facebook tracking Fractures of hip and pelvis without major complications cost in Tennessee: 15 hospitals compared (DRG 536)

Fractures of hip and pelvis without major complications in Tennessee

What 15 hospitals in Tennessee charged and were paid for a Medicare hospital stay for fractures of hip and pelvis without major complications (DRG 536), from 2024 Medicare claims.

DRG 536 Inpatient 2024 Medicare data
Average charge $30,599 Hospital list price billed
Average payment $7,749 Medicare + patient + other payers
Medicare paid $5,316 Average per stay
State rank #29 of 37 1 = lowest average payment

Hospitals in Tennessee billed an average of $30,599 for fractures of hip and pelvis without major complications, about 3.9 times the average total payment of $7,749. That payment is 2% above the U.S. average of $7,596.

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 $7,749Billed $30,599

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: fractures of hip and pelvis 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 28 $30,184 $6,445 $4,118
Univ of Tn Mem HospitalKnoxville 24 $16,344 $9,064 $5,603
St Thomas HospitalNashville 21 $18,204 $6,979 $4,772
Johnson City Medical CenterJohnson City 20 $35,566 $7,155 $5,043
Erlanger Medical CenterChattanooga 19 $28,099 $9,672 $6,754
Methodist Healthcare-MemphisMemphis 16 $25,707 $7,950 $5,837
Physicians Regional Medical CenterKnoxville 16 $25,718 $5,711 $4,283
Williamson Medical CenterFranklin 15 $16,514 $4,857 $3,423
Vanderbilt University HospitalNashville 13 $84,129 $12,521 $5,633
Parkridge Medical CenterChattanooga 13 $48,546 $6,333 $5,183
Jackson-Madison Cnty Gen HospJackson 12 $28,111 $5,980 $4,607
Maury Regional HospitalColumbia 12 $26,120 $5,483 $4,386
Memorial Healthcare System, INCChattanooga 12 $23,959 $5,126 $3,385
Sumner Regional Medical CenterGallatin 11 $35,166 $5,732 $4,671
Regional One HealthMemphis 11 $40,936 $19,356 $14,430
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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

Williamson Medical CenterFranklin, TN$4,857
Memorial Healthcare System, INCChattanooga, TN$5,126
Maury Regional HospitalColumbia, TN$5,483
Physicians Regional Medical CenterKnoxville, TN$5,711
Sumner Regional Medical CenterGallatin, TN$5,732

Highest

Regional One HealthMemphis, TN$19,356
Vanderbilt University HospitalNashville, TN$12,521
Erlanger Medical CenterChattanooga, TN$9,672
Univ of Tn Mem HospitalKnoxville, TN$9,064
Methodist Healthcare-MemphisMemphis, TN$7,950

Fractures of hip and pelvis without major complications in other states

Questions

How much does fractures of hip and pelvis without major complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for fractures of hip and pelvis without major complications (DRG 536) at 15 hospitals in Tennessee was billed at $30,599 on average, while the average total payment was $7,749, of which Medicare paid $5,316. 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 3.9 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.