Major chest procedures with complications in Tennessee
What 11 hospitals in Tennessee charged and were paid for a Medicare hospital stay for major chest procedures with complications (DRG 164), from 2024 Medicare claims.
Average charge
$98,606
Hospital list price billed
Average payment
$20,440
Medicare + patient + other payers
Medicare paid
$16,200
Average per stay
State rank
#6 of 41
1 = lowest average payment
Hospitals in Tennessee billed an average of $98,606 for major chest procedures with complications, about 4.8 times the average total payment of $20,440. That payment is 20% below the U.S. average of $25,501.
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 $20,440Billed $98,606
About 21¢ was paid for every $1 hospitals in Tennessee billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Tennessee:
Tennessee hospitals: major chest 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 |
|---|---|---|---|---|
| Baptist Memorial HospitalMemphis | 62 | $88,919 | $18,511 | $14,783 |
| Vanderbilt University HospitalNashville | 56 | $111,845 | $27,397 | $19,220 |
| Univ of Tn Mem HospitalKnoxville | 28 | $73,467 | $21,969 | $15,690 |
| Centennial Medical CenterNashville | 24 | $165,414 | $18,287 | $16,453 |
| Jackson-Madison Cnty Gen HospJackson | 23 | $78,452 | $18,766 | $17,065 |
| St Thomas HospitalNashville | 22 | $112,963 | $18,244 | $15,567 |
| Fort Sanders Reg Medical CtrKnoxville | 21 | $67,555 | $16,340 | $14,736 |
| Johnson City Medical CenterJohnson City | 19 | $153,651 | $19,500 | $15,477 |
| Saint Thomas Rutherford HospitalMurfreesboro | 18 | $71,853 | $20,658 | $16,608 |
| Memorial Healthcare System, INCChattanooga | 15 | $64,724 | $17,763 | $13,715 |
| Cookeville Regional Med CenterCookeville | 11 | $71,644 | $17,336 | $15,791 |
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
| Fort Sanders Reg Medical CtrKnoxville, TN | $16,340 |
|---|---|
| Cookeville Regional Med CenterCookeville, TN | $17,336 |
| Memorial Healthcare System, INCChattanooga, TN | $17,763 |
| St Thomas HospitalNashville, TN | $18,244 |
| Centennial Medical CenterNashville, TN | $18,287 |
Highest
| Vanderbilt University HospitalNashville, TN | $27,397 |
|---|---|
| Univ of Tn Mem HospitalKnoxville, TN | $21,969 |
| Saint Thomas Rutherford HospitalMurfreesboro, TN | $20,658 |
| Johnson City Medical CenterJohnson City, TN | $19,500 |
| Jackson-Madison Cnty Gen HospJackson, TN | $18,766 |
Major chest procedures with complications in other states
Questions
How much does major chest procedures with complications cost in Tennessee?
In 2024 Medicare data, a hospital stay for major chest procedures with complications (DRG 164) at 11 hospitals in Tennessee was billed at $98,606 on average, while the average total payment was $20,440, of which Medicare paid $16,200. 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.