Pathways Behavioral Health Services Pricing Analysis
TN
Source: Hospital MRF file & CMS Medicare PFS 2026
A
Lower than most hospitals
1x
the federal fair-price benchmark
68
22 comparable to federal rates
Check a specific procedure price
Use our price checker to look up any of 7,700+ procedures and see what Medicare considers a fair price.
Biggest Overcharges at This Hospital
These are the procedures where Pathways Behavioral Health Services charges 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 visit — moderate (level 3) | 99283 | $120 | $69 | +$51 |
| ER visit — severe/critical (level 5) | 99285 | $323 | $171 | +$151 |
| ER visit — serious (level 4) | 99284 | $219 | $118 | +$101 |
| New patient office visit — short | 99202 | $93 | $75 | +$18 |
| New patient office visit — standard | 99203 | $141 | $118 | +$24 |
| MD Discharge Interview <30 Min | 99238 | $134 | $75 | +$59 |
| New patient office visit — complex | 99205 | $474 | $237 | +$237 |
| Hospital admission — initial, high complexity | 99223 | $377 | $156 | +$220 |
| Office visit — short (established patient) | 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
Pathways Behavioral Health Services in TN, TN charges about 1x the federal benchmark — relatively low for a US hospital across 22 procedures 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.
Can I negotiate?
Yes. Most hospitals will reduce bills when patients present evidence. Our bill review service 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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