facebook tracking Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in Tennessee: 3 hospitals compared (DRG 617)

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in Tennessee

What 3 hospitals in Tennessee charged and were paid for a Medicare hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617), from 2024 Medicare claims.

DRG 617 Inpatient 2024 Medicare data
Average charge $52,104 Hospital list price billed
Average payment $15,116 Medicare + patient + other payers
Medicare paid $11,870 Average per stay
State rank #4 of 29 1 = lowest average payment

Hospitals in Tennessee billed an average of $52,104 for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications, about 3.4 times the average total payment of $15,116. That payment is 20% below the U.S. average of $18,910.

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 $15,116Billed $52,104

About 29¢ 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 of lower limb for endocrine, nutritional and metabolic disorders with 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
St Thomas HospitalNashville 23 $54,651 $15,352 $12,254
Memorial Healthcare System, INCChattanooga 17 $59,269 $11,781 $9,580
Univ of Tn Mem HospitalKnoxville 13 $38,227 $19,059 $14,183
Advertisement

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

Memorial Healthcare System, INCChattanooga, TN$11,781
St Thomas HospitalNashville, TN$15,352
Univ of Tn Mem HospitalKnoxville, TN$19,059

Highest

Univ of Tn Mem HospitalKnoxville, TN$19,059
St Thomas HospitalNashville, TN$15,352
Memorial Healthcare System, INCChattanooga, TN$11,781

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in other states

Questions

How much does amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617) at 3 hospitals in Tennessee was billed at $52,104 on average, while the average total payment was $15,116, of which Medicare paid $11,870. 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 3.4 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.