facebook tracking Circulatory disorders except AMI, with cardiac catheterization with major complications cost in Tennessee: 24 hospitals compared (DRG 286)

Circulatory disorders except AMI, with cardiac catheterization with major complications in Tennessee

What 24 hospitals in Tennessee charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286), from 2024 Medicare claims.

DRG 286 Inpatient 2024 Medicare data
Average charge $97,902 Hospital list price billed
Average payment $18,618 Medicare + patient + other payers
Medicare paid $13,882 Average per stay
State rank #15 of 47 1 = lowest average payment

Hospitals in Tennessee billed an average of $97,902 for circulatory disorders except ami, with cardiac catheterization with major complications, about 5.3 times the average total payment of $18,618. That payment is 15% below the U.S. average of $21,968.

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 $18,618Billed $97,902

About 19¢ 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: circulatory disorders except ami, with cardiac catheterization with major 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
Vanderbilt University HospitalNashville 99 $127,300 $31,599 $16,823
St Thomas HospitalNashville 91 $81,588 $18,512 $14,059
Baptist Memorial HospitalMemphis 90 $106,843 $17,569 $13,378
Centennial Medical CenterNashville 78 $181,779 $17,439 $14,427
Maury Regional HospitalColumbia 50 $62,940 $14,852 $13,586
Univ of Tn Mem HospitalKnoxville 37 $45,557 $19,730 $14,665
Memorial Healthcare System, INCChattanooga 32 $69,241 $15,503 $11,075
Methodist Healthcare-MemphisMemphis 30 $109,846 $19,927 $15,883
Saint Thomas Rutherford HospitalMurfreesboro 29 $76,456 $16,677 $14,644
Parkwest Medical CenterKnoxville 28 $38,632 $14,673 $11,845
Hendersonville Medical CenterHendersonville 27 $145,453 $16,314 $11,625
Physicians Regional Medical CenterKnoxville 24 $78,201 $14,376 $12,880
Cookeville Regional Med CenterCookeville 22 $41,604 $14,692 $13,318
Jackson-Madison Cnty Gen HospJackson 21 $67,252 $16,474 $12,933
Wellmont Holston Vly Med CtrKingsport 21 $64,894 $16,379 $13,025
Johnson City Medical CenterJohnson City 19 $66,241 $17,248 $15,330
Erlanger Medical CenterChattanooga 19 $74,356 $19,702 $15,129
Parkridge Medical CenterChattanooga 19 $139,596 $15,254 $13,943
Summit Medical CenterHermitage 17 $144,382 $16,919 $11,883
Williamson Medical CenterFranklin 15 $40,380 $13,618 $11,958
Sumner Regional Medical CenterGallatin 12 $120,534 $14,324 $13,062
Wellmont Bristol Regional Medical CenterBristol 12 $83,846 $14,810 $10,750
Vanderbilt Wilson County HospitalLebanon 12 $68,717 $15,663 $10,944
Saint Francis Bartlett Medical CenterBartlett 11 $106,364 $12,585 $11,547
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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.

Lowest

Highest

Vanderbilt University HospitalNashville, TN$31,599
Methodist Healthcare-MemphisMemphis, TN$19,927
Univ of Tn Mem HospitalKnoxville, TN$19,730
Erlanger Medical CenterChattanooga, TN$19,702
St Thomas HospitalNashville, TN$18,512

Circulatory disorders except AMI, with cardiac catheterization with major complications in other states

Questions

How much does circulatory disorders except ami, with cardiac catheterization with major complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286) at 24 hospitals in Tennessee was billed at $97,902 on average, while the average total payment was $18,618, of which Medicare paid $13,882. 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 5.3 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.