facebook tracking ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in Tennessee: 8 hospitals compared (DRG 003)

ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in Tennessee

What 8 hospitals in Tennessee charged and were paid for a Medicare hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003), from 2024 Medicare claims.

DRG 003 Inpatient 2024 Medicare data
Average charge $923,701 Hospital list price billed
Average payment $173,446 Medicare + patient + other payers
Medicare paid $134,095 Average per stay
State rank #5 of 29 1 = lowest average payment

Hospitals in Tennessee billed an average of $923,701 for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec, about 5.3 times the average total payment of $173,446. That payment is 30% below the U.S. average of $246,178.

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 $173,446Billed $923,701

About 19¢ was paid for every $1 hospitals in Tennessee billed for this stay.

Tennessee hospitals: ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec

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 53 $1,038,351 $228,040 $149,836
Baptist Memorial HospitalMemphis 27 $631,391 $148,166 $99,260
Centennial Medical CenterNashville 23 $1,904,251 $211,393 $182,220
Erlanger Medical CenterChattanooga 20 $636,405 $149,560 $137,151
Univ of Tn Mem HospitalKnoxville 17 $311,301 $121,726 $96,255
Methodist Healthcare-MemphisMemphis 15 $435,213 $129,865 $122,178
St Thomas HospitalNashville 13 $586,085 $135,805 $126,778
Skyline Medical CenterNashville 12 $1,518,388 $124,798 $122,047
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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

Univ of Tn Mem HospitalKnoxville, TN$121,726
Skyline Medical CenterNashville, TN$124,798
Methodist Healthcare-MemphisMemphis, TN$129,865
St Thomas HospitalNashville, TN$135,805
Baptist Memorial HospitalMemphis, TN$148,166

Highest

Vanderbilt University HospitalNashville, TN$228,040
Centennial Medical CenterNashville, TN$211,393
Erlanger Medical CenterChattanooga, TN$149,560
Baptist Memorial HospitalMemphis, TN$148,166
St Thomas HospitalNashville, TN$135,805

ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in other states

Questions

How much does ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in Tennessee?

In 2024 Medicare data, a hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003) at 8 hospitals in Tennessee was billed at $923,701 on average, while the average total payment was $173,446, of which Medicare paid $134,095. 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 5.3 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.