Extensive operating room procedures unrelated to principal diagnosis with major complications in Tennessee
What 17 hospitals in Tennessee charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.
Average charge
$152,013
Hospital list price billed
Average payment
$35,718
Medicare + patient + other payers
Medicare paid
$30,219
Average per stay
State rank
#4 of 42
1 = lowest average payment
Hospitals in Tennessee billed an average of $152,013 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 4.3 times the average total payment of $35,718. That payment is 24% below the U.S. average of $47,051.
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 $35,718Billed $152,013
About 23¢ 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: extensive operating room procedures unrelated to principal diagnosis 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 |
|---|---|---|---|---|
| Baptist Memorial HospitalMemphis | 44 | $179,497 | $35,486 | $28,918 |
| Methodist Healthcare-MemphisMemphis | 40 | $163,711 | $38,813 | $34,511 |
| Jackson-Madison Cnty Gen HospJackson | 33 | $98,741 | $33,980 | $32,692 |
| Vanderbilt University HospitalNashville | 33 | $207,014 | $50,264 | $30,677 |
| Univ of Tn Mem HospitalKnoxville | 23 | $100,427 | $38,042 | $28,786 |
| Johnson City Medical CenterJohnson City | 20 | $207,751 | $37,852 | $31,218 |
| St Thomas HospitalNashville | 20 | $162,825 | $35,734 | $32,156 |
| Cookeville Regional Med CenterCookeville | 19 | $81,296 | $34,214 | $29,527 |
| Memorial Healthcare System, INCChattanooga | 19 | $102,753 | $28,367 | $26,374 |
| Erlanger Medical CenterChattanooga | 17 | $185,964 | $36,774 | $32,454 |
| Wellmont Bristol Regional Medical CenterBristol | 15 | $216,721 | $37,312 | $34,845 |
| Maury Regional HospitalColumbia | 15 | $113,252 | $28,111 | $26,568 |
| Saint Thomas Rutherford HospitalMurfreesboro | 14 | $138,742 | $34,561 | $32,180 |
| Parkwest Medical CenterKnoxville | 13 | $97,252 | $28,780 | $24,341 |
| Saint Francis Bartlett Medical CenterBartlett | 13 | $179,805 | $24,377 | $22,243 |
| Fort Sanders Reg Medical CtrKnoxville | 11 | $85,547 | $30,175 | $28,891 |
| St Francis HospitalMemphis | 11 | $215,841 | $28,691 | $26,929 |
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 | $24,377 |
|---|---|
| Maury Regional HospitalColumbia, TN | $28,111 |
| Memorial Healthcare System, INCChattanooga, TN | $28,367 |
| St Francis HospitalMemphis, TN | $28,691 |
| Parkwest Medical CenterKnoxville, TN | $28,780 |
Highest
| Vanderbilt University HospitalNashville, TN | $50,264 |
|---|---|
| Methodist Healthcare-MemphisMemphis, TN | $38,813 |
| Univ of Tn Mem HospitalKnoxville, TN | $38,042 |
| Johnson City Medical CenterJohnson City, TN | $37,852 |
| Wellmont Bristol Regional Medical CenterBristol, TN | $37,312 |
Extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Tennessee?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 17 hospitals in Tennessee was billed at $152,013 on average, while the average total payment was $35,718, of which Medicare paid $30,219. 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 4.3 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.