Coronary bypass without cardiac catheterization without major complications in Tennessee
What 16 hospitals in Tennessee charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236), from 2024 Medicare claims.
Average charge
$199,642
Hospital list price billed
Average payment
$32,060
Medicare + patient + other payers
Medicare paid
$25,550
Average per stay
State rank
#8 of 42
1 = lowest average payment
Hospitals in Tennessee billed an average of $199,642 for coronary bypass without cardiac catheterization without major complications, about 6.2 times the average total payment of $32,060. That payment is 15% below the U.S. average of $37,830.
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 $32,060Billed $199,642
About 16¢ 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 without cardiac catheterization without 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 | 98 | $173,569 | $30,620 | $26,763 |
| Centennial Medical CenterNashville | 79 | $409,884 | $35,811 | $25,162 |
| Memorial Healthcare System, INCChattanooga | 54 | $156,792 | $26,369 | $22,915 |
| Jackson-Madison Cnty Gen HospJackson | 43 | $148,029 | $29,690 | $28,239 |
| Vanderbilt University HospitalNashville | 37 | $225,167 | $43,020 | $28,318 |
| Johnson City Medical CenterJohnson City | 33 | $199,481 | $35,790 | $23,780 |
| Univ of Tn Mem HospitalKnoxville | 26 | $100,480 | $34,413 | $24,729 |
| Cookeville Regional Med CenterCookeville | 26 | $121,670 | $27,478 | $25,993 |
| Methodist Healthcare-MemphisMemphis | 25 | $148,995 | $33,390 | $26,731 |
| Baptist Memorial HospitalMemphis | 20 | $170,602 | $30,680 | $23,211 |
| Wellmont Holston Vly Med CtrKingsport | 18 | $154,449 | $33,767 | $22,331 |
| Saint Thomas Rutherford HospitalMurfreesboro | 18 | $245,598 | $30,259 | $28,068 |
| Parkwest Medical CenterKnoxville | 18 | $112,480 | $27,083 | $21,512 |
| Physicians Regional Medical CenterKnoxville | 15 | $163,281 | $27,056 | $23,052 |
| Erlanger Medical CenterChattanooga | 13 | $131,660 | $32,802 | $29,373 |
| Fort Sanders Reg Medical CtrKnoxville | 12 | $114,388 | $26,603 | $25,103 |
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
| Memorial Healthcare System, INCChattanooga, TN | $26,369 |
|---|---|
| Fort Sanders Reg Medical CtrKnoxville, TN | $26,603 |
| Physicians Regional Medical CenterKnoxville, TN | $27,056 |
| Parkwest Medical CenterKnoxville, TN | $27,083 |
| Cookeville Regional Med CenterCookeville, TN | $27,478 |
Highest
| Vanderbilt University HospitalNashville, TN | $43,020 |
|---|---|
| Centennial Medical CenterNashville, TN | $35,811 |
| Johnson City Medical CenterJohnson City, TN | $35,790 |
| Univ of Tn Mem HospitalKnoxville, TN | $34,413 |
| Wellmont Holston Vly Med CtrKingsport, TN | $33,767 |
Coronary bypass without cardiac catheterization without major complications in other states
Questions
How much does coronary bypass without cardiac catheterization without major complications cost in Tennessee?
In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236) at 16 hospitals in Tennessee was billed at $199,642 on average, while the average total payment was $32,060, of which Medicare paid $25,550. 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 6.2 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.