Pinewood Springs
1001 N James Campbell Blvd, Columbia, TN 38401 · 101 Priced Procedures
Typical commercial prices here are +3% above the fair benchmark (1.03×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Aligned Regional Benchmark Peer
Pinewood Springs prices shoppable and inpatient services (1.5× to 1.1× Medicare, divergence 0.73×) in alignment with regional hospital peers (1.03× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.84× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.03× 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 0.97× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.19×) jump +23% above the median procedure ratio (Q50 0.97×)
- Unnegotiated chargemaster list prices average 16.9× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Pinewood Springs
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $55,789 | unverified |
| Total hip replacement CPT Code: 27130 | $19,564 | 1.5× |
| Total knee replacement CPT Code: 27447 | $19,564 | 1.4× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $19,509 | 1.0× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $19,279 | 1.0× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $18,682 | 1.0× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $7,730 | 0.9× |
| Cataract surgery with lens implant CPT Code: 66984 | $4,649 | 1.8× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $4,595 | 1.4× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $3,935 | 0.6× |
| Inguinal hernia repair CPT Code: 49505 | $3,529 | 1.0× |
| Bunion correction surgery CPT Code: 28296 | $3,382 | 1.0× |
| Breast lump removal CPT Code: 19120 | $3,382 | 0.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,496 | 1.5× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,496 | 1.5× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,496 | 1.2× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $1,304 | 7.2× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,316 | 1.5× |
| Blood transfusion CPT Code: 36430 | $1,316 | unverified |
| Family therapy session CPT Code: 90847 | $867 | 5.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $888 | 1.7× |
| Group therapy session CPT Code: 90853 | $570 | 5.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $541 | 1.6× |
| MRI, knee or other leg joint CPT Code: 73721 | $558 | 1.5× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $566 | unverified |
Audit a Bill or Quote at Pinewood Springs (Zero PHI Required)
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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Pinewood Springs's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($133,894) is $103,119 above the denoised Fair BaseRate ($30,775) and 5.7× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Pinewood Springs 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Pinewood Springs. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-05-01·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Pinewood Springs.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.