How many shoppable procedure prices are published for Physicians Regional Medical Center?

Physicians Regional Medical Center in Powell, TN currently has 109 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Physicians Regional Medical Center's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Physicians Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Physicians Regional Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 219 Beds · urban Updated: 2026-04-01

Physicians Regional Medical Center

7565 Dannaher Way Powell, Powell, TN 37849 · 109 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

92/100 · Verified

92/100Self-Pay Cash Beats Insurance 25% of the Time

File Completeness100

Price Logic99

Peer Alignment80

Clean Billing79

Real Cash Discount100

Premium Quality Tier

3-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Physicians Regional Medical Center prices shoppable and inpatient services (1.0× to 1.2× Medicare, divergence 1.20×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#44 of 84 in TN · 51st State Percentile#1,301 of 3,385 in U.S. · 38th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.79× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 25% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (66/100 safety score) with 65% 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 2.6× markup over Medicare rates
Captive ER (1.5×) & laboratory (1.7×) services average 1.20× higher multiples than routine shoppable care (1.0×)
Upper-quartile procedures (Q75 1.04×) jump +20% above the median procedure ratio (Q50 0.87×)
Unnegotiated chargemaster list prices average 17.7× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.20× Divergence

1.2× Medicare

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

Quantile Tail Spread+20% Upper Tail

Q25 0.79× · Q50 0.87× · Q75 1.04×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.6× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

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

1.0× MedicareGood

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

25% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 66/100Fair

Procedure Prices at Physicians Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 109 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$13,935	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$13,846	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,005	$17,936	0.7×
Total hip replacement CPT Code: `27130`	$14,260	$11,793	$13,413	0.9×
Total knee replacement CPT Code: `27447`	$13,884	$11,793	$13,523	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,164	$8,223	0.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,912	$5,559	$6,109	0.9×
Breast lump removal CPT Code: `19120`	$4,643	$3,600	$3,875	0.9×
Inguinal hernia repair CPT Code: `49505`	$6,075	$3,292	$3,629	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$5,718	$3,077	$3,372	0.9×
Bunion correction surgery CPT Code: `28296`	$10,788	$3,077	$3,446	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$3,593	$1,100	$1,256	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$3,340	$1,009	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$2,678	$1,000	$981	unverified
Trauma team activation HCPCS Code: `G0390`	$789	$969	$1,453	0.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,083	$805	$1,021	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$1,268	$664	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,210	$502	$583	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,909	$413	$369	1.1×
Blood transfusion CPT Code: `36430`	$542	$410	$498	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,055	$406	$511	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,047	$327	$448	0.7×
Rabies immune globulin HCPCS Code: `90375`	$278	$290	$322	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$1,368	$268	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,287	$268	$343	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$234	$201	$201	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$433	$224	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,274	$219	$303	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$70	$178	$86	2.1×
CT scan, head (with contrast) CPT Code: `70460`	$946	$184	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,114	$196	$258	0.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$83	$143	$151	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$2,043	$108	$123	0.9×
X-ray, pelvis CPT Code: `72170`	$181	$95	$110	0.9×
X-ray, lower back CPT Code: `72110`	$246	$96	$112	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$210	$116	$148	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$309	$98	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$262	$98	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$256	$98	$132	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$449	$98	$134	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$883	$117	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$946	$117	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$888	$117	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$983	$117	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,074	$117	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,241	$117	$169	0.7×
X-ray, chest (single view) CPT Code: `71045`	$111	$80	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$167	$80	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$174	$80	$93	0.9×
X-ray, hip CPT Code: `73502`	$460	$80	$93	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$182	$83	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$258	$329	$347	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$30	$66	$56	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$2,043	$77	$87	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$127	$74	$86	0.9×
X-ray, shoulder CPT Code: `73030`	$255	$79	$92	0.9×
X-ray, foot CPT Code: `73630`	$246	$79	$92	0.9×
X-ray, hand CPT Code: `73130`	$253	$79	$93	0.8×
X-ray, ankle CPT Code: `73610`	$238	$79	$93	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$61	$78	$111	0.7×
Pneumococcal vaccine HCPCS Code: `90732`	$81	$94	$140	0.7×
Blood antibody screen CPT Code: `86850`	$100	$48	$46	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$66	$21	$20	1.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$42	$36	$35	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$16	$39	$39	1.0×
Prosthetic fitting and training CPT Code: `97761`	$35	$39	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$49	$44	$51	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$45	$34	$40	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$145	$54	$64	0.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$22	$5	$4	1.3×
Blood test, potassium CPT Code: `84132`	$25	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$82	$18	$15	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$100	$19	$19	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$54	$44	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$86	$44	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$40	$44	$49	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$46	$31	$38	0.8×
Blood test, hemoglobin CPT Code: `85018`	$19	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$37	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$51	$17	$18	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$86	$12	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$38	$23	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$36	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$44	$32	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$45	$29	$35	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$20	$31	$38	0.8×
Blood test, vitamin D CPT Code: `82306`	$117	$36	$31	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$45	$3	$3	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$42	$27	$34	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	$16	$22	$37	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$10	$12	$25	0.5×
Blood test, basic metabolic panel CPT Code: `80048`	$78	$10	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$166	$13	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$131	$16	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$135	$10	$9	unverified
Blood test, amylase CPT Code: `82150`	$52	$8	$7	unverified
Blood test, calcium CPT Code: `82310`	$30	$6	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$28	$6	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$73	$19	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$63	$17	$14	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$63	$12	$10	unverified
Blood test, lipase CPT Code: `83690`	$62	$8	$7	unverified
Blood test, magnesium CPT Code: `83735`	$33	$8	$7	unverified
Blood test, sodium CPT Code: `84295`	$25	$6	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$16	$5	$4	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$68	$10	$8	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$46	$7	$6	unverified
Culture, blood CPT Code: `87040`	$129	$13	$11	unverified
Culture, bacterial CPT Code: `87070`	$69	$11	$9	unverified

Showing top 25 high-impact procedures of 109 total

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

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

CMS CCN: 440120

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $13,935

1. Amount on Your Bill or Quote ($) Pre-filled with Physicians Regional 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 Physicians Regional 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 +$14,357 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($33,444) is $14,357 above the denoised Fair BaseRate ($19,087) and 2.4× the $14,117 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)

EIN: 452535623

Public IRS & CMS ownership records classify Physicians Regional 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

CMS Overall3/5 Stars (3/5)

Safety Composite66/100

Would Recommend65%

Rated 9 or 10 (HCAHPS)67%

Median ER Wait198 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.5%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (1,720 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 Physicians Regional Medical Center.

Price Index: 1.29× regional baseline

Quality: 62/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-45.8%

Median Household Income$71,662U.S. Census ACS

Local Uninsured Share8.4%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 92/100 · Verified CMS CCN 440120 EIN 452535623

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 440120) ↗ Verify IRS Form 990 (EIN 452535623) ↗ CMS HCRIS Cost Reports ↗

Published MRF File452535623_tennova-turkey-creek-medical-center_standardcharges.csv

Publication / Vintage2026-04-01 · 117.50 MB

Validated Rate Rows5,290 (CMS v3.0.0)

File Integrity Digest00e21cd5de1d48079bc4…

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