Diabetes with complications in Tennessee
What 26 hospitals in Tennessee charged and were paid for a Medicare hospital stay for diabetes with complications (DRG 638), from 2024 Medicare claims.
Average charge
$35,348
Hospital list price billed
Average payment
$7,830
Medicare + patient + other payers
Medicare paid
$5,604
Average per stay
State rank
#11 of 47
1 = lowest average payment
Hospitals in Tennessee billed an average of $35,348 for diabetes with complications, about 4.5 times the average total payment of $7,830. That payment is 15% below the U.S. average of $9,215.
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 $7,830Billed $35,348
About 22¢ 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:
Tennessee hospitals: diabetes with 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 |
|---|---|---|---|---|
| Methodist Healthcare-MemphisMemphis | 42 | $24,648 | $8,844 | $6,563 |
| Baptist Memorial HospitalMemphis | 33 | $34,982 | $7,205 | $4,800 |
| St Thomas HospitalNashville | 33 | $24,890 | $8,279 | $5,910 |
| Vanderbilt University HospitalNashville | 31 | $46,049 | $13,178 | $6,754 |
| Wellmont Bristol Regional Medical CenterBristol | 26 | $28,769 | $7,601 | $4,808 |
| Univ of Tn Mem HospitalKnoxville | 26 | $23,885 | $9,889 | $6,599 |
| Jackson-Madison Cnty Gen HospJackson | 24 | $30,086 | $6,916 | $5,182 |
| Memorial Healthcare System, INCChattanooga | 24 | $29,422 | $6,320 | $4,075 |
| Johnson City Medical CenterJohnson City | 23 | $34,090 | $8,101 | $5,886 |
| Vanderbilt Wilson County HospitalLebanon | 22 | $42,394 | $7,041 | $6,088 |
| Erlanger Medical CenterChattanooga | 21 | $30,808 | $9,528 | $7,054 |
| Wellmont Holston Vly Med CtrKingsport | 20 | $34,764 | $7,111 | $5,558 |
| Cookeville Regional Med CenterCookeville | 18 | $17,720 | $6,494 | $4,464 |
| Summit Medical CenterHermitage | 18 | $54,894 | $6,915 | $5,389 |
| Parkridge Medical CenterChattanooga | 18 | $51,846 | $7,791 | $4,949 |
| Parkwest Medical CenterKnoxville | 18 | $17,137 | $6,179 | $4,099 |
| Vanderbilt Clarksville HospitalClarksville | 17 | $40,865 | $6,418 | $5,458 |
| Sumner Regional Medical CenterGallatin | 14 | $47,573 | $6,697 | $5,742 |
| Saint Francis Bartlett Medical CenterBartlett | 14 | $50,696 | $6,056 | $4,776 |
| Fort Sanders Reg Medical CtrKnoxville | 13 | $12,184 | $6,541 | $5,736 |
| Centennial Medical CenterNashville | 13 | $43,602 | $7,287 | $6,110 |
| Horizon Medical CenterDickson | 12 | $63,271 | $6,658 | $5,674 |
| Saint Thomas Rutherford HospitalMurfreesboro | 12 | $42,036 | $8,506 | $5,566 |
| Maury Regional HospitalColumbia | 12 | $28,692 | $6,549 | $5,856 |
| Physicians Regional Medical CenterKnoxville | 12 | $33,490 | $6,755 | $4,938 |
| St Francis HospitalMemphis | 12 | $84,559 | $7,133 | $6,195 |
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
| Saint Francis Bartlett Medical CenterBartlett, TN | $6,056 |
|---|---|
| Parkwest Medical CenterKnoxville, TN | $6,179 |
| Memorial Healthcare System, INCChattanooga, TN | $6,320 |
| Vanderbilt Clarksville HospitalClarksville, TN | $6,418 |
| Cookeville Regional Med CenterCookeville, TN | $6,494 |
Highest
| Vanderbilt University HospitalNashville, TN | $13,178 |
|---|---|
| Univ of Tn Mem HospitalKnoxville, TN | $9,889 |
| Erlanger Medical CenterChattanooga, TN | $9,528 |
| Methodist Healthcare-MemphisMemphis, TN | $8,844 |
| Saint Thomas Rutherford HospitalMurfreesboro, TN | $8,506 |
Diabetes with complications in other states
Questions
How much does diabetes with complications cost in Tennessee?
In 2024 Medicare data, a hospital stay for diabetes with complications (DRG 638) at 26 hospitals in Tennessee was billed at $35,348 on average, while the average total payment was $7,830, of which Medicare paid $5,604. 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 4.5 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.