Siskin Hospital, Siskin Hospital Therapy Services
1 Siskin Plaza, Chattanooga, TN 37403 · 11 Priced Procedures
Typical commercial prices here are 16% below the fair benchmark (0.84×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
Siskin Hospital, Siskin Hospital Therapy Services maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.84× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.85× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 16% below peer Fair BaseRate (0.84×)
- Self-pay cash beats commercial insurance on 25% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (54/100 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 (31.9% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
- Commercial insurance median sits at 0.84× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 3.3× Medicare (28¢ 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 Siskin Hospital, Siskin Hospital Therapy Services
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 11 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Speech therapy (language evaluation) CPT Code: 92507 | $73 | 0.8× |
| Electrical stimulation therapy HCPCS Code: G0283 | $14 | 1.0× |
| Physical therapy (gait training) CPT Code: 97116 | $28 | 0.8× |
| Prosthetic fitting and training CPT Code: 97761 | $38 | 0.8× |
| Orthotic fitting and training CPT Code: 97760 | $43 | 0.8× |
| Physical therapy (functional capacity test) CPT Code: 97750 | $32 | 0.8× |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $33 | 0.8× |
| Physical therapy (manual therapy) CPT Code: 97140 | $28 | 0.8× |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $31 | 0.8× |
| Occupational therapy (self-care training) CPT Code: 97535 | $31 | 0.8× |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $28 | 0.8× |
Audit a Bill or Quote at Siskin Hospital, Siskin Hospital Therapy Services (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $32
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (31.9% of gross = $32).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Siskin Hospital, Siskin Hospital Therapy Services's published 45 CFR § 180 self-pay cash rate is $100 (vs. $73 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $86 Fair BaseRate ($76 Medicare)
Your bill ($100) is $14 above the denoised Fair BaseRate ($86) and 1.3× the $76 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (31.9% 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.
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 Siskin Hospital, Siskin Hospital Therapy Services.
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.