Hip and femur procedures except major joint with major complications in Tennessee
What 25 hospitals in Tennessee charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.
Average charge
$111,580
Hospital list price billed
Average payment
$21,805
Medicare + patient + other payers
Medicare paid
$18,674
Average per stay
State rank
#7 of 46
1 = lowest average payment
Hospitals in Tennessee billed an average of $111,580 for hip and femur procedures except major joint with major complications, about 5.1 times the average total payment of $21,805. That payment is 17% below the U.S. average of $26,284.
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 $21,805Billed $111,580
About 20¢ 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: hip and femur procedures except major joint 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 |
|---|---|---|---|---|
| Jackson-Madison Cnty Gen HospJackson | 50 | $81,385 | $21,514 | $19,691 |
| Baptist Memorial HospitalMemphis | 47 | $105,378 | $20,576 | $17,320 |
| Methodist Healthcare-MemphisMemphis | 45 | $95,596 | $23,223 | $20,171 |
| Univ of Tn Mem HospitalKnoxville | 38 | $81,232 | $27,150 | $21,153 |
| Memorial Healthcare System, INCChattanooga | 38 | $72,948 | $17,992 | $16,160 |
| Vanderbilt University HospitalNashville | 30 | $193,260 | $36,704 | $22,751 |
| St Thomas HospitalNashville | 26 | $92,379 | $22,313 | $18,842 |
| Parkwest Medical CenterKnoxville | 25 | $46,214 | $18,495 | $14,527 |
| Wellmont Holston Vly Med CtrKingsport | 24 | $122,854 | $22,068 | $18,288 |
| Cleveland Community HospitalCleveland | 24 | $217,832 | $19,316 | $18,228 |
| Williamson Medical CenterFranklin | 23 | $67,815 | $18,212 | $16,819 |
| Erlanger Medical CenterChattanooga | 23 | $93,179 | $24,951 | $20,968 |
| Johnson City Medical CenterJohnson City | 22 | $141,776 | $22,927 | $20,168 |
| Maury Regional HospitalColumbia | 20 | $92,340 | $19,730 | $18,480 |
| Cookeville Regional Med CenterCookeville | 18 | $55,759 | $20,078 | $18,896 |
| Horizon Medical CenterDickson | 17 | $142,364 | $19,856 | $18,512 |
| Blount Memorial HospitalMaryville | 16 | $70,833 | $19,103 | $17,569 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 16 | $57,219 | $19,229 | $17,674 |
| Saint Francis Bartlett Medical CenterBartlett | 14 | $145,622 | $16,140 | $14,858 |
| Morristown-Hamblen HospitalMorristown | 13 | $36,747 | $17,434 | $15,802 |
| Wellmont Bristol Regional Medical CenterBristol | 12 | $122,063 | $19,951 | $17,506 |
| Skyline Medical CenterNashville | 11 | $488,719 | $26,607 | $24,749 |
| Vanderbilt Clarksville HospitalClarksville | 11 | $168,514 | $19,086 | $17,899 |
| Physicians Regional Medical CenterKnoxville | 11 | $107,346 | $18,313 | $17,423 |
| Hendersonville Medical CenterHendersonville | 11 | $184,267 | $19,605 | $18,418 |
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 | $16,140 |
|---|---|
| Morristown-Hamblen HospitalMorristown, TN | $17,434 |
| Memorial Healthcare System, INCChattanooga, TN | $17,992 |
| Williamson Medical CenterFranklin, TN | $18,212 |
| Physicians Regional Medical CenterKnoxville, TN | $18,313 |
Highest
| Vanderbilt University HospitalNashville, TN | $36,704 |
|---|---|
| Univ of Tn Mem HospitalKnoxville, TN | $27,150 |
| Skyline Medical CenterNashville, TN | $26,607 |
| Erlanger Medical CenterChattanooga, TN | $24,951 |
| Methodist Healthcare-MemphisMemphis, TN | $23,223 |
Hip and femur procedures except major joint with major complications in other states
Questions
How much does hip and femur procedures except major joint with major complications cost in Tennessee?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 25 hospitals in Tennessee was billed at $111,580 on average, while the average total payment was $21,805, of which Medicare paid $18,674. 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 5.1 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.