Residential mental health treatment cost in TN
What a residential mental health treatment costs at TN hospitals — and the fair price to aim for.
Typical commercial prices here are +173% above the fair benchmark (2.73×) 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
Parkwest Medical Center prices shoppable and inpatient services (1.6× to 0.9× Medicare, divergence 0.56×) in alignment with regional hospital peers (0.94× 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 6% below peer Fair BaseRate (0.94×)
- Self-pay cash beats commercial insurance on 47% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (63/100 safety score) with 73% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (27.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.7× markup over Medicare rates
- Commercial insurance median sits at 0.92× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 3.0× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 4.7× Medicare (21¢ 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.
In general, TN hospitals charge above the fair price — worth shopping around here. how we calculate the BaseRate →
Compared with the rest of the country, TN’s fair BaseRate ($369) is about the same as the national fair price of $339.
Cheapest TN hospitals for a residential mental health treatment
Audit a Bill or Quote at TN Hospital Benchmark (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $966
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $966).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask TN Hospital Benchmark'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 $369 Fair BaseRate ($214 Medicare)
Your bill ($2,662) is $2,293 above the denoised Fair BaseRate ($369) and 12.4× the $214 Medicare rate.