At Cookeville Regional Medical Center, we understand it can be difficult to understand and estimate hospital charges. In compliance with Centers for Medicare & Medicaid Services, this link provides a comprehensive list of charges for each inpatient and outpatient service or item provided by Cookeville Regional Medical Center, also known as a chargemaster. The hospital's charges are the same for all patients, but a patient's responsibility may vary depending on payment plans negotiated with individual health insurers. Uninsured or underinsured patients should consult with our staff to determine whether they qualify for discounts. Our team is here to assist you, look at your insurance coverage and provide an estimate of the cost of the service for you.

For more information on the chargemaster, please read the chargemaster FAQ link below. If you would like to receive an estimate, please feel free to call a member of our team at (931) 783-2701 or (931) 783-2257.



There are four ways to pay your bill


           Click the link below to pay your bill online.

           Conveniently pay YOUR MEDICAL BILL

           PAY ONLINE

  • By mail: CRMC Patient Financial Services 1 Medical Center Blvd.,Cookeville, TN 38501

  • By phone: 931-783-2360

  • In person: Pay in person at our location on 140 West 7th St. in Cookeville or at the cashier window in the North Patient Tower by Registration.


By partnering with Care Payment, Cookeville Regional is able to offer patients a convenient, stress-free way to finance their out-of-pocket medical expenses.

What this means to you:

  • Flexible payment options ranging from 12-48 months with no or low interest rates.
  • No application or credit checking, all patients are accepted.
  • An open line of credit that allows for additional services to be included.

Conveniently finance YOUR MEDICAL EXPENSES

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Aetna Transparency in Coverage machine-readable file




CRMC’s policy is to provide medically necessary health care services for patients in its service area as defined by CRMC. The intent of this policy and related procedures is for use in circumstances in which financial assistance shall be offered to CRMC patients who have no insurance coverage or inadequate insurance coverage and who are unable to pay in full for their health care services and who meet the eligibility criteria set forth in this policy. While it would be ideal for CRMC to provide health care services to all without regard to payment, it is financially impossible to do so. This policy applies not only to inpatient services but to outpatient services provided by CRMC


  1. CRMC SERVICE AREA – the following list of counties in the Upper Cumberland area comprise the service area: Putnam, Jackson, White, Cumberland, Warren, Van Buren, Cannon, Fentress, Overton, Pickett, Smith, Clay, Dekalb, and Macon. CRMC reserves the right to add to or subtract from the list of counties in its service area.
  2. INCOME – Any income, whether from active or passive activities, such as rental, social security, disability, retirement, alimony or child support, unemployment benefits, inheritance, investments, annuity payouts, gifts or fundraisers. It also includes proceeds from sale of long-term assets or the proceeds from life insurance, third party settlements or lump sum annuity payments.
  3. PATIENT MAXIMUM LIABIITY - Amount of total patient liability for patients at 200% of the poverty level or below will not exceed 10% of total household income.
  4. FEDERAL POVERTY LEVEL – the most current federal poverty guidelines from the U.S. Center for Medicare and Medicaid Services (CMS)


CRMC will provide medically necessary hospital services, including emergency room services to patients and for those eligible under this policy based upon their family income will discount their maximum liability of total charges after the state mandated discount based upon the following scale:


a. 100% or below Federal Poverty Level

100% discount

b. 101-150% of Federal Poverty Level

75% discount

c. 151-200% Federal Poverty Level

50% discount

d. 201-300% Federal Poverty Level

25% discount

e. 301% and above Federal Poverty Level

   no discount



  1. Remaining balances from eligible patients who qualify for the above discounts may be set up on payment arrangements in accordance with CRMC’s payment plan policy. If said payments are not made on the balance of the account, it will be sent to the collection agency for follow up.
  2. Charity care assistance will not apply to accounts with a combined total less than 500.00.
  3. This policy only applies to patients who reside in CRMC service area as defined within this policy.
  4. This policy only applies to patients who are not insured through a third party or who are unable to pay in full the balance of their account after exhaustion of all third party liability.
  5. CRMC Charity care financial assistance is applicable only to items and services defined as “covered items and services” covered by the Medicare program.
  6. This policy is not applicable to any professional fees unless performed by a physician employed by CRMC or contracted to perform services for CRMC from which CRMC receives the revenue.
  7. This policy applies only to those individuals who cooperate fully with CRMC’s request for information with which to verify patient’s eligibility, including appropriate identification. It is the patient’s responsibility to respond truthfully and completely to CRMC’s request for information within a timely fashion. In addition, patient’s full cooperation in applying for Medicaid or coverage by other governmental programs is required, if so requested.


  1. CRMC personnel will provide patients with an application for charity care once a patient is identified as potentially eligible for charity care. The timing of the delivery of the application will depend upon when the identification is made and may be at the time of service, during the billing process or during collection. The patient must complete the application for charity care and provide all the requested information.
  2. A patient who requests the discount as an uninsured patient will not be entitled to receive the billing information that would allow them to file an insurance claim.
  3. Documentation must include the completed application, all supporting material, a print out of the account face sheet with all patient demographics and a financial analysis work sheet. In evaluating a patient’s need for charity care, CRMC personnel may review the patient’s W-2 (or the guarantor’s) tax return, pay-stubs, bank statements, written verification of wage from employer, written verification of public welfare agency, governmental agency or other information attesting to the patient’s income status. Patients must provide information relating to possible third party liability incidents, where applicable, including accident reports and copies of vehicle insurance policies.
  4. Completed applications shall be sent to the department director for approval. If the dollar amount exceeds $5,000 it requires approval for the CFO or his designee.
  5. Once eligibility has been determined, patient will be notified of the determination.
  6. If a patient presents for treatment, regardless of their service type (cosmetic excluded), and they have been granted financial aid in the previous three (3) months, they are allowed to move forward with the services their physician has ordered without administrative approval.
  7. Documentation for the outstanding charity monthly accrual is forwarded to accounting by the 4th working day of the month for the previous month’s accrual. A spreadsheet is maintained on the PFS T drive under T:/Charity/FYXX FinancialAssistanceApplications.xls. As completed applications are received in PFS, account number, name and account balances are logged on the spreadsheet. At the end of each month, PFS will forward a listing of applications received but not written off in Paragon as documentation for the monthly accrual for outstanding charity.


  1. CRMC reserves the right to grant financial assistance in extraordinary circumstances to patients who do not otherwise meet the charity care guidelines. CRMC also reserves the right to deny charity care assistance to patients who fail to cooperate with CRMC’s efforts to verify eligibility, provide false information, refuse to apply for Medicaid or other governmental program benefits or who fail to respond to requests for information in a timely fashion.
  2. Uninsured patients who do not qualify for charity care or who do not wish to be considered may be offered a prompt pay discount of 25% for payment in full within 60 days of discharge date.

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:
• 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:
o Cover emergency services without requiring you to get approval for services in advance (also known as “prior authorization”).
o Cover emergency services by out-of-network providers.
o 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.
o 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 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.

You have the right to receive a 'Good Faith Estimate' explaining how much your health care will cost

Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.
• You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
• If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.
• If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.
• Make sure to save a copy or picture of your Good Faith Estimate and the bill.
For questions or more information about your right to a Good Faith Estimate, please call Cookeville Regional Medical Center’s Financial Services at 931-783-5350.
You may also contract the federal No Surprises Help Desk by visiting www.cms.gov/nosurprises/consumers, emailing FederalPPDRQuestions@cms.hhs.gov, or calling 1-800-985-3059.