facebook tracking Amputation for circulatory system disorders except upper limb and toe with major complications cost in Tennessee: 4 hospitals compared (DRG 239)

Amputation for circulatory system disorders except upper limb and toe with major complications in Tennessee

What 4 hospitals in Tennessee charged and were paid for a Medicare hospital stay for amputation for circulatory system disorders except upper limb and toe with major complications (DRG 239), from 2024 Medicare claims.

DRG 239 Inpatient 2024 Medicare data
Average charge $141,162 Hospital list price billed
Average payment $37,301 Medicare + patient + other payers
Medicare paid $31,472 Average per stay
State rank #4 of 12 1 = lowest average payment

Hospitals in Tennessee billed an average of $141,162 for amputation for circulatory system disorders except upper limb and toe with major complications, about 3.8 times the average total payment of $37,301. That payment is 27% below the U.S. average of $50,891.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $37,301Billed $141,162

About 26¢ was paid for every $1 hospitals in Tennessee billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Tennessee:

Tennessee hospitals: amputation for circulatory system disorders except upper limb and toe with major complications

Every Tennessee hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Jackson-Madison Cnty Gen HospJackson 17 $80,280 $38,499 $29,904
Baptist Memorial HospitalMemphis 17 $193,192 $37,845 $35,070
St Thomas HospitalNashville 13 $137,049 $37,007 $30,351
Methodist Healthcare-MemphisMemphis 12 $158,156 $35,150 $29,810
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Lowest and highest payments in Tennessee

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Methodist Healthcare-MemphisMemphis, TN$35,150
St Thomas HospitalNashville, TN$37,007
Baptist Memorial HospitalMemphis, TN$37,845
Jackson-Madison Cnty Gen HospJackson, TN$38,499

Highest

Jackson-Madison Cnty Gen HospJackson, TN$38,499
Baptist Memorial HospitalMemphis, TN$37,845
St Thomas HospitalNashville, TN$37,007
Methodist Healthcare-MemphisMemphis, TN$35,150

Amputation for circulatory system disorders except upper limb and toe with major complications in other states

Questions

How much does amputation for circulatory system disorders except upper limb and toe with major complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for amputation for circulatory system disorders except upper limb and toe with major complications (DRG 239) at 4 hospitals in Tennessee was billed at $141,162 on average, while the average total payment was $37,301, of which Medicare paid $31,472. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Tennessee, average charges were 3.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.