facebook tracking Hip and femur procedures except major joint with complications cost in Tennessee: 41 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in Tennessee

What 41 hospitals in Tennessee charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $88,840 Hospital list price billed
Average payment $16,008 Medicare + patient + other payers
Medicare paid $13,149 Average per stay
State rank #9 of 50 1 = lowest average payment

Hospitals in Tennessee billed an average of $88,840 for hip and femur procedures except major joint with complications, about 5.5 times the average total payment of $16,008. That payment is 13% below the U.S. average of $18,473.

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 $16,008Billed $88,840

About 18¢ was paid for every $1 hospitals in Tennessee billed for this stay.

Tennessee hospitals: hip and femur procedures except major joint with 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
Jackson-Madison Cnty Gen HospJackson 131 $58,950 $15,602 $13,448
Univ of Tn Mem HospitalKnoxville 90 $55,617 $19,003 $13,610
Methodist Healthcare-MemphisMemphis 90 $76,229 $17,566 $14,047
Memorial Healthcare System, INCChattanooga 89 $58,674 $13,410 $10,877
Baptist Memorial HospitalMemphis 81 $80,233 $15,402 $12,419
Erlanger Medical CenterChattanooga 65 $69,890 $18,954 $15,683
Johnson City Medical CenterJohnson City 59 $106,759 $15,977 $13,856
Vanderbilt University HospitalNashville 56 $157,819 $24,624 $16,223
Saint Thomas Rutherford HospitalMurfreesboro 56 $76,122 $15,795 $13,849
Skyline Medical CenterNashville 53 $249,450 $18,033 $12,802
Cookeville Regional Med CenterCookeville 50 $49,534 $14,164 $12,624
Wellmont Holston Vly Med CtrKingsport 47 $86,895 $14,971 $12,788
Physicians Regional Medical CenterKnoxville 47 $83,230 $13,418 $12,007
Saint Francis Bartlett Medical CenterBartlett 43 $120,880 $11,033 $9,554
Vanderbilt Clarksville HospitalClarksville 41 $127,772 $13,771 $12,497
Maury Regional HospitalColumbia 40 $61,979 $13,993 $12,468
Wellmont Bristol Regional Medical CenterBristol 39 $89,880 $15,478 $12,507
Williamson Medical CenterFranklin 39 $53,902 $13,416 $11,236
Parkwest Medical CenterKnoxville 38 $38,291 $13,386 $10,699
St Thomas HospitalNashville 37 $81,212 $16,368 $13,471
Blount Memorial HospitalMaryville 32 $58,769 $14,331 $12,296
Regional One HealthMemphis 28 $103,627 $29,523 $25,862
Dyersburg Regional Medical CenterDyersburg 20 $57,224 $14,520 $13,296
Centennial Medical CenterNashville 20 $145,158 $19,352 $12,740
Parkridge Medical CenterChattanooga 19 $105,357 $14,771 $13,457
Cleveland Community HospitalCleveland 19 $197,903 $13,810 $12,607
Vanderbilt Wilson County HospitalLebanon 19 $113,245 $14,579 $13,033
Hendersonville Medical CenterHendersonville 19 $150,960 $16,622 $11,611
Horizon Medical CenterDickson 18 $123,561 $16,674 $12,532
St Francis HospitalMemphis 17 $133,978 $13,733 $10,744
Sumner Regional Medical CenterGallatin 16 $93,602 $13,671 $12,419
Greeneville Community HospitalGreeneville 16 $76,642 $13,389 $11,859
Summit Medical CenterHermitage 16 $127,817 $14,228 $12,859
Methodist Med Ctr of Oak RidgeOak Ridge 15 $35,640 $13,687 $12,366
Fort Sanders Reg Medical CtrKnoxville 15 $48,341 $13,765 $12,249
Harton Regional Medical CenterTullahoma 15 $95,602 $14,108 $12,696
Cumberland Medical CenterCrossville 14 $36,759 $14,791 $13,625
Henry County Medical CenterParis 14 $38,061 $15,269 $13,767
St Mary's Jefferson Memorial HospitalJefferson City 13 $71,111 $13,008 $11,376
Athens Regional Medical CenterAthens 13 $141,784 $16,901 $13,267
Southern Hills Medical CtrNashville 11 $115,549 $17,609 $15,589
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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

Saint Francis Bartlett Medical CenterBartlett, TN$11,033
St Mary's Jefferson Memorial HospitalJefferson City, TN$13,008
Parkwest Medical CenterKnoxville, TN$13,386
Greeneville Community HospitalGreeneville, TN$13,389
Memorial Healthcare System, INCChattanooga, TN$13,410

Highest

Regional One HealthMemphis, TN$29,523
Vanderbilt University HospitalNashville, TN$24,624
Centennial Medical CenterNashville, TN$19,352
Univ of Tn Mem HospitalKnoxville, TN$19,003
Erlanger Medical CenterChattanooga, TN$18,954

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 41 hospitals in Tennessee was billed at $88,840 on average, while the average total payment was $16,008, of which Medicare paid $13,149. 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 5.5 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.