	$112	0.9×
X-ray, chest (two views) CPT Code: `71046`	$82	$83	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$63	$83	$93	0.9×
X-ray, hand CPT Code: `73130`	$108	$83	$93	0.9×
X-ray, hip CPT Code: `73502`	$149	$83	$93	0.9×
X-ray, ankle CPT Code: `73610`	$108	$83	$93	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$54	$104	$123	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$295	$100	$134	0.7×
Typhoid vaccine HCPCS Code: `90675`	$486	$550	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$216	$393	$203	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$108	$200	$111	1.8×
Pneumococcal vaccine HCPCS Code: `90732`	$132	$219	$140	1.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$94	$171	$56	3.1×
Hepatitis B vaccine HCPCS Code: `90744`	$56	$102	$37	2.8×
Drug screening test HCPCS Code: `G0480`	$44	$112	$116	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$41	$74	$25	3.0×
Blood antibody screen CPT Code: `86850`	$24	$49	$46	1.1×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$26	$25	1.0×
Speech therapy (group session) CPT Code: `92508`	$28	$28	$27	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$28	$27	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$43	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$77	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$27	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$40	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$11	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$21	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$37	$31	$31	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$39	$39	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$34	$45	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$34	$45	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$34	$45	$49	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$52	$56	$64	0.9×
Blood test, calcium CPT Code: `82310`	$17	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$17	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$50	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$45	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$13	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$32	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$23	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$33	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$5	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$39	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$16	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$36	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$13	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$30	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$8	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$13	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$34	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$34	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$29	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$61	$20	$20	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$12	$12	$14	0.9×
Blood test, hemoglobin CPT Code: `85018`	$8	$2	$3	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$21	$21	$38	0.6×
Physical therapy (gait training) CPT Code: `97116`	$17	$17	$33	0.5×
Occupational therapy (self-care training) CPT Code: `97535`	$17	$17	$38	0.4×
Prosthetic fitting and training CPT Code: `97761`	$17	$17	$45	0.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$12	$12	$35	0.3×
Orthotic fitting and training CPT Code: `97760`	$17	$17	$51	0.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$17	$17	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$17	$17	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$17	$17	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$17	$17	$40	unverified

Showing top 25 high-impact procedures of 125 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 25.7%

Audit a Bill or Quote at Methodist Medical Center of Oak Ridge (Zero PHI Required)

CMS CCN: 440034

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $25,421

1. Amount on Your Bill or Quote ($) Pre-filled with Methodist Medical Center of Oak Ridge’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 501(r) AGB Cap: $15,680 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $15,680

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (25.7% of gross = $15,680).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Methodist Medical Center of Oak Ridge'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 +$30,235 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($61,010) is $30,235 above the denoised Fair BaseRate ($30,775) and 2.6× the $23,504 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) 501(c)(3) Nonprofit Hospital

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

EIN: 620636239

Filing Period: 196012

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (25.7% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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

CMS Overall4/5 Stars (4/5)

Safety Composite69/100

Would Recommend69%

Rated 9 or 10 (HCAHPS)71%

Median ER Wait184 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (899 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

Higher-Quality, Above-Median Price Tier

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

Price Index: 1.00× regional baseline

Quality: 67/100 CMS composite

Median Household Income$63,171U.S. Census ACS

Local Uninsured Share8.5%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 90/100 · Verified CMS CCN 440034 EIN 620636239

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 440034) ↗ Verify IRS Form 990 (EIN 620636239) ↗ CMS HCRIS Cost Reports ↗

Published MRF File620636239_methodist-medical-center-of-oak-ridge_standardcharges.json

Publication / Vintage2026-08-05 · 339.96 MB

Validated Rate Rows5,889 (CMS v3.0.0)

File Integrity Digest2ac1744c6df0b9f7ec26…

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.

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