How many shoppable procedure prices are published for Saint Thomas Hickman Hospital?

Saint Thomas Hickman Hospital in Centerville, TN currently has 116 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Saint Thomas Hickman Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Saint Thomas Hickman Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 01/01/2026

Saint Thomas Hickman Hospital

135 East Swan Street, Centerville, TN 37033 · 116 Priced Procedures

CMS Overall Rating No CMS Rating

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.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness66

Price Logic99

Peer Alignment73

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

Saint Thomas Hickman Hospital prices shoppable and inpatient services (1.1× to 1.3× Medicare, divergence 1.18×) 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.

#45 of 84 in TN · 52nd State Percentile#1,302 of 3,385 in U.S. · 38th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.59× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (21.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Captive ER (1.6×) & laboratory (1.5×) services average 1.18× higher multiples than routine shoppable care (1.1×)
Specialty infusion drugs (J-codes) average 1.3× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 4.6× Medicare (20¢ 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 & ER1.18× Divergence

1.3× Medicare

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

Quantile Tail Spread+9% Upper Tail

Q25 0.59× · Q50 1.23× · Q75 1.34×

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

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

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

1.3× MedicareGood

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

0% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Saint Thomas Hickman Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 116 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 knee replacement CPT Code: `27447`	—	$21,670	$13,523	unverified
Total hip replacement CPT Code: `27130`	—	$21,555	$13,413	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,974	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$15,974	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$15,512	$17,936	0.9×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$15,440	$30,775	0.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,485	$8,223	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$3,142	$6,109	0.5×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,916	$2,540	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,215	$2,680	0.8×
C-section delivery (full package) CPT Code: `59510`	—	$2,215	$2,975	0.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$1,974	$3,372	0.6×
Inguinal hernia repair CPT Code: `49505`	—	$1,974	$3,629	0.5×
Bunion correction surgery CPT Code: `28296`	—	$1,535	$3,446	0.4×
Breast lump removal CPT Code: `19120`	—	$1,535	$3,875	0.4×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,239	$981	1.3×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,239	$987	1.3×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,239	$1,256	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$939	$1,021	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$611	$448	1.4×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$611	$511	1.2×
Rabies immune globulin HCPCS Code: `90375`	—	$411	$322	1.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$373	$303	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	—	$373	$338	1.1×
MRI, brain (no contrast) CPT Code: `70551`	—	$373	$343	1.1×
MRI, knee or other leg joint CPT Code: `73721`	—	$373	$369	1.0×
CT scan, head (with contrast) CPT Code: `70460`	—	$292	$242	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$316	$272	1.2×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$292	$258	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$312	$583	0.5×
CT scan, sinuses CPT Code: `70486`	—	$253	$166	1.5×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$240	$169	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	—	$237	$167	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$238	$168	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$179	$134	1.3×
Ultrasound, pelvis CPT Code: `76856`	—	$173	$130	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$175	$151	1.2×
CT scan, head (no contrast) CPT Code: `70450`	—	$179	$160	1.1×
CT scan, pelvis CPT Code: `72192`	—	$179	$163	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$179	$132	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$193	$148	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$141	$126	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	—	$160	$123	unverified
Speech therapy (language evaluation) CPT Code: `92507`	—	$110	$86	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$105	$185	0.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$92	$181	0.5×
Family therapy session CPT Code: `90847`	—	$84	$173	0.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$80	$166	0.5×
Typhoid vaccine HCPCS Code: `90675`	—	$584	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$316	$203	unverified
Pneumococcal vaccine HCPCS Code: `90732`	—	$202	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$160	$111	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$73	$56	1.3×
Neurobehavioral status check CPT Code: `96116`	—	$78	$231	0.3×
Hepatitis B vaccine HCPCS Code: `90744`	—	$48	$37	1.3×
Orthotic fitting and training CPT Code: `97760`	—	$66	$51	1.3×
Prosthetic fitting and training CPT Code: `97761`	—	$58	$45	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	—	$69	$110	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$72	$123	0.6×
Physical therapy (gait training) CPT Code: `97116`	—	$42	$33	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$48	$38	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$50	$40	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$47	$38	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	—	$46	$38	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$42	$35	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	—	$40	$34	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$47	$87	0.5×
Group therapy session CPT Code: `90853`	—	$46	$100	0.5×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$6	$4	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$6	$4	1.5×
Blood test, lipase CPT Code: `83690`	—	$10	$7	1.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$14	$10	1.4×
Blood test, potassium CPT Code: `84132`	—	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	—	$7	$5	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$11	$8	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$26	$19	1.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$50	$39	1.3×
X-ray, hip CPT Code: `73502`	—	$69	$93	0.7×
X-ray, lower back CPT Code: `72110`	—	$75	$112	0.7×
Blood test, vitamin D CPT Code: `82306`	—	$41	$31	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$53	$93	0.6×
X-ray, hand CPT Code: `73130`	—	$53	$93	0.6×
X-ray, ankle CPT Code: `73610`	—	$53	$93	0.6×
X-ray, foot CPT Code: `73630`	—	$49	$92	0.5×
X-ray, shoulder CPT Code: `73030`	—	$47	$92	0.5×
Blood transfusion CPT Code: `36430`	—	$70	$498	0.1×
X-ray, chest (two views) CPT Code: `71046`	—	$44	$93	0.5×
X-ray, pelvis CPT Code: `72170`	—	$52	$110	0.5×
Blood test, calcium CPT Code: `82310`	—	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$7	$5	1.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$15	$11	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$19	$14	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$19	$14	1.4×
Blood test, basic metabolic panel CPT Code: `80048`	—	$12	$9	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$24	$18	1.3×
Speech therapy (group session) CPT Code: `92508`	—	$34	$27	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$8	$6	1.3×
Hepatitis C antibody test CPT Code: `86803`	—	$20	$15	1.3×
Culture, bacterial CPT Code: `87070`	—	$12	$9	1.3×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$33	$25	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$4	$3	1.3×
Blood test, vitamin B12 CPT Code: `82607`	—	$21	$16	1.3×
Blood test, amylase CPT Code: `82150`	—	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	—	$9	$7	1.3×
Culture, blood CPT Code: `87040`	—	$14	$11	1.3×
Blood test, liver function panel CPT Code: `80076`	—	$11	$9	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$34	$201	0.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$6	$5	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$28	$25	1.1×
Blood test, hemoglobin CPT Code: `85018`	—	$3	$3	1.0×
Blood antibody screen CPT Code: `86850`	—	$14	$46	0.3×
X-ray, chest (single view) CPT Code: `71045`	—	$26	$92	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$15	$64	0.2×
Psychological testing evaluation CPT Code: `96136`	—	$24	$128	0.2×
Psychological testing by technician CPT Code: `96138`	—	$34	$395	0.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$27	$27	$20	unverified

