Tennova Healthcare - Clarksville
651 Dunlop Lane, Clarksville, TN 37040 · 106 Priced Procedures · 40% Patient Recommendation
Typical commercial prices here are 5% below the fair benchmark (0.95×) after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 0.95× fair market pricing.
Aligned Regional Benchmark Peer
Tennova Healthcare - Clarksville prices shoppable and inpatient services (1.1× to 1.0× Medicare, divergence 0.91×) in alignment with regional hospital peers (0.95× 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)
- Elective shoppable care is priced 5% below peer Fair BaseRate (0.95×)
- Self-pay cash beats commercial insurance on 33% of shoppable procedures (99/100 Cash Honesty)
- 1-Star CMS clinical rating with 40% patient recommendation (48/100 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)
- Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
- Commercial insurance median sits at 0.96× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.6× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 3,969) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Tennova Healthcare - Clarksville
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $14,651 | 0.8× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $14,556 | 0.7× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $13,539 | 0.8× |
| Total hip replacement CPT Code: 27130 | $13,036 | 1.0× |
| Total knee replacement CPT Code: 27447 | $13,036 | 1.0× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $6,449 | 0.8× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,072 | 1.0× |
| Breast lump removal CPT Code: 19120 | $3,885 | 1.0× |
| Inguinal hernia repair CPT Code: 49505 | $3,581 | 1.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,349 | 1.0× |
| Bunion correction surgery CPT Code: 28296 | $3,349 | 1.0× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,263 | 1.0× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,130 | 1.2× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,053 | 1.0× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,026 | 1.0× |
| Injection procedure for pain management HCPCS Code: G0260 | $703 | 0.8× |
| Blood transfusion CPT Code: 36430 | $643 | 1.3× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $556 | 1.0× |
| MRI, knee or other leg joint CPT Code: 73721 | $537 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $451 | 0.9× |
| Rabies immune globulin HCPCS Code: 90375 | $407 | 1.3× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $382 | 0.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $305 | 0.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $305 | 0.9× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $229 | 1.5× |
Audit a Bill or Quote at Tennova Healthcare - Clarksville (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 Tennova Healthcare - Clarksville'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 $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($35,162) is $16,075 above the denoised Fair BaseRate ($19,087) and 2.5× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Tennova Healthcare - Clarksville 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
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (659 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 Tennova Healthcare - Clarksville.
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.