facebook tracking Laparoscopic cholecystectomy without c.d.e. without complications cost in Tennessee: 2 hospitals compared (DRG 419)

Laparoscopic cholecystectomy without c.d.e. without complications in Tennessee

What 2 hospitals in Tennessee charged and were paid for a Medicare hospital stay for laparoscopic cholecystectomy without c.d.e. without complications (DRG 419), from 2024 Medicare claims.

DRG 419 Inpatient 2024 Medicare data
Average charge $78,825 Hospital list price billed
Average payment $13,237 Medicare + patient + other payers
Medicare paid $9,587 Average per stay
Volume 30 Medicare hospital stays

Hospitals in Tennessee billed an average of $78,825 for laparoscopic cholecystectomy without c.d.e. without complications, about 6.0 times the average total payment of $13,237. That payment is 7% above the U.S. average of $12,419.

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 $13,237Billed $78,825

About 17¢ was paid for every $1 hospitals in Tennessee billed for this stay.

Tennessee hospitals: laparoscopic cholecystectomy without c.d.e. without 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
St Thomas HospitalNashville 17 $74,266 $11,117 $8,630
Vanderbilt University HospitalNashville 13 $84,785 $16,008 $10,839
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Laparoscopic cholecystectomy without c.d.e. without complications in other states

Questions

How much does laparoscopic cholecystectomy without c.d.e. without complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for laparoscopic cholecystectomy without c.d.e. without complications (DRG 419) at 2 hospitals in Tennessee was billed at $78,825 on average, while the average total payment was $13,237, of which Medicare paid $9,587. 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 6.0 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.