Heart failure and shock with major complications in Tennessee
What 62 hospitals in Tennessee charged and were paid for a Medicare hospital stay for heart failure and shock with major complications (DRG 291), from 2024 Medicare claims.
Average charge
$46,322
Hospital list price billed
Average payment
$10,310
Medicare + patient + other payers
Medicare paid
$8,188
Average per stay
State rank
#10 of 50
1 = lowest average payment
Hospitals in Tennessee billed an average of $46,322 for heart failure and shock with major complications, about 4.5 times the average total payment of $10,310. That payment is 14% below the U.S. average of $12,050.
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 $10,310Billed $46,322
About 22¢ 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: heart failure and shock 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 | 549 | $55,881 | $9,923 | $7,710 |
| Methodist Healthcare-MemphisMemphis | 459 | $44,428 | $12,173 | $9,406 |
| St Thomas HospitalNashville | 375 | $40,929 | $11,380 | $8,496 |
| Memorial Healthcare System, INCChattanooga | 301 | $35,064 | $8,318 | $6,694 |
| Jackson-Madison Cnty Gen HospJackson | 295 | $40,992 | $9,634 | $8,237 |
| Maury Regional HospitalColumbia | 244 | $38,257 | $8,842 | $7,842 |
| Saint Thomas Rutherford HospitalMurfreesboro | 243 | $33,309 | $10,401 | $8,497 |
| Univ of Tn Mem HospitalKnoxville | 235 | $30,030 | $13,430 | $8,974 |
| Cookeville Regional Med CenterCookeville | 224 | $23,710 | $9,017 | $7,645 |
| Vanderbilt University HospitalNashville | 182 | $75,047 | $20,090 | $10,583 |
| Parkwest Medical CenterKnoxville | 177 | $19,696 | $8,304 | $6,986 |
| Physicians Regional Medical CenterKnoxville | 151 | $58,575 | $8,880 | $7,575 |
| Wellmont Bristol Regional Medical CenterBristol | 141 | $41,476 | $9,700 | $7,740 |
| Williamson Medical CenterFranklin | 141 | $26,552 | $8,046 | $6,877 |
| Centennial Medical CenterNashville | 141 | $84,171 | $10,079 | $8,501 |
| Parkridge Medical CenterChattanooga | 137 | $84,385 | $10,520 | $8,364 |
| Erlanger Medical CenterChattanooga | 133 | $41,545 | $13,267 | $9,933 |
| Wellmont Holston Vly Med CtrKingsport | 114 | $48,972 | $10,539 | $8,444 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 110 | $22,007 | $9,500 | $6,803 |
| Vanderbilt Clarksville HospitalClarksville | 106 | $64,641 | $8,965 | $7,833 |
| Johnson City Medical CenterJohnson City | 104 | $53,043 | $11,310 | $8,838 |
| Summit Medical CenterHermitage | 104 | $83,671 | $9,486 | $7,913 |
| Horizon Medical CenterDickson | 100 | $43,578 | $9,393 | $8,088 |
| Harton Regional Medical CenterTullahoma | 98 | $52,178 | $8,890 | $7,846 |
| Cleveland Community HospitalCleveland | 93 | $67,894 | $9,191 | $7,576 |
| Blount Memorial HospitalMaryville | 92 | $31,574 | $9,455 | $7,785 |
| Sumner Regional Medical CenterGallatin | 88 | $73,602 | $9,704 | $7,509 |
| Hendersonville Medical CenterHendersonville | 88 | $83,731 | $9,376 | $8,123 |
| Fort Sanders Reg Medical CtrKnoxville | 87 | $20,370 | $9,226 | $7,362 |
| Vanderbilt Wilson County HospitalLebanon | 87 | $46,343 | $8,885 | $7,564 |
| Saint Francis Bartlett Medical CenterBartlett | 87 | $74,907 | $8,676 | $7,185 |
| St Francis HospitalMemphis | 85 | $92,416 | $9,354 | $7,977 |
| Cumberland Medical CenterCrossville | 78 | $21,496 | $9,174 | $8,250 |
| Skyline Medical CenterNashville | 65 | $75,417 | $11,535 | $8,181 |
