facebook tracking Permanent cardiac pacemaker implant with major complications cost in Tennessee: 13 hospitals compared (DRG 242)

Permanent cardiac pacemaker implant with major complications in Tennessee

What 13 hospitals in Tennessee charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242), from 2024 Medicare claims.

DRG 242 Inpatient 2024 Medicare data
Average charge $146,756 Hospital list price billed
Average payment $26,628 Medicare + patient + other payers
Medicare paid $22,506 Average per stay
State rank #15 of 41 1 = lowest average payment

Hospitals in Tennessee billed an average of $146,756 for permanent cardiac pacemaker implant with major complications, about 5.5 times the average total payment of $26,628. That payment is 13% below the U.S. average of $30,574.

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 $26,628Billed $146,756

About 18¢ was paid for every $1 hospitals in Tennessee billed for this stay.

Tennessee hospitals: permanent cardiac pacemaker implant with 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
St Thomas HospitalNashville 27 $122,346 $24,415 $21,891
Physicians Regional Medical CenterKnoxville 22 $289,719 $24,352 $21,202
Centennial Medical CenterNashville 22 $273,270 $33,812 $23,859
Memorial Healthcare System, INCChattanooga 21 $97,684 $21,916 $20,395
Vanderbilt University HospitalNashville 19 $162,912 $38,915 $29,208
Jackson-Madison Cnty Gen HospJackson 18 $107,534 $27,092 $22,473
Methodist Healthcare-MemphisMemphis 18 $167,283 $27,855 $24,849
Saint Thomas Rutherford HospitalMurfreesboro 15 $107,009 $24,804 $23,069
Williamson Medical CenterFranklin 14 $66,387 $21,948 $20,520
Johnson City Medical CenterJohnson City 14 $170,386 $24,582 $22,780
Parkwest Medical CenterKnoxville 14 $85,545 $23,713 $18,288
Cookeville Regional Med CenterCookeville 12 $47,613 $23,386 $22,255
Fort Sanders Reg Medical CtrKnoxville 11 $76,551 $25,539 $19,637
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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$21,916
Williamson Medical CenterFranklin, TN$21,948
Cookeville Regional Med CenterCookeville, TN$23,386
Parkwest Medical CenterKnoxville, TN$23,713
Physicians Regional Medical CenterKnoxville, TN$24,352

Highest

Vanderbilt University HospitalNashville, TN$38,915
Centennial Medical CenterNashville, TN$33,812
Methodist Healthcare-MemphisMemphis, TN$27,855
Jackson-Madison Cnty Gen HospJackson, TN$27,092
Fort Sanders Reg Medical CtrKnoxville, TN$25,539

Permanent cardiac pacemaker implant with major complications in other states

Questions

How much does permanent cardiac pacemaker implant with major complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242) at 13 hospitals in Tennessee was billed at $146,756 on average, while the average total payment was $26,628, of which Medicare paid $22,506. 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 5.5 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.