Other circulatory system diagnoses with complications in Tennessee
What 11 hospitals in Tennessee charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with complications (DRG 315), from 2024 Medicare claims.
Average charge
$42,386
Hospital list price billed
Average payment
$9,489
Medicare + patient + other payers
Medicare paid
$6,712
Average per stay
State rank
#11 of 37
1 = lowest average payment
Hospitals in Tennessee billed an average of $42,386 for other circulatory system diagnoses with complications, about 4.5 times the average total payment of $9,489. That payment is 8% below the U.S. average of $10,367.
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 $9,489Billed $42,386
About 22¢ 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: other circulatory system diagnoses 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 |
|---|---|---|---|---|
| Vanderbilt University HospitalNashville | 49 | $54,534 | $13,745 | $7,962 |
| Baptist Memorial HospitalMemphis | 45 | $46,945 | $7,868 | $5,912 |
| Methodist Healthcare-MemphisMemphis | 27 | $27,970 | $9,277 | $7,303 |
| St Thomas HospitalNashville | 16 | $62,609 | $10,225 | $7,066 |
| Parkwest Medical CenterKnoxville | 16 | $11,862 | $6,323 | $5,099 |
| Centennial Medical CenterNashville | 14 | $91,879 | $7,752 | $6,338 |
| Univ of Tn Mem HospitalKnoxville | 13 | $19,006 | $9,538 | $7,120 |
| Cookeville Regional Med CenterCookeville | 12 | $16,821 | $6,699 | $5,455 |
| Jackson-Madison Cnty Gen HospJackson | 11 | $36,958 | $7,238 | $5,767 |
| Erlanger Medical CenterChattanooga | 11 | $49,168 | $10,866 | $8,611 |
| Fort Sanders Reg Medical CtrKnoxville | 11 | $11,171 | $7,280 | $5,215 |
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 | $6,323 |
|---|---|
| Cookeville Regional Med CenterCookeville, TN | $6,699 |
| Jackson-Madison Cnty Gen HospJackson, TN | $7,238 |
| Fort Sanders Reg Medical CtrKnoxville, TN | $7,280 |
| Centennial Medical CenterNashville, TN | $7,752 |
Highest
| Vanderbilt University HospitalNashville, TN | $13,745 |
|---|---|
| Erlanger Medical CenterChattanooga, TN | $10,866 |
| St Thomas HospitalNashville, TN | $10,225 |
| Univ of Tn Mem HospitalKnoxville, TN | $9,538 |
| Methodist Healthcare-MemphisMemphis, TN | $9,277 |
Other circulatory system diagnoses with complications in other states
Questions
How much does other circulatory system diagnoses with complications cost in Tennessee?
In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with complications (DRG 315) at 11 hospitals in Tennessee was billed at $42,386 on average, while the average total payment was $9,489, of which Medicare paid $6,712. 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 4.5 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.