facebook tracking Poisoning and toxic effects of drugs with major complications cost in Tennessee: 12 hospitals compared (DRG 917)

Poisoning and toxic effects of drugs with major complications in Tennessee

What 12 hospitals in Tennessee charged and were paid for a Medicare hospital stay for poisoning and toxic effects of drugs with major complications (DRG 917), from 2024 Medicare claims.

DRG 917 Inpatient 2024 Medicare data
Average charge $61,409 Hospital list price billed
Average payment $14,353 Medicare + patient + other payers
Medicare paid $10,961 Average per stay
State rank #12 of 38 1 = lowest average payment

Hospitals in Tennessee billed an average of $61,409 for poisoning and toxic effects of drugs with major complications, about 4.3 times the average total payment of $14,353. That payment is 15% below the U.S. average of $16,910.

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 $14,353Billed $61,409

About 23¢ 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: poisoning and toxic effects of drugs 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
Jackson-Madison Cnty Gen HospJackson 26 $40,522 $11,565 $9,834
Baptist Memorial HospitalMemphis 24 $51,943 $11,704 $9,854
Vanderbilt University HospitalNashville 22 $126,371 $26,840 $14,062
Methodist Healthcare-MemphisMemphis 21 $49,932 $11,993 $9,420
Univ of Tn Mem HospitalKnoxville 15 $36,545 $16,160 $11,377
St Thomas HospitalNashville 15 $42,350 $13,340 $10,848
Johnson City Medical CenterJohnson City 14 $55,188 $11,948 $10,364
Erlanger Medical CenterChattanooga 14 $83,636 $18,761 $15,383
Vanderbilt Clarksville HospitalClarksville 13 $92,992 $11,180 $10,176
Maury Regional HospitalColumbia 12 $48,447 $11,503 $10,260
Wellmont Holston Vly Med CtrKingsport 11 $76,073 $12,831 $10,525
Cookeville Regional Med CenterCookeville 11 $25,092 $11,006 $9,626
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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

Cookeville Regional Med CenterCookeville, TN$11,006
Vanderbilt Clarksville HospitalClarksville, TN$11,180
Maury Regional HospitalColumbia, TN$11,503
Jackson-Madison Cnty Gen HospJackson, TN$11,565
Baptist Memorial HospitalMemphis, TN$11,704

Highest

Vanderbilt University HospitalNashville, TN$26,840
Erlanger Medical CenterChattanooga, TN$18,761
Univ of Tn Mem HospitalKnoxville, TN$16,160
St Thomas HospitalNashville, TN$13,340
Wellmont Holston Vly Med CtrKingsport, TN$12,831

Poisoning and toxic effects of drugs with major complications in other states

Questions

How much does poisoning and toxic effects of drugs with major complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for poisoning and toxic effects of drugs with major complications (DRG 917) at 12 hospitals in Tennessee was billed at $61,409 on average, while the average total payment was $14,353, of which Medicare paid $10,961. 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.