facebook tracking Major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Tennessee: 5 hospitals compared (DRG 808)

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in Tennessee

What 5 hospitals in Tennessee charged and were paid for a Medicare hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808), from 2024 Medicare claims.

DRG 808 Inpatient 2024 Medicare data
Average charge $214,376 Hospital list price billed
Average payment $36,967 Medicare + patient + other payers
Medicare paid $24,173 Average per stay
State rank #16 of 18 1 = lowest average payment

Hospitals in Tennessee billed an average of $214,376 for major hematological and immunological diagnoses except sickle cell crisis and coagulatio, about 5.8 times the average total payment of $36,967. That payment is 32% above the U.S. average of $27,957.

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 $36,967Billed $214,376

About 17¢ 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: major hematological and immunological diagnoses except sickle cell crisis and coagulatio

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
Centennial Medical CenterNashville 25 $439,344 $57,258 $30,348
Baptist Memorial HospitalMemphis 20 $89,826 $17,419 $14,613
Vanderbilt University HospitalNashville 15 $107,050 $28,583 $13,434
St Thomas HospitalNashville 14 $78,132 $18,499 $15,161
Methodist Healthcare-MemphisMemphis 12 $246,389 $59,300 $51,176
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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

Baptist Memorial HospitalMemphis, TN$17,419
St Thomas HospitalNashville, TN$18,499
Vanderbilt University HospitalNashville, TN$28,583
Centennial Medical CenterNashville, TN$57,258
Methodist Healthcare-MemphisMemphis, TN$59,300

Highest

Methodist Healthcare-MemphisMemphis, TN$59,300
Centennial Medical CenterNashville, TN$57,258
Vanderbilt University HospitalNashville, TN$28,583
St Thomas HospitalNashville, TN$18,499
Baptist Memorial HospitalMemphis, TN$17,419

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in other states

Questions

How much does major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Tennessee?

In 2024 Medicare data, a hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808) at 5 hospitals in Tennessee was billed at $214,376 on average, while the average total payment was $36,967, of which Medicare paid $24,173. 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 5.8 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.