facebook tracking Hip replacement with principal diagnosis of hip fracture without major complications cost in Tennessee: 39 hospitals compared (DRG 522)

Hip replacement with principal diagnosis of hip fracture without major complications in Tennessee

What 39 hospitals in Tennessee charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.

DRG 522 Inpatient 2024 Medicare data
Average charge $86,666 Hospital list price billed
Average payment $15,743 Medicare + patient + other payers
Medicare paid $13,353 Average per stay
State rank #8 of 50 1 = lowest average payment

Hospitals in Tennessee billed an average of $86,666 for hip replacement with principal diagnosis of hip fracture without major complications, about 5.5 times the average total payment of $15,743. That payment is 14% below the U.S. average of $18,301.

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 $15,743Billed $86,666

About 18¢ 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 without 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 82 $73,163 $15,281 $12,931
Jackson-Madison Cnty Gen HospJackson 79 $71,393 $15,697 $14,022
Memorial Healthcare System, INCChattanooga 64 $63,704 $13,572 $11,804
Methodist Healthcare-MemphisMemphis 53 $82,704 $17,718 $14,392
Saint Thomas Rutherford HospitalMurfreesboro 47 $78,632 $16,875 $14,002
Maury Regional HospitalColumbia 45 $76,582 $14,720 $12,758
Univ of Tn Mem HospitalKnoxville 44 $53,210 $19,395 $13,965
Erlanger Medical CenterChattanooga 43 $63,840 $18,807 $15,358
Parkwest Medical CenterKnoxville 42 $45,957 $13,019 $11,505
Johnson City Medical CenterJohnson City 41 $96,399 $16,069 $13,962
Physicians Regional Medical CenterKnoxville 41 $83,137 $13,779 $12,427
Williamson Medical CenterFranklin 40 $72,505 $13,502 $11,912
Wellmont Holston Vly Med CtrKingsport 29 $85,121 $16,187 $13,070
Cookeville Regional Med CenterCookeville 27 $52,322 $14,403 $12,858
Vanderbilt University HospitalNashville 26 $155,836 $25,799 $15,241
St Thomas HospitalNashville 25 $77,593 $16,784 $13,793
Vanderbilt Clarksville HospitalClarksville 23 $127,534 $14,391 $13,117
Centennial Medical CenterNashville 23 $136,704 $15,486 $14,013
Blount Memorial HospitalMaryville 22 $58,267 $14,824 $13,192
Wellmont Bristol Regional Medical CenterBristol 21 $90,599 $15,559 $13,466
Parkridge Medical CenterChattanooga 21 $120,016 $15,159 $13,506
Cleveland Community HospitalCleveland 21 $187,526 $14,490 $13,013
Saint Francis Bartlett Medical CenterBartlett 20 $135,379 $13,809 $12,340
Summit Medical CenterHermitage 19 $147,029 $14,294 $12,624
Horizon Medical CenterDickson 18 $120,361 $14,870 $13,784
Morristown-Hamblen HospitalMorristown 16 $48,731 $13,623 $12,095
Leconte Medical CenterSevierville 15 $37,760 $15,526 $11,636
Methodist Med Ctr of Oak RidgeOak Ridge 14 $43,912 $13,888 $12,839
Henry County Medical CenterParis 14 $43,355 $15,568 $14,044
Vanderbilt Wilson County HospitalLebanon 14 $114,241 $14,879 $13,597
Skyline Medical CenterNashville 13 $253,641 $15,621 $13,890
Harton Regional Medical CenterTullahoma 13 $107,027 $14,366 $13,114
St Francis HospitalMemphis 13 $157,477 $13,961 $9,862
Hendersonville Medical CenterHendersonville 13 $144,034 $14,829 $13,322
Greeneville Community HospitalGreeneville 12 $99,954 $13,746 $12,117
Fort Sanders Reg Medical CtrKnoxville 12 $45,347 $13,805 $12,501
Regional One HealthMemphis 12 $92,630 $29,850 $26,065
Sumner Regional Medical CenterGallatin 11 $130,773 $14,191 $12,978
Cumberland Medical CenterCrossville 11 $36,010 $15,011 $13,304
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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

Parkwest Medical CenterKnoxville, TN$13,019
Williamson Medical CenterFranklin, TN$13,502
Memorial Healthcare System, INCChattanooga, TN$13,572
Morristown-Hamblen HospitalMorristown, TN$13,623
Greeneville Community HospitalGreeneville, TN$13,746

Highest

Regional One HealthMemphis, TN$29,850
Vanderbilt University HospitalNashville, TN$25,799
Univ of Tn Mem HospitalKnoxville, TN$19,395
Erlanger Medical CenterChattanooga, TN$18,807
Methodist Healthcare-MemphisMemphis, TN$17,718

Hip replacement with principal diagnosis of hip fracture without major complications in other states

Questions

How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 39 hospitals in Tennessee was billed at $86,666 on average, while the average total payment was $15,743, of which Medicare paid $13,353. 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.