| Greeneville Community HospitalGreeneville | 61 | $39,631 | $8,619 | $7,429 |
| Morristown-Hamblen HospitalMorristown | 56 | $22,508 | $8,629 | $7,421 |
| Dyersburg Regional Medical CenterDyersburg | 56 | $40,049 | $9,397 | $7,935 |
| Leconte Medical CenterSevierville | 49 | $25,339 | $9,426 | $8,360 |
| Baptist Memorial Hospital TiptonCovington | 48 | $28,777 | $11,617 | $10,285 |
| Stonecrest Medical CenterSmyrna | 44 | $75,160 | $10,084 | $8,431 |
| Baptist Memorial Hospital Union CityUnion City | 41 | $32,856 | $8,459 | $7,504 |
| Vanderbilt Bedford HospitalShelbyville | 41 | $46,144 | $11,907 | $10,661 |
| River Park HospitalMcMinnville | 37 | $34,383 | $10,809 | $9,335 |
| Tristar Northcrest Medical CenterSpringfield | 36 | $48,703 | $10,556 | $8,762 |
| Franklin Woods Community HospitalJohnson City | 35 | $34,893 | $8,750 | $7,491 |
| Southern Hills Medical CtrNashville | 35 | $66,967 | $12,500 | $9,747 |
| Roane Medical CenterHarriman | 34 | $17,905 | $9,138 | $7,446 |
| Fort Sanders Loudon Med CenterLoudon | 33 | $17,515 | $9,278 | $8,091 |
| Henry County Medical CenterParis | 30 | $28,549 | $9,613 | $8,350 |
| Baptist Memorial Hospital HuntingdonHuntingdon | 28 | $24,644 | $9,728 | $8,562 |
| Crockett HospitalLeoma | 28 | $61,777 | $9,916 | $8,925 |
| Sweetwater Hospital AssociationSweetwater | 27 | $21,939 | $10,922 | $9,834 |
| Southern Tennessee Medical CenterWinchester | 26 | $50,173 | $10,688 | $8,297 |
| Livingston Regional HospitalLivingston | 24 | $59,277 | $9,943 | $8,923 |
| St Mary's Jefferson Memorial HospitalJefferson City | 23 | $44,845 | $7,617 | $6,366 |
| Sycamore Shoals HospitalElizabethton | 22 | $28,637 | $8,242 | $7,574 |
| Lincoln County Hlth FacilitiesFayetteville | 19 | $25,226 | $11,284 | $10,340 |
| Southern Tennessee Regional Health System PulaskiPulaski | 17 | $65,321 | $11,522 | $9,162 |
| Claiborne County HospitalTazewell | 16 | $16,483 | $9,329 | $8,207 |
| Tennova Healthcare - Newport Medical CenterNewport | 16 | $68,226 | $10,314 | $9,192 |
| Athens Regional Medical CenterAthens | 14 | $51,418 | $10,556 | $9,274 |
| Stones River Hospital and Dekalb Community HospSmithville | 13 | $18,501 | $12,607 | $11,854 |
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
| St Mary's Jefferson Memorial HospitalJefferson City, TN | $7,617 |
|---|---|
| Williamson Medical CenterFranklin, TN | $8,046 |
| Sycamore Shoals HospitalElizabethton, TN | $8,242 |
| Parkwest Medical CenterKnoxville, TN | $8,304 |
| Memorial Healthcare System, INCChattanooga, TN | $8,318 |
Highest
| Vanderbilt University HospitalNashville, TN | $20,090 |
|---|---|
| Univ of Tn Mem HospitalKnoxville, TN | $13,430 |
| Erlanger Medical CenterChattanooga, TN | $13,267 |
| Stones River Hospital and Dekalb Community HospSmithville, TN | $12,607 |
| Southern Hills Medical CtrNashville, TN | $12,500 |
Heart failure and shock with major complications in other states
Questions
How much does heart failure and shock with major complications cost in Tennessee?
In 2024 Medicare data, a hospital stay for heart failure and shock with major complications (DRG 291) at 62 hospitals in Tennessee was billed at $46,322 on average, while the average total payment was $10,310, of which Medicare paid $8,188. 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 4.5 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.