Financial Services

Do you need to pay your bill?

You have options. You can pay online, in person, by phone or by mail.

Pay your bill

We make it easy to pay your bill.

You can do it online through this link: https://crmc.mysecurebill.com/default

You can also pay your bill these ways:

By mail

Cookeville Regional Medical Center Financial Services
1 Medical Center Blvd.
Cookeville, TN 38501

By phone
931-783-2360

In person
You can pay in person at our location at 140 W. 7th St. in Cookeville.

Your rights and protections against surprise medical bills

What is “balance billing” (sometimes called “surprise billing”)?

When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, like a copayment, coinsurance, or deductible. You may have additional costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.

“Out-of-network” means providers and facilities that haven’t signed a contract with your health plan to provide services. Out-of-network providers may be allowed to bill you for the difference between what your plan pays and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your plan’s deductible or annual out-of-pocket limit.

“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in- network facility but are unexpectedly treated by an out-of-network provider. Surprise medical bills could cost thousands of dollars depending on the procedure or service.

You’re protected from balance billing for:

Emergency services

If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most they can bill you is your plan’s in-network cost-sharing amount (such as copayments, coinsurance, and deductibles). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.

Certain services at an in-network hospital or ambulatory surgical center

When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers can bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.

When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your plan’s copayments, coinsurance and/or deductible.

If you get other types of services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.

You’re never required to give up your protections from balance billing. You also aren’t required to get out-of-network care. You can choose a provider or facility in your plan’s network.

When balance billing isn’t allowed, you also have these protections:

What is “balance billing” (sometimes called “surprise billing”)?

When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, like a copayment, coinsurance, or deductible. You may have additional costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.

“Out-of-network” means providers and facilities that haven’t signed a contract with your health plan to provide services. Out-of-network providers may be allowed to bill you for the difference between what your plan pays and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your plan’s deductible or annual out-of-pocket limit.

“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in- network facility but are unexpectedly treated by an out-of-network provider. Surprise medical bills could cost thousands of dollars depending on the procedure or service.

You’re protected from balance billing for:

Emergency services

If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most they can bill you is your plan’s in-network cost-sharing amount (such as copayments, coinsurance, and deductibles). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.

Certain services at an in-network hospital or ambulatory surgical center

When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers can bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.

When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your plan’s copayments, coinsurance and/or deductible.

If you get other types of services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.

You’re never required to give up your protections from balance billing. You also aren’t required to get out-of-network care. You can choose a provider or facility in your plan’s network.

When balance billing isn’t allowed, you also have these protections:

• You’re only responsible for paying your share of the cost (like the copayments, coinsurance, and deductible that you would pay if the provider or facility was in-network). Your health plan will pay any additional costs to out-of-network providers and facilities directly.
• Generally, your health plan must:
  • Cover emergency services without requiring you to get approval for services in advance (also known as “prior authorization”).
  • Cover emergency services by out-of-network providers.
  • Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
  • Count any amount you pay for emergency services or out-of-network services toward your in-network deductible and out-of-pocket limit.

If you think you’ve been wrongly billed, please call Cookeville Regional Medical Center’s Patient Financial Services at 931-783-5350. You may also contact the federal No Surprises Help Desk at 1-800-985-3059.

You may visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.

Estimating your cost of care

We want to make the cost of your care easy to understand, which is why we established a price transparency website. This website is here to help you understand and plan for your health care costs.

Our online cost estimate tool helps you estimate the hospital fee for your inpatient or outpatient care at our hospital. It is easy to use. Just put in the procedure, your insurance company and plan and search.

The estimate is for hospital fees only. Hospital fees include the cost of your room and supplies for your medical service.

View Pricing

This is not a complete estimate of your care cost.

The estimate does not include physician or provider fees, such as anesthesia, radiology, pathology or emergency room doctor, or the cost of medication, medical equipment and homecare services.

Your actual charges may be different from the estimated charges. This all depends on the services you receive and the coverage provided by your insurance plan(s).

What are the CMS requirements for price transparency?

By January 1, 2021 each hospital operating in the United States is required to provide clear, accessible pricing information about the items and services they provide in two ways:

1. Comprehensive machine-readable file with all items and services.
2. Display of shoppable services in a consumer-friendly format.
(CMS.gov)

Downloadable price lists

Complete price lists in machine readable file formats are available to download for each of our locations.

Price List – Cookeville Regional
View Pricing

How does this benefit patients?

With more transparency in healthcare pricing, you can better plan for medical expenses as well as be more informed in your choice of where to receive care.

The CMS believes that by making all hospital standard charge data for items and services available to all, data will be available for use by the public in price transparency tools, integrated into EHRs for purposes of clinical decision-making and referrals, or to be used by researchers and policy officials to add value to the healthcare industry. (CMS.gov)

Are these prices guaranteed?

The prices available on this site are the actual prices that we have negotiated with insurance providers for their members and the cash prices we offer to all our patients. If you are paying through your insurance, the listed price will be charged to them and they will pass on none, some, or all of those charges to you based on your plan details and year to date spending.

These prices shown do not take into account any supporting services not provided directly by the hospital (listed on each procedure page) or unexpected services that may be added at the time of service.