Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in Tennessee
What 17 hospitals in Tennessee charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563), from 2024 Medicare claims.
Average charge
$36,395
Hospital list price billed
Average payment
$7,923
Medicare + patient + other payers
Medicare paid
$5,598
Average per stay
State rank
#21 of 39
1 = lowest average payment
Hospitals in Tennessee billed an average of $36,395 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications, about 4.6 times the average total payment of $7,923. That payment is 9% below the U.S. average of $8,749.
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 $7,923Billed $36,395
About 22¢ 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: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh 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 |
|---|---|---|---|---|
| Baptist Memorial HospitalMemphis | 43 | $37,696 | $6,885 | $4,911 |
| Methodist Healthcare-MemphisMemphis | 24 | $33,626 | $9,035 | $6,641 |
| Univ of Tn Mem HospitalKnoxville | 23 | $25,139 | $10,375 | $6,400 |
| Saint Thomas Rutherford HospitalMurfreesboro | 22 | $22,508 | $7,707 | $5,918 |
| Vanderbilt University HospitalNashville | 21 | $63,684 | $13,727 | $7,036 |
| St Thomas HospitalNashville | 18 | $21,145 | $8,280 | $5,625 |
| Physicians Regional Medical CenterKnoxville | 18 | $36,823 | $6,514 | $5,065 |
| Sumner Regional Medical CenterGallatin | 16 | $36,290 | $6,612 | $5,163 |
| Harton Regional Medical CenterTullahoma | 16 | $45,636 | $6,404 | $4,874 |
| Summit Medical CenterHermitage | 15 | $61,526 | $6,686 | $5,564 |
| Horizon Medical CenterDickson | 14 | $64,144 | $6,996 | $5,602 |
| Johnson City Medical CenterJohnson City | 14 | $29,676 | $7,260 | $5,545 |
| Maury Regional HospitalColumbia | 14 | $27,603 | $7,017 | $4,771 |
| Erlanger Medical CenterChattanooga | 14 | $31,309 | $9,569 | $7,192 |
| Wellmont Bristol Regional Medical CenterBristol | 11 | $27,665 | $6,344 | $4,817 |
| Wellmont Holston Vly Med CtrKingsport | 11 | $28,732 | $6,601 | $5,040 |
| Williamson Medical CenterFranklin | 11 | $20,550 | $5,282 | $3,927 |
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
| Williamson Medical CenterFranklin, TN | $5,282 |
|---|---|
| Wellmont Bristol Regional Medical CenterBristol, TN | $6,344 |
| Harton Regional Medical CenterTullahoma, TN | $6,404 |
| Physicians Regional Medical CenterKnoxville, TN | $6,514 |
| Wellmont Holston Vly Med CtrKingsport, TN | $6,601 |
Highest
| Vanderbilt University HospitalNashville, TN | $13,727 |
|---|---|
| Univ of Tn Mem HospitalKnoxville, TN | $10,375 |
| Erlanger Medical CenterChattanooga, TN | $9,569 |
| Methodist Healthcare-MemphisMemphis, TN | $9,035 |
| St Thomas HospitalNashville, TN | $8,280 |
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in other states
Questions
How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Tennessee?
In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563) at 17 hospitals in Tennessee was billed at $36,395 on average, while the average total payment was $7,923, of which Medicare paid $5,598. 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 4.6 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.