Hip replacement with principal diagnosis of hip fracture with major complications in Tennessee
What 18 hospitals in Tennessee charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521), from 2024 Medicare claims.
Average charge
$100,348
Hospital list price billed
Average payment
$20,970
Medicare + patient + other payers
Medicare paid
$18,087
Average per stay
State rank
#5 of 40
1 = lowest average payment
Hospitals in Tennessee billed an average of $100,348 for hip replacement with principal diagnosis of hip fracture with major complications, about 4.8 times the average total payment of $20,970. That payment is 18% below the U.S. average of $25,727.
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 $20,970Billed $100,348
About 21¢ 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: hip replacement with principal diagnosis of hip fracture 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 |
|---|---|---|---|---|
| Methodist Healthcare-MemphisMemphis | 32 | $105,008 | $23,988 | $21,089 |
| Univ of Tn Mem HospitalKnoxville | 24 | $77,933 | $26,720 | $21,242 |
| Memorial Healthcare System, INCChattanooga | 22 | $82,729 | $17,768 | $16,078 |
| Jackson-Madison Cnty Gen HospJackson | 21 | $85,443 | $21,902 | $20,324 |
| Cleveland Community HospitalCleveland | 20 | $199,260 | $19,127 | $17,903 |
| Baptist Memorial HospitalMemphis | 19 | $97,361 | $20,075 | $16,347 |
| Cookeville Regional Med CenterCookeville | 18 | $63,366 | $20,237 | $18,908 |
| St Thomas HospitalNashville | 18 | $87,527 | $24,547 | $18,108 |
| Parkwest Medical CenterKnoxville | 16 | $50,667 | $17,449 | $16,123 |
| Saint Thomas Rutherford HospitalMurfreesboro | 15 | $89,601 | $20,253 | $18,545 |
| Physicians Regional Medical CenterKnoxville | 15 | $118,049 | $19,334 | $16,485 |
| Williamson Medical CenterFranklin | 14 | $87,131 | $18,727 | $17,043 |
| Johnson City Medical CenterJohnson City | 14 | $126,486 | $20,879 | $18,465 |
| Blount Memorial HospitalMaryville | 13 | $68,272 | $20,083 | $16,239 |
| Saint Francis Bartlett Medical CenterBartlett | 12 | $219,040 | $16,113 | $14,617 |
| Wellmont Holston Vly Med CtrKingsport | 11 | $136,542 | $20,160 | $14,339 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 11 | $52,855 | $19,084 | $15,743 |
| Erlanger Medical CenterChattanooga | 11 | $72,256 | $24,862 | $21,514 |
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 | $16,113 |
|---|---|
| Parkwest Medical CenterKnoxville, TN | $17,449 |
| Memorial Healthcare System, INCChattanooga, TN | $17,768 |
| Williamson Medical CenterFranklin, TN | $18,727 |
| Methodist Med Ctr of Oak RidgeOak Ridge, TN | $19,084 |
Highest
| Univ of Tn Mem HospitalKnoxville, TN | $26,720 |
|---|---|
| Erlanger Medical CenterChattanooga, TN | $24,862 |
| St Thomas HospitalNashville, TN | $24,547 |
| Methodist Healthcare-MemphisMemphis, TN | $23,988 |
| Jackson-Madison Cnty Gen HospJackson, TN | $21,902 |
Hip replacement with principal diagnosis of hip fracture with major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture with major complications cost in Tennessee?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521) at 18 hospitals in Tennessee was billed at $100,348 on average, while the average total payment was $20,970, of which Medicare paid $18,087. 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 4.8 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.