facebook tracking Hip and femur procedures except major joint without complications cost in Tennessee: 10 hospitals compared (DRG 482)

Hip and femur procedures except major joint without complications in Tennessee

What 10 hospitals in Tennessee charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint without complications (DRG 482), from 2024 Medicare claims.

DRG 482 Inpatient 2024 Medicare data
Average charge $60,227 Hospital list price billed
Average payment $12,333 Medicare + patient + other payers
Medicare paid $10,095 Average per stay
State rank #8 of 36 1 = lowest average payment

Hospitals in Tennessee billed an average of $60,227 for hip and femur procedures except major joint without complications, about 4.9 times the average total payment of $12,333. That payment is 14% below the U.S. average of $14,276.

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 $12,333Billed $60,227

About 20¢ was paid for every $1 hospitals in Tennessee billed for this stay.

Tennessee hospitals: hip and femur procedures except major joint without 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 27 $62,537 $11,972 $9,206
Univ of Tn Mem HospitalKnoxville 24 $39,736 $14,524 $11,253
Saint Thomas Rutherford HospitalMurfreesboro 19 $50,690 $12,393 $10,758
Methodist Healthcare-MemphisMemphis 18 $61,037 $13,851 $11,704
Physicians Regional Medical CenterKnoxville 17 $68,442 $10,703 $9,263
Cookeville Regional Med CenterCookeville 16 $40,481 $10,884 $9,324
Maury Regional HospitalColumbia 14 $50,653 $11,046 $9,515
Jackson-Madison Cnty Gen HospJackson 13 $46,214 $13,249 $9,177
Centennial Medical CenterNashville 13 $111,699 $12,255 $10,723
Summit Medical CenterHermitage 11 $98,351 $11,123 $9,461
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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

Physicians Regional Medical CenterKnoxville, TN$10,703
Cookeville Regional Med CenterCookeville, TN$10,884
Maury Regional HospitalColumbia, TN$11,046
Summit Medical CenterHermitage, TN$11,123
Baptist Memorial HospitalMemphis, TN$11,972

Highest

Univ of Tn Mem HospitalKnoxville, TN$14,524
Methodist Healthcare-MemphisMemphis, TN$13,851
Jackson-Madison Cnty Gen HospJackson, TN$13,249
Saint Thomas Rutherford HospitalMurfreesboro, TN$12,393
Centennial Medical CenterNashville, TN$12,255

Hip and femur procedures except major joint without complications in other states

Questions

How much does hip and femur procedures except major joint without complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint without complications (DRG 482) at 10 hospitals in Tennessee was billed at $60,227 on average, while the average total payment was $12,333, of which Medicare paid $10,095. 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 4.9 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.