facebook tracking Digestive malignancy with complications cost in Tennessee: 6 hospitals compared (DRG 375)

Digestive malignancy with complications in Tennessee

What 6 hospitals in Tennessee charged and were paid for a Medicare hospital stay for digestive malignancy with complications (DRG 375), from 2024 Medicare claims.

DRG 375 Inpatient 2024 Medicare data
Average charge $47,958 Hospital list price billed
Average payment $11,849 Medicare + patient + other payers
Medicare paid $8,592 Average per stay
State rank #10 of 20 1 = lowest average payment

Hospitals in Tennessee billed an average of $47,958 for digestive malignancy with complications, about 4.0 times the average total payment of $11,849. That payment is 10% below the U.S. average of $13,131.

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 $11,849Billed $47,958

About 25¢ 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: digestive malignancy 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
Vanderbilt University HospitalNashville 25 $46,303 $15,291 $9,919
Methodist Healthcare-MemphisMemphis 21 $49,281 $11,572 $9,034
Centennial Medical CenterNashville 17 $73,722 $9,605 $8,429
Erlanger Medical CenterChattanooga 16 $32,038 $12,467 $8,608
Jackson-Madison Cnty Gen HospJackson 15 $37,995 $10,631 $7,246
Baptist Memorial HospitalMemphis 12 $46,268 $9,037 $6,944
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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

Baptist Memorial HospitalMemphis, TN$9,037
Centennial Medical CenterNashville, TN$9,605
Jackson-Madison Cnty Gen HospJackson, TN$10,631
Methodist Healthcare-MemphisMemphis, TN$11,572
Erlanger Medical CenterChattanooga, TN$12,467

Highest

Vanderbilt University HospitalNashville, TN$15,291
Erlanger Medical CenterChattanooga, TN$12,467
Methodist Healthcare-MemphisMemphis, TN$11,572
Jackson-Madison Cnty Gen HospJackson, TN$10,631
Centennial Medical CenterNashville, TN$9,605

Digestive malignancy with complications in other states

Questions

How much does digestive malignancy with complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for digestive malignancy with complications (DRG 375) at 6 hospitals in Tennessee was billed at $47,958 on average, while the average total payment was $11,849, of which Medicare paid $8,592. 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 4.0 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.