facebook tracking Coronary bypass with cardiac catheterization or open ablation with major complications cost in Tennessee: 11 hospitals compared (DRG 233)

Coronary bypass with cardiac catheterization or open ablation with major complications in Tennessee

What 11 hospitals in Tennessee charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation with major complications (DRG 233), from 2024 Medicare claims.

DRG 233 Inpatient 2024 Medicare data
Average charge $307,314 Hospital list price billed
Average payment $55,321 Medicare + patient + other payers
Medicare paid $49,824 Average per stay
State rank #5 of 38 1 = lowest average payment

Hospitals in Tennessee billed an average of $307,314 for coronary bypass with cardiac catheterization or open ablation with major complications, about 5.6 times the average total payment of $55,321. That payment is 20% below the U.S. average of $69,514.

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 $55,321Billed $307,314

About 18¢ 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: coronary bypass with cardiac catheterization or open ablation 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
St Thomas HospitalNashville 57 $259,361 $57,361 $51,104
Baptist Memorial HospitalMemphis 33 $347,277 $61,361 $54,996
Memorial Healthcare System, INCChattanooga 24 $274,948 $51,588 $45,931
Physicians Regional Medical CenterKnoxville 19 $272,892 $49,023 $47,738
Centennial Medical CenterNashville 18 $622,592 $53,404 $45,692
Erlanger Medical CenterChattanooga 17 $270,570 $60,355 $53,028
Cookeville Regional Med CenterCookeville 14 $174,563 $53,052 $51,453
Parkwest Medical CenterKnoxville 13 $156,722 $47,881 $46,375
St Francis HospitalMemphis 13 $571,645 $43,146 $41,789
Vanderbilt University HospitalNashville 12 $296,247 $70,714 $59,546
Methodist Med Ctr of Oak RidgeOak Ridge 11 $153,466 $50,288 $42,468
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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

St Francis HospitalMemphis, TN$43,146
Parkwest Medical CenterKnoxville, TN$47,881
Physicians Regional Medical CenterKnoxville, TN$49,023
Methodist Med Ctr of Oak RidgeOak Ridge, TN$50,288
Memorial Healthcare System, INCChattanooga, TN$51,588

Highest

Vanderbilt University HospitalNashville, TN$70,714
Baptist Memorial HospitalMemphis, TN$61,361
Erlanger Medical CenterChattanooga, TN$60,355
St Thomas HospitalNashville, TN$57,361
Centennial Medical CenterNashville, TN$53,404

Coronary bypass with cardiac catheterization or open ablation with major complications in other states

Questions

How much does coronary bypass with cardiac catheterization or open ablation with major complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation with major complications (DRG 233) at 11 hospitals in Tennessee was billed at $307,314 on average, while the average total payment was $55,321, of which Medicare paid $49,824. 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 5.6 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.