What 9 hospitals in Tennessee charged and were paid for a Medicare hospital stay for cellulitis with major complications (DRG 602), from 2024 Medicare claims.
Hospitals in Tennessee billed an average of $44,186 for cellulitis with major complications, about 3.7 times the average total payment of $11,927. That payment is 14% below the U.S. average of $13,872.
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.
About 27¢ 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:
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 |
|---|---|---|---|---|
| Memorial Healthcare System, INCChattanooga | 25 | $29,325 | $9,788 | $6,947 |
| Baptist Memorial HospitalMemphis | 24 | $45,038 | $10,764 | $8,119 |
| Methodist Healthcare-MemphisMemphis | 23 | $54,144 | $14,257 | $10,603 |
| St Thomas HospitalNashville | 22 | $46,503 | $12,407 | $9,322 |
| Jackson-Madison Cnty Gen HospJackson | 18 | $47,410 | $11,149 | $9,081 |
| Vanderbilt University HospitalNashville | 13 | $58,274 | $18,895 | $12,617 |
| Physicians Regional Medical CenterKnoxville | 13 | $53,014 | $9,247 | $8,243 |
| Cookeville Regional Med CenterCookeville | 12 | $20,433 | $10,127 | $9,073 |
| Wellmont Holston Vly Med CtrKingsport | 11 | $44,197 | $11,661 | $8,779 |
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.
| Physicians Regional Medical CenterKnoxville, TN | $9,247 |
|---|---|
| Memorial Healthcare System, INCChattanooga, TN | $9,788 |
| Cookeville Regional Med CenterCookeville, TN | $10,127 |
| Baptist Memorial HospitalMemphis, TN | $10,764 |
| Jackson-Madison Cnty Gen HospJackson, TN | $11,149 |
| Vanderbilt University HospitalNashville, TN | $18,895 |
|---|---|
| Methodist Healthcare-MemphisMemphis, TN | $14,257 |
| St Thomas HospitalNashville, TN | $12,407 |
| Wellmont Holston Vly Med CtrKingsport, TN | $11,661 |
| Jackson-Madison Cnty Gen HospJackson, TN | $11,149 |
In 2024 Medicare data, a hospital stay for cellulitis with major complications (DRG 602) at 9 hospitals in Tennessee was billed at $44,186 on average, while the average total payment was $11,927, of which Medicare paid $9,053. Your own cost depends on your insurance, deductible and the hospital.
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 3.7 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.