facebook tracking Endovascular cardiac valve replacement and supplement procedures without major complications cost in Tennessee: 11 hospitals compared (DRG 267)

Endovascular cardiac valve replacement and supplement procedures without major complications in Tennessee

What 11 hospitals in Tennessee charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures without major complications (DRG 267), from 2024 Medicare claims.

DRG 267 Inpatient 2024 Medicare data
Average charge $217,590 Hospital list price billed
Average payment $36,783 Medicare + patient + other payers
Medicare paid $33,004 Average per stay
State rank #9 of 43 1 = lowest average payment

Hospitals in Tennessee billed an average of $217,590 for endovascular cardiac valve replacement and supplement procedures without major complications, about 5.9 times the average total payment of $36,783. That payment is 17% below the U.S. average of $44,077.

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 $36,783Billed $217,590

About 17¢ 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: endovascular cardiac valve replacement and supplement procedures without 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
Parkwest Medical CenterKnoxville 164 $243,055 $32,633 $29,531
St Thomas HospitalNashville 159 $324,072 $37,909 $34,328
Baptist Memorial HospitalMemphis 136 $133,892 $36,049 $29,659
Vanderbilt University HospitalNashville 99 $153,489 $43,429 $37,954
Jackson-Madison Cnty Gen HospJackson 53 $130,184 $35,496 $34,587
Univ of Tn Mem HospitalKnoxville 47 $204,875 $37,752 $34,331
Methodist Healthcare-MemphisMemphis 46 $209,778 $37,820 $33,401
Centennial Medical CenterNashville 41 $261,335 $34,263 $32,773
Wellmont Holston Vly Med CtrKingsport 32 $367,855 $38,702 $36,980
Erlanger Medical CenterChattanooga 21 $107,429 $38,016 $36,205
Cookeville Regional Med CenterCookeville 17 $95,421 $32,932 $31,478
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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

Parkwest Medical CenterKnoxville, TN$32,633
Cookeville Regional Med CenterCookeville, TN$32,932
Centennial Medical CenterNashville, TN$34,263
Jackson-Madison Cnty Gen HospJackson, TN$35,496
Baptist Memorial HospitalMemphis, TN$36,049

Highest

Vanderbilt University HospitalNashville, TN$43,429
Wellmont Holston Vly Med CtrKingsport, TN$38,702
Erlanger Medical CenterChattanooga, TN$38,016
St Thomas HospitalNashville, TN$37,909
Methodist Healthcare-MemphisMemphis, TN$37,820

Endovascular cardiac valve replacement and supplement procedures without major complications in other states

Questions

How much does endovascular cardiac valve replacement and supplement procedures without major complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures without major complications (DRG 267) at 11 hospitals in Tennessee was billed at $217,590 on average, while the average total payment was $36,783, of which Medicare paid $33,004. 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 5.9 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.