Craniotomy with major device implant or acute complex CNS principal diagnosis without mc in Tennessee
What 4 hospitals in Tennessee charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis without mc (DRG 024), from 2024 Medicare claims.
Average charge
$110,403
Hospital list price billed
Average payment
$30,452
Medicare + patient + other payers
Medicare paid
$25,341
Average per stay
State rank
#3 of 25
1 = lowest average payment
Hospitals in Tennessee billed an average of $110,403 for craniotomy with major device implant or acute complex cns principal diagnosis without mc, about 3.6 times the average total payment of $30,452. That payment is 17% below the U.S. average of $36,662.
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 $30,452Billed $110,403
About 28¢ was paid for every $1 hospitals in Tennessee billed for this stay.
Tennessee hospitals: craniotomy with major device implant or acute complex cns principal diagnosis without mc
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 |
|---|---|---|---|---|
| Fort Sanders Reg Medical CtrKnoxville | 22 | $84,942 | $26,363 | $20,896 |
| Univ of Tn Mem HospitalKnoxville | 15 | $127,596 | $33,677 | $27,445 |
| Jackson-Madison Cnty Gen HospJackson | 12 | $69,686 | $27,798 | $26,412 |
| Vanderbilt University HospitalNashville | 11 | $182,297 | $37,130 | $30,195 |
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
| Fort Sanders Reg Medical CtrKnoxville, TN | $26,363 |
|---|---|
| Jackson-Madison Cnty Gen HospJackson, TN | $27,798 |
| Univ of Tn Mem HospitalKnoxville, TN | $33,677 |
| Vanderbilt University HospitalNashville, TN | $37,130 |
Highest
| Vanderbilt University HospitalNashville, TN | $37,130 |
|---|---|
| Univ of Tn Mem HospitalKnoxville, TN | $33,677 |
| Jackson-Madison Cnty Gen HospJackson, TN | $27,798 |
| Fort Sanders Reg Medical CtrKnoxville, TN | $26,363 |
Craniotomy with major device implant or acute complex CNS principal diagnosis without mc in other states
Questions
How much does craniotomy with major device implant or acute complex cns principal diagnosis without mc cost in Tennessee?
In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis without mc (DRG 024) at 4 hospitals in Tennessee was billed at $110,403 on average, while the average total payment was $30,452, of which Medicare paid $25,341. 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 3.6 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.