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Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit in Tennessee

What 2 hospitals in Tennessee charged and were paid for a Medicare hospital stay for ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit (DRG 061), from 2024 Medicare claims.

DRG 061 Inpatient 2024 Medicare data
Average charge $237,446 Hospital list price billed
Average payment $20,824 Medicare + patient + other payers
Medicare paid $18,433 Average per stay
Volume 23 Medicare hospital stays

Hospitals in Tennessee billed an average of $237,446 for ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit, about 11.4 times the average total payment of $20,824. That payment is 28% below the U.S. average of $28,896.

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 $20,824Billed $237,446

About 9¢ 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: ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit

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 12 $140,006 $19,999 $17,348
Skyline Medical CenterNashville 11 $343,745 $21,724 $19,616
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Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit in other states

Questions

How much does ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit cost in Tennessee?

In 2024 Medicare data, a hospital stay for ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit (DRG 061) at 2 hospitals in Tennessee was billed at $237,446 on average, while the average total payment was $20,824, of which Medicare paid $18,433. 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 11.4 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.