facebook tracking Major small and large bowel procedures without complications cost in Tennessee: 15 hospitals compared (DRG 331)

Major small and large bowel procedures without complications in Tennessee

What 15 hospitals in Tennessee charged and were paid for a Medicare hospital stay for major small and large bowel procedures without complications (DRG 331), from 2024 Medicare claims.

DRG 331 Inpatient 2024 Medicare data
Average charge $64,104 Hospital list price billed
Average payment $13,522 Medicare + patient + other payers
Medicare paid $9,925 Average per stay
State rank #9 of 42 1 = lowest average payment

Hospitals in Tennessee billed an average of $64,104 for major small and large bowel procedures without complications, about 4.7 times the average total payment of $13,522. That payment is 16% below the U.S. average of $16,035.

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 $13,522Billed $64,104

About 21¢ was paid for every $1 hospitals in Tennessee billed for this stay.

Tennessee hospitals: major small and large bowel procedures 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
Baptist Memorial HospitalMemphis 41 $53,513 $13,070 $8,720
Fort Sanders Reg Medical CtrKnoxville 38 $28,433 $11,749 $8,951
St Thomas HospitalNashville 29 $68,663 $13,823 $9,596
Vanderbilt University HospitalNashville 28 $88,626 $19,362 $11,519
Jackson-Madison Cnty Gen HospJackson 24 $64,612 $12,942 $10,376
Methodist Healthcare-MemphisMemphis 24 $73,173 $15,436 $10,748
Erlanger Medical CenterChattanooga 23 $49,576 $15,423 $11,962
Saint Thomas Rutherford HospitalMurfreesboro 21 $64,646 $13,155 $11,135
Memorial Healthcare System, INCChattanooga 21 $53,386 $10,971 $8,435
Franklin Woods Community HospitalJohnson City 20 $94,090 $11,191 $9,885
Univ of Tn Mem HospitalKnoxville 19 $39,616 $13,951 $9,971
Centennial Medical CenterNashville 17 $137,978 $12,760 $11,108
Parkwest Medical CenterKnoxville 16 $33,225 $10,647 $9,015
Maury Regional HospitalColumbia 14 $74,589 $12,928 $9,088
Wellmont Bristol Regional Medical CenterBristol 11 $86,445 $13,989 $8,646
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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

Parkwest Medical CenterKnoxville, TN$10,647
Memorial Healthcare System, INCChattanooga, TN$10,971
Franklin Woods Community HospitalJohnson City, TN$11,191
Fort Sanders Reg Medical CtrKnoxville, TN$11,749
Centennial Medical CenterNashville, TN$12,760

Highest

Vanderbilt University HospitalNashville, TN$19,362
Methodist Healthcare-MemphisMemphis, TN$15,436
Erlanger Medical CenterChattanooga, TN$15,423
Wellmont Bristol Regional Medical CenterBristol, TN$13,989
Univ of Tn Mem HospitalKnoxville, TN$13,951

Major small and large bowel procedures without complications in other states

Questions

How much does major small and large bowel procedures without complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for major small and large bowel procedures without complications (DRG 331) at 15 hospitals in Tennessee was billed at $64,104 on average, while the average total payment was $13,522, of which Medicare paid $9,925. 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 4.7 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.