facebook tracking Infectious and parasitic diseases with operating room procedures with major complications cost in Tennessee: 38 hospitals compared (DRG 853)

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

What 38 hospitals in Tennessee charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853), from 2024 Medicare claims.

DRG 853 Inpatient 2024 Medicare data
Average charge $185,024 Hospital list price billed
Average payment $38,222 Medicare + patient + other payers
Medicare paid $32,079 Average per stay
State rank #6 of 49 1 = lowest average payment

Hospitals in Tennessee billed an average of $185,024 for infectious and parasitic diseases with operating room procedures with major complications, about 4.8 times the average total payment of $38,222. That payment is 18% below the U.S. average of $46,667.

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 $38,222Billed $185,024

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: infectious and parasitic diseases with operating room procedures 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 156 $168,897 $40,772 $35,999
Baptist Memorial HospitalMemphis 131 $196,221 $36,928 $31,265
Memorial Healthcare System, INCChattanooga 117 $101,027 $29,744 $25,077
Vanderbilt University HospitalNashville 111 $301,655 $65,294 $44,265
Jackson-Madison Cnty Gen HospJackson 103 $137,955 $38,606 $35,128
Univ of Tn Mem HospitalKnoxville 100 $117,489 $41,324 $32,789
Saint Thomas Rutherford HospitalMurfreesboro 69 $156,328 $36,617 $33,695
Erlanger Medical CenterChattanooga 69 $168,185 $43,710 $37,462
St Thomas HospitalNashville 64 $174,447 $41,202 $34,415
Cookeville Regional Med CenterCookeville 58 $88,813 $35,588 $31,190
Parkwest Medical CenterKnoxville 58 $66,780 $30,347 $27,014
Centennial Medical CenterNashville 55 $385,960 $49,642 $32,201
Physicians Regional Medical CenterKnoxville 54 $163,620 $28,775 $26,324
Saint Francis Bartlett Medical CenterBartlett 47 $284,020 $30,906 $29,987
Summit Medical CenterHermitage 45 $289,434 $33,363 $31,926
Maury Regional HospitalColumbia 43 $138,781 $30,943 $26,921
Parkridge Medical CenterChattanooga 43 $239,925 $35,368 $31,465
Fort Sanders Reg Medical CtrKnoxville 42 $95,258 $34,092 $26,296
Johnson City Medical CenterJohnson City 40 $211,740 $45,746 $33,829
Methodist Med Ctr of Oak RidgeOak Ridge 37 $77,710 $33,539 $28,316
Skyline Medical CenterNashville 33 $414,019 $39,738 $32,686
Vanderbilt Clarksville HospitalClarksville 33 $263,441 $32,572 $29,055
St Francis HospitalMemphis 31 $482,525 $37,993 $36,365
Blount Memorial HospitalMaryville 28 $121,879 $35,213 $25,703
Wellmont Bristol Regional Medical CenterBristol 28 $131,068 $35,886 $33,366
Wellmont Holston Vly Med CtrKingsport 26 $152,445 $33,926 $28,857
Cleveland Community HospitalCleveland 26 $229,645 $33,122 $27,168
Hendersonville Medical CenterHendersonville 25 $250,329 $31,633 $27,556
Southern Hills Medical CtrNashville 24 $212,746 $36,035 $32,963
Sumner Regional Medical CenterGallatin 23 $192,525 $33,872 $27,195
Franklin Woods Community HospitalJohnson City 19 $99,214 $26,589 $25,043
Williamson Medical CenterFranklin 17 $85,995 $28,191 $24,224
Horizon Medical CenterDickson 17 $260,455 $32,018 $31,155
Greeneville Community HospitalGreeneville 16 $130,986 $31,034 $26,441
Vanderbilt Wilson County HospitalLebanon 16 $152,901 $31,707 $30,483
Leconte Medical CenterSevierville 15 $42,998 $31,596 $28,578
Harton Regional Medical CenterTullahoma 15 $148,053 $33,141 $32,055
Regional One HealthMemphis 13 $190,099 $56,072 $48,695
Advertisement

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

Franklin Woods Community HospitalJohnson City, TN$26,589
Williamson Medical CenterFranklin, TN$28,191
Physicians Regional Medical CenterKnoxville, TN$28,775
Memorial Healthcare System, INCChattanooga, TN$29,744
Parkwest Medical CenterKnoxville, TN$30,347

Highest

Vanderbilt University HospitalNashville, TN$65,294
Regional One HealthMemphis, TN$56,072
Centennial Medical CenterNashville, TN$49,642
Johnson City Medical CenterJohnson City, TN$45,746
Erlanger Medical CenterChattanooga, TN$43,710

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

Questions

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

In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853) at 38 hospitals in Tennessee was billed at $185,024 on average, while the average total payment was $38,222, of which Medicare paid $32,079. 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.