Showing top 25 high-impact procedures of 116 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 21.7%

Audit a Bill or Quote at Saint Thomas Hickman Hospital (Zero PHI Required)

CMS CCN: 441300

CPT 27447

Select Procedure to Audit:

Fair BaseRate™ $13,523

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $21,670

1. Amount on Your Bill or Quote ($) Pre-filled with Saint Thomas Hickman Hospital’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: $11,281 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $11,281

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (21.7% of gross = $11,281).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Saint Thomas Hickman Hospital'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 +$38,485 Above Fair BaseRate

Negotiate Toward $13,523 Fair BaseRate ($13,117 Medicare)

Your bill ($52,008) is $38,485 above the denoised Fair BaseRate ($13,523) and 4.0× 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) 501(c)(3) Nonprofit Hospital

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

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: prospective_medicare_median

Hospital-Specific CMS HCRIS Benchmark (21.7% 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

Safety Composite69/100

Median ER Wait171 min

Left ER Before Seen1%

Source: CMS Hospital Care Compare. 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Saint Thomas Hickman Hospital.

Price Index: 0.59× regional baseline

Quality: 56/100 CMS composite

Median Household Income$57,223U.S. Census ACS

Local Uninsured Share9.7%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 441300

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 441300) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage01/01/2026

Validated Rate Rows2,388 (CMS v3.0.0)

File Integrity DigestVerified · CCN 441300

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