Pathways Behavioral Health Services Pricing Analysis
Source: Hospital MRF file & CMS Medicare PFS 2026
A
Best Value
1x
the federal fair-price benchmark
68
22 comparable to federal rates
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Biggest Overcharges at This Hospital
These are the procedures where Pathways Behavioral Health Servicescharges the most compared to the federal fair-price benchmark. “They Charge” is what appears on your bill. “Gov. Benchmark” is what the government determines the doctor's work is worth.
| Procedure | Code | They Charge | Gov. Benchmark | You Overpay |
|---|---|---|---|---|
| ER Consult Level 3 | 99283 | $120 | $69 | +$51 |
| ER Consult Level 5 | 99285 | $323 | $171 | +$151 |
| ER Consult Level 4 | 99284 | $219 | $118 | +$101 |
| E/M OP New patient 20 Minutes | 99202 | $93 | $75 | +$18 |
| E/M OP New patient 30 Minutes | 99203 | $141 | $118 | +$24 |
| MD Discharge Interview <30 Min | 99238 | $134 | $75 | +$59 |
| E/M OP New patient 60 Minutes | 99205 | $474 | $237 | +$237 |
| I/P Initial MD - High Complexity | 99223 | $377 | $156 | +$220 |
| E/M Established patient 10 Minutes | 99212 | $65 | $59 | +$6 |
| MD Admit/DC Same Day - Low Complexity | 99234 | $250 | $88 | +$162 |
| MD Admit/DC Same Day - High Complexity | 99236 | $405 | $190 | +$216 |
About Pathways Behavioral Health Services Pricing
Pathways Behavioral Health Services in , TN charges prices relatively close to what insurance companies and the government pay across 22procedures we could compare. This data comes directly from the hospital's own published price file — they're required by federal law to share it.
What this means for your bill
If you're uninsured, out-of-network, or have a high-deductible plan, these prices directly affect what you pay. If you have in-network insurance, your insurer has likely negotiated much lower rates — but you may still owe a percentage of the hospital's high list price for your coinsurance or deductible.
Can I negotiate?
Yes. Most hospitals will reduce bills when patients present evidence. Our bill checker compares your specific charges to fair-price benchmarks and generates a dispute letter you can send to the billing department.
Compare with other hospitals
See how Pathways Behavioral Health Services stacks up against other hospitals in the area.
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