facebook tracking Chronic obstructive pulmonary disease with complications cost in Tennessee: 7 hospitals compared (DRG 191)

Chronic obstructive pulmonary disease with complications in Tennessee

What 7 hospitals in Tennessee charged and were paid for a Medicare hospital stay for chronic obstructive pulmonary disease with complications (DRG 191), from 2024 Medicare claims.

DRG 191 Inpatient 2024 Medicare data
Average charge $32,876 Hospital list price billed
Average payment $7,494 Medicare + patient + other payers
Medicare paid $5,535 Average per stay
State rank #15 of 33 1 = lowest average payment

Hospitals in Tennessee billed an average of $32,876 for chronic obstructive pulmonary disease with complications, about 4.4 times the average total payment of $7,494. That payment is 9% below the U.S. average of $8,280.

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 $7,494Billed $32,876

About 23¢ was paid for every $1 hospitals in Tennessee billed for this stay.

Tennessee hospitals: chronic obstructive pulmonary disease 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
Univ of Tn Mem HospitalKnoxville 19 $18,978 $9,078 $6,406
Baptist Memorial HospitalMemphis 17 $34,049 $6,505 $4,857
Wellmont Bristol Regional Medical CenterBristol 16 $30,527 $6,906 $5,179
St Thomas HospitalNashville 16 $46,070 $8,502 $5,475
Maury Regional HospitalColumbia 15 $32,398 $6,252 $5,153
Methodist Healthcare-MemphisMemphis 14 $22,982 $8,357 $6,955
Sumner Regional Medical CenterGallatin 13 $49,514 $6,461 $4,570
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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.

Highest

Univ of Tn Mem HospitalKnoxville, TN$9,078
St Thomas HospitalNashville, TN$8,502
Methodist Healthcare-MemphisMemphis, TN$8,357
Wellmont Bristol Regional Medical CenterBristol, TN$6,906
Baptist Memorial HospitalMemphis, TN$6,505

Chronic obstructive pulmonary disease with complications in other states

Questions

How much does chronic obstructive pulmonary disease with complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for chronic obstructive pulmonary disease with complications (DRG 191) at 7 hospitals in Tennessee was billed at $32,876 on average, while the average total payment was $7,494, of which Medicare paid $5,535. 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 4.4 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.