facebook tracking Infectious and parasitic diseases with operating room procedures with complications cost in Tennessee: 20 hospitals compared (DRG 854)

Infectious and parasitic diseases with operating room procedures with complications in Tennessee

What 20 hospitals in Tennessee charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854), from 2024 Medicare claims.

DRG 854 Inpatient 2024 Medicare data
Average charge $68,099 Hospital list price billed
Average payment $16,738 Medicare + patient + other payers
Medicare paid $11,864 Average per stay
State rank #18 of 44 1 = lowest average payment

Hospitals in Tennessee billed an average of $68,099 for infectious and parasitic diseases with operating room procedures with complications, about 4.1 times the average total payment of $16,738. That payment is 12% below the U.S. average of $19,011.

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 $16,738Billed $68,099

About 25¢ 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: infectious and parasitic diseases with operating room procedures 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
Methodist Healthcare-MemphisMemphis 39 $80,110 $21,375 $12,907
Baptist Memorial HospitalMemphis 31 $70,496 $16,266 $12,377
Maury Regional HospitalColumbia 28 $62,452 $13,623 $12,150
Jackson-Madison Cnty Gen HospJackson 26 $53,176 $15,140 $12,407
Univ of Tn Mem HospitalKnoxville 26 $61,240 $20,080 $11,538
Memorial Healthcare System, INCChattanooga 25 $45,315 $16,395 $10,488
Erlanger Medical CenterChattanooga 20 $53,101 $19,274 $13,573
Parkwest Medical CenterKnoxville 18 $18,443 $12,408 $11,048
Physicians Regional Medical CenterKnoxville 17 $82,688 $16,578 $10,459
Summit Medical CenterHermitage 17 $119,649 $13,814 $12,504
Franklin Woods Community HospitalJohnson City 17 $39,639 $14,805 $11,162
St Thomas HospitalNashville 15 $82,716 $17,325 $13,806
Wellmont Bristol Regional Medical CenterBristol 14 $51,875 $18,272 $10,777
Saint Thomas Rutherford HospitalMurfreesboro 14 $62,183 $17,331 $12,359
Cookeville Regional Med CenterCookeville 14 $56,040 $13,172 $11,768
Sumner Regional Medical CenterGallatin 13 $125,060 $21,417 $10,836
Saint Francis Bartlett Medical CenterBartlett 13 $97,322 $12,859 $11,732
Methodist Med Ctr of Oak RidgeOak Ridge 11 $28,322 $17,254 $9,944
Greeneville Community HospitalGreeneville 11 $97,589 $17,825 $9,808
Centennial Medical CenterNashville 11 $118,713 $14,933 $12,678
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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$12,408
Saint Francis Bartlett Medical CenterBartlett, TN$12,859
Cookeville Regional Med CenterCookeville, TN$13,172
Maury Regional HospitalColumbia, TN$13,623
Summit Medical CenterHermitage, TN$13,814

Highest

Sumner Regional Medical CenterGallatin, TN$21,417
Methodist Healthcare-MemphisMemphis, TN$21,375
Univ of Tn Mem HospitalKnoxville, TN$20,080
Erlanger Medical CenterChattanooga, TN$19,274
Wellmont Bristol Regional Medical CenterBristol, TN$18,272

Infectious and parasitic diseases with operating room procedures with complications in other states

Questions

How much does infectious and parasitic diseases with operating room procedures with complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854) at 20 hospitals in Tennessee was billed at $68,099 on average, while the average total payment was $16,738, of which Medicare paid $11,864. 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 4.1 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.