Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Tennessee
What 8 hospitals in Tennessee charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220), from 2024 Medicare claims.
Average charge
$270,853
Hospital list price billed
Average payment
$46,480
Medicare + patient + other payers
Medicare paid
$35,194
Average per stay
State rank
#11 of 33
1 = lowest average payment
Hospitals in Tennessee billed an average of $270,853 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 5.8 times the average total payment of $46,480. That payment is 16% below the U.S. average of $55,508.
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 $46,480Billed $270,853
About 17¢ was paid for every $1 hospitals in Tennessee billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Tennessee:
Tennessee hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization
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 |
|---|---|---|---|---|
| Vanderbilt University HospitalNashville | 65 | $263,367 | $53,944 | $36,669 |
| St Thomas HospitalNashville | 30 | $295,505 | $41,474 | $34,721 |
| Wellmont Holston Vly Med CtrKingsport | 21 | $276,771 | $44,789 | $39,030 |
| Univ of Tn Mem HospitalKnoxville | 19 | $190,968 | $45,354 | $34,710 |
| Memorial Healthcare System, INCChattanooga | 19 | $216,991 | $43,294 | $27,050 |
| Centennial Medical CenterNashville | 16 | $551,383 | $43,938 | $32,925 |
| Jackson-Madison Cnty Gen HospJackson | 11 | $183,740 | $38,734 | $37,072 |
| Cookeville Regional Med CenterCookeville | 11 | $146,641 | $38,150 | $36,775 |
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
| Cookeville Regional Med CenterCookeville, TN | $38,150 |
|---|---|
| Jackson-Madison Cnty Gen HospJackson, TN | $38,734 |
| St Thomas HospitalNashville, TN | $41,474 |
| Memorial Healthcare System, INCChattanooga, TN | $43,294 |
| Centennial Medical CenterNashville, TN | $43,938 |
Highest
| Vanderbilt University HospitalNashville, TN | $53,944 |
|---|---|
| Univ of Tn Mem HospitalKnoxville, TN | $45,354 |
| Wellmont Holston Vly Med CtrKingsport, TN | $44,789 |
| Centennial Medical CenterNashville, TN | $43,938 |
| Memorial Healthcare System, INCChattanooga, TN | $43,294 |
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states
Questions
How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Tennessee?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220) at 8 hospitals in Tennessee was billed at $270,853 on average, while the average total payment was $46,480, of which Medicare paid $35,194. 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 5.8 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.