Other digestive system diagnoses with complications in Tennessee
What 21 hospitals in Tennessee charged and were paid for a Medicare hospital stay for other digestive system diagnoses with complications (DRG 394), from 2024 Medicare claims.
Average charge
$36,896
Hospital list price billed
Average payment
$8,493
Medicare + patient + other payers
Medicare paid
$6,105
Average per stay
State rank
#17 of 46
1 = lowest average payment
Hospitals in Tennessee billed an average of $36,896 for other digestive system diagnoses with complications, about 4.3 times the average total payment of $8,493. That payment is 11% below the U.S. average of $9,547.
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 $8,493Billed $36,896
About 23¢ 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 digestive 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 | 61 | $44,134 | $12,987 | $8,047 |
| Baptist Memorial HospitalMemphis | 46 | $35,813 | $7,281 | $5,473 |
| Memorial Healthcare System, INCChattanooga | 45 | $26,398 | $6,607 | $4,457 |
| Methodist Healthcare-MemphisMemphis | 35 | $35,143 | $9,400 | $7,142 |
| St Thomas HospitalNashville | 27 | $29,402 | $8,647 | $6,086 |
| Saint Thomas Rutherford HospitalMurfreesboro | 26 | $25,513 | $7,896 | $6,264 |
| Centennial Medical CenterNashville | 25 | $53,745 | $7,801 | $6,083 |
| Parkridge Medical CenterChattanooga | 24 | $62,348 | $7,426 | $6,184 |
| Jackson-Madison Cnty Gen HospJackson | 23 | $24,594 | $6,963 | $5,599 |
| Univ of Tn Mem HospitalKnoxville | 22 | $24,448 | $10,376 | $6,520 |
| Wellmont Holston Vly Med CtrKingsport | 20 | $45,343 | $8,108 | $6,217 |
| Erlanger Medical CenterChattanooga | 20 | $30,595 | $9,925 | $7,743 |
| Johnson City Medical CenterJohnson City | 19 | $39,950 | $8,415 | $6,268 |
| Maury Regional HospitalColumbia | 18 | $28,073 | $6,915 | $6,092 |
| St Francis HospitalMemphis | 18 | $78,550 | $7,365 | $6,053 |
| Parkwest Medical CenterKnoxville | 15 | $14,601 | $6,664 | $4,234 |
| Cookeville Regional Med CenterCookeville | 14 | $20,354 | $7,514 | $4,155 |
| Fort Sanders Reg Medical CtrKnoxville | 14 | $18,480 | $6,927 | $5,885 |
| Wellmont Bristol Regional Medical CenterBristol | 13 | $23,295 | $7,814 | $5,422 |
| Physicians Regional Medical CenterKnoxville | 11 | $47,558 | $6,795 | $5,163 |
| Summit Medical CenterHermitage | 11 | $69,321 | $8,719 | $4,908 |
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 | $6,607 |
|---|---|
| Parkwest Medical CenterKnoxville, TN | $6,664 |
| Physicians Regional Medical CenterKnoxville, TN | $6,795 |
| Maury Regional HospitalColumbia, TN | $6,915 |
| Fort Sanders Reg Medical CtrKnoxville, TN | $6,927 |
Highest
| Vanderbilt University HospitalNashville, TN | $12,987 |
|---|---|
| Univ of Tn Mem HospitalKnoxville, TN | $10,376 |
| Erlanger Medical CenterChattanooga, TN | $9,925 |
| Methodist Healthcare-MemphisMemphis, TN | $9,400 |
| Summit Medical CenterHermitage, TN | $8,719 |
Other digestive system diagnoses with complications in other states
Questions
How much does other digestive system diagnoses with complications cost in Tennessee?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with complications (DRG 394) at 21 hospitals in Tennessee was billed at $36,896 on average, while the average total payment was $8,493, of which Medicare paid $6,105. 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 4.3 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.