facebook tracking Medical back problems without major complications cost in Tennessee: 26 hospitals compared (DRG 552)

Medical back problems without major complications in Tennessee

What 26 hospitals in Tennessee charged and were paid for a Medicare hospital stay for medical back problems without major complications (DRG 552), from 2024 Medicare claims.

DRG 552 Inpatient 2024 Medicare data
Average charge $43,615 Hospital list price billed
Average payment $8,900 Medicare + patient + other payers
Medicare paid $6,357 Average per stay
State rank #27 of 47 1 = lowest average payment

Hospitals in Tennessee billed an average of $43,615 for medical back problems without major complications, about 4.9 times the average total payment of $8,900. That payment is 5% below the U.S. average of $9,373.

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 $8,900Billed $43,615

About 20¢ 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: medical back problems without major 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 85 $36,940 $7,387 $5,369
St Thomas HospitalNashville 83 $32,190 $9,003 $6,200
Vanderbilt University HospitalNashville 59 $62,973 $14,052 $7,522
Memorial Healthcare System, INCChattanooga 49 $30,012 $6,353 $4,667
Johnson City Medical CenterJohnson City 46 $36,878 $8,292 $5,885
Methodist Healthcare-MemphisMemphis 42 $37,569 $9,153 $7,026
Univ of Tn Mem HospitalKnoxville 41 $32,476 $10,720 $6,660
Erlanger Medical CenterChattanooga 40 $39,789 $11,069 $7,616
Skyline Medical CenterNashville 37 $109,617 $8,059 $6,586
Centennial Medical CenterNashville 32 $67,214 $8,163 $6,234
Summit Medical CenterHermitage 28 $80,903 $7,760 $5,515
Sumner Regional Medical CenterGallatin 25 $48,033 $6,907 $5,778
Saint Thomas Rutherford HospitalMurfreesboro 25 $28,569 $8,265 $6,491
Regional One HealthMemphis 25 $54,393 $18,746 $15,791
Parkridge Medical CenterChattanooga 25 $51,079 $7,643 $6,189
Wellmont Bristol Regional Medical CenterBristol 22 $31,479 $7,533 $5,527
Parkwest Medical CenterKnoxville 22 $15,430 $6,368 $5,181
Physicians Regional Medical CenterKnoxville 18 $26,020 $6,749 $5,570
Cookeville Regional Med CenterCookeville 16 $24,482 $7,767 $4,337
Maury Regional HospitalColumbia 15 $31,309 $6,874 $5,336
Fort Sanders Reg Medical CtrKnoxville 15 $14,479 $7,482 $5,090
Jackson-Madison Cnty Gen HospJackson 13 $26,142 $7,560 $4,899
Vanderbilt Clarksville HospitalClarksville 12 $47,771 $6,516 $5,428
Wellmont Holston Vly Med CtrKingsport 11 $39,423 $7,170 $5,597
St Francis HospitalMemphis 11 $50,648 $9,620 $6,547
Vanderbilt Wilson County HospitalLebanon 11 $49,016 $7,582 $6,543
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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

Memorial Healthcare System, INCChattanooga, TN$6,353
Parkwest Medical CenterKnoxville, TN$6,368
Vanderbilt Clarksville HospitalClarksville, TN$6,516
Physicians Regional Medical CenterKnoxville, TN$6,749
Maury Regional HospitalColumbia, TN$6,874

Highest

Regional One HealthMemphis, TN$18,746
Vanderbilt University HospitalNashville, TN$14,052
Erlanger Medical CenterChattanooga, TN$11,069
Univ of Tn Mem HospitalKnoxville, TN$10,720
St Francis HospitalMemphis, TN$9,620

Medical back problems without major complications in other states

Questions

How much does medical back problems without major complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for medical back problems without major complications (DRG 552) at 26 hospitals in Tennessee was billed at $43,615 on average, while the average total payment was $8,900, of which Medicare paid $6,357. 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 4.9 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.