Diabetes with major complications in Tennessee
What 25 hospitals in Tennessee charged and were paid for a Medicare hospital stay for diabetes with major complications (DRG 637), from 2024 Medicare claims.
Average charge
$47,630
Hospital list price billed
Average payment
$11,516
Medicare + patient + other payers
Medicare paid
$9,011
Average per stay
State rank
#10 of 43
1 = lowest average payment
Hospitals in Tennessee billed an average of $47,630 for diabetes with major complications, about 4.1 times the average total payment of $11,516. That payment is 18% below the U.S. average of $14,037.
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 $11,516Billed $47,630
About 24¢ 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 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 |
|---|---|---|---|---|
| Methodist Healthcare-MemphisMemphis | 62 | $46,216 | $13,556 | $10,178 |
| Baptist Memorial HospitalMemphis | 54 | $52,982 | $10,694 | $7,864 |
| Jackson-Madison Cnty Gen HospJackson | 49 | $38,420 | $10,342 | $9,089 |
| Vanderbilt Clarksville HospitalClarksville | 26 | $57,183 | $9,876 | $9,279 |
| Wellmont Bristol Regional Medical CenterBristol | 20 | $41,358 | $11,356 | $8,740 |
| Univ of Tn Mem HospitalKnoxville | 20 | $45,909 | $15,138 | $9,779 |
| St Thomas HospitalNashville | 20 | $41,879 | $12,733 | $9,062 |
| Memorial Healthcare System, INCChattanooga | 20 | $46,572 | $9,782 | $8,313 |
| Saint Thomas Rutherford HospitalMurfreesboro | 17 | $43,298 | $12,235 | $10,728 |
| Cumberland Medical CenterCrossville | 16 | $21,100 | $10,419 | $9,272 |
| Vanderbilt University HospitalNashville | 16 | $66,855 | $17,988 | $11,316 |
| Maury Regional HospitalColumbia | 16 | $35,468 | $10,450 | $8,200 |
| Sumner Regional Medical CenterGallatin | 15 | $48,202 | $10,062 | $9,276 |
| Erlanger Medical CenterChattanooga | 14 | $57,857 | $14,583 | $11,153 |
| Wellmont Holston Vly Med CtrKingsport | 13 | $47,341 | $10,518 | $7,675 |
| Cookeville Regional Med CenterCookeville | 13 | $29,753 | $10,419 | $7,439 |
| Leconte Medical CenterSevierville | 13 | $19,254 | $9,901 | $8,306 |
| Parkridge Medical CenterChattanooga | 13 | $59,345 | $11,554 | $7,664 |
| St Francis HospitalMemphis | 13 | $78,756 | $9,885 | $8,835 |
| Blount Memorial HospitalMaryville | 12 | $34,212 | $10,198 | $8,912 |
| Summit Medical CenterHermitage | 12 | $79,233 | $11,056 | $8,212 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 11 | $30,893 | $9,769 | $7,752 |
| Horizon Medical CenterDickson | 11 | $83,125 | $10,157 | $8,157 |
| Johnson City Medical CenterJohnson City | 11 | $37,444 | $10,950 | $9,284 |
| Cleveland Community HospitalCleveland | 11 | $71,872 | $10,389 | $7,958 |
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
| Methodist Med Ctr of Oak RidgeOak Ridge, TN | $9,769 |
|---|---|
| Memorial Healthcare System, INCChattanooga, TN | $9,782 |
| Vanderbilt Clarksville HospitalClarksville, TN | $9,876 |
| St Francis HospitalMemphis, TN | $9,885 |
| Leconte Medical CenterSevierville, TN | $9,901 |
Highest
| Vanderbilt University HospitalNashville, TN | $17,988 |
|---|---|
| Univ of Tn Mem HospitalKnoxville, TN | $15,138 |
| Erlanger Medical CenterChattanooga, TN | $14,583 |
| Methodist Healthcare-MemphisMemphis, TN | $13,556 |
| St Thomas HospitalNashville, TN | $12,733 |
Diabetes with major complications in other states
Questions
How much does diabetes with major complications cost in Tennessee?
In 2024 Medicare data, a hospital stay for diabetes with major complications (DRG 637) at 25 hospitals in Tennessee was billed at $47,630 on average, while the average total payment was $11,516, of which Medicare paid $9,011. 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 4.1 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.