Rhea Medical Center
9400 Rhea County Highway, Dayton, TN 37321 · 92 Priced Procedures · 66% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.00× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Rhea Medical Center prices routine shoppable procedures near 1.1× Medicare (p50 0.87×) while skewing captive emergency, lab, and upper-quartile codes to 1.6× Medicare (p75 1.36×, +56% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.64× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 76% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 66% patient recommendation (65/100 safety score)
- 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 (1.00× 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.
- Captive ER (1.6×) & laboratory (1.8×) services average 1.45× higher multiples than routine shoppable care (1.1×)
- Upper-quartile procedures (Q75 1.36×) jump +56% above the median procedure ratio (Q50 0.87×)
- Unnegotiated chargemaster list prices average 4.8× Medicare (23¢ 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 Rhea Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 92 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Rabies immune globulin HCPCS Code: 90375 | $3,646 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $1,175 | 0.5× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $828 | 0.1× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $797 | 1.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $685 | 1.3× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $501 | 1.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $489 | 0.5× |
| Inguinal hernia repair CPT Code: 49505 | $506 | 0.1× |
| CT scan, head (with contrast) CPT Code: 70460 | $416 | 1.7× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $421 | 1.4× |
| MRI, lower back (no contrast) CPT Code: 72148 | $413 | 1.2× |
| MRI, knee or other leg joint CPT Code: 73721 | $413 | 1.1× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $412 | 0.7× |
| Blood transfusion CPT Code: 36430 | $378 | 0.8× |
| MRI, brain (no contrast) CPT Code: 70551 | $350 | 1.0× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $297 | 1.8× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $297 | 1.8× |
| CT scan, head (no contrast) CPT Code: 70450 | $257 | 1.6× |
| CT scan, pelvis CPT Code: 72192 | $245 | 1.5× |
| CT scan, chest (no contrast) CPT Code: 71250 | $245 | 1.5× |
| Upper endoscopy with biopsy CPT Code: 43239 | $258 | 0.3× |
| Colonoscopy with biopsy CPT Code: 45380 | $258 | 0.2× |
| CT scan, sinuses CPT Code: 70486 | $226 | 1.4× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $203 | 0.7× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $174 | 1.3× |
Audit a Bill or Quote at Rhea Medical Center (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.
Self-Pay Cash Rate ($3,646) Beats Your Bill
Rhea Medical Center's published 45 CFR § 180 self-pay cash rate is $3,646 (vs. $3,646 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $322 Fair BaseRate ($275 Medicare)
Your bill ($5,361) is $5,039 above the denoised Fair BaseRate ($322) and 19.5× the $275 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Rhea 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (107 completed HCAHPS patient surveys). 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 Rhea Medical Center.
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.