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.
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.
About 23¢ 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:
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 |
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.
| Maury Regional HospitalColumbia, TN | $6,252 |
|---|---|
| Sumner Regional Medical CenterGallatin, TN | $6,461 |
| Baptist Memorial HospitalMemphis, TN | $6,505 |
| Wellmont Bristol Regional Medical CenterBristol, TN | $6,906 |
| Methodist Healthcare-MemphisMemphis, TN | $8,357 |
| 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 |
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.
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.