Pulmonary edema and respiratory failure in Tennessee
What 48 hospitals in Tennessee charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$46,238
Hospital list price billed
Average payment
$10,069
Medicare + patient + other payers
Medicare paid
$7,793
Average per stay
State rank
#8 of 50
1 = lowest average payment
Hospitals in Tennessee billed an average of $46,238 for pulmonary edema and respiratory failure, about 4.6 times the average total payment of $10,069. That payment is 17% below the U.S. average of $12,197.
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 $10,069Billed $46,238
About 22¢ was paid for every $1 hospitals in Tennessee billed for this stay.
Tennessee hospitals: pulmonary edema and respiratory failure
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 |
|---|---|---|---|---|
| Methodist Healthcare-MemphisMemphis | 152 | $46,805 | $11,702 | $8,915 |
| Jackson-Madison Cnty Gen HospJackson | 117 | $38,377 | $9,258 | $7,837 |
| Baptist Memorial HospitalMemphis | 94 | $49,063 | $9,607 | $7,679 |
| Memorial Healthcare System, INCChattanooga | 94 | $38,194 | $8,614 | $6,316 |
| Parkwest Medical CenterKnoxville | 85 | $23,819 | $8,564 | $6,285 |
| Cookeville Regional Med CenterCookeville | 83 | $20,591 | $8,823 | $7,029 |
| Vanderbilt University HospitalNashville | 77 | $111,820 | $19,772 | $10,868 |
| Fort Sanders Reg Medical CtrKnoxville | 75 | $23,563 | $9,247 | $6,910 |
| Morristown-Hamblen HospitalMorristown | 64 | $22,130 | $8,569 | $7,023 |
| Cumberland Medical CenterCrossville | 58 | $24,555 | $8,805 | $7,490 |
| St Thomas HospitalNashville | 55 | $45,441 | $10,705 | $7,382 |
| Saint Thomas Rutherford HospitalMurfreesboro | 53 | $38,429 | $10,420 | $8,236 |
| Parkridge Medical CenterChattanooga | 49 | $66,966 | $10,254 | $7,761 |
| Blount Memorial HospitalMaryville | 47 | $35,676 | $9,170 | $7,692 |
| Wellmont Holston Vly Med CtrKingsport | 43 | $48,625 | $10,060 | $8,051 |
| Vanderbilt Clarksville HospitalClarksville | 42 | $68,218 | $8,631 | $7,490 |
| Erlanger Medical CenterChattanooga | 41 | $47,355 | $12,215 | $9,383 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 39 | $26,612 | $9,046 | $7,123 |
| Johnson City Medical CenterJohnson City | 39 | $39,670 | $10,083 | $8,381 |
| Sweetwater Hospital AssociationSweetwater | 39 | $33,617 | $11,080 | $8,273 |
| Henry County Medical CenterParis | 33 | $36,400 | $9,683 | $8,179 |
| Wellmont Bristol Regional Medical CenterBristol | 32 | $33,058 | $10,235 | $7,220 |
| Horizon Medical CenterDickson | 30 | $56,586 | $9,847 | $7,777 |
| Summit Medical CenterHermitage | 29 | $82,770 | $9,020 | $7,667 |
| Saint Francis Bartlett Medical CenterBartlett | 29 | $73,024 | $7,657 | $6,869 |
| Skyline Medical CenterNashville | 28 | $77,082 | $9,640 | $8,580 |
| Maury Regional HospitalColumbia | 28 | $44,960 | $8,840 | $8,127 |
| Hendersonville Medical CenterHendersonville | 28 | $77,272 | $9,994 | $7,383 |
| Cleveland Community HospitalCleveland | 27 | $88,970 | $9,282 | $6,923 |
| Williamson Medical CenterFranklin | 24 | $27,473 | $7,823 | $6,644 |
| Greeneville Community HospitalGreeneville | 22 | $41,944 | $9,068 | $6,372 |
| Harton Regional Medical CenterTullahoma | 22 | $63,667 | $8,585 | $8,066 |
| St Francis HospitalMemphis | 22 | $115,000 | $9,652 | $7,775 |
| Dyersburg Regional Medical CenterDyersburg | 20 | $38,064 | $9,096 | $8,117 |
| Physicians Regional Medical CenterKnoxville | 20 | $67,727 | $8,592 | $7,615 |
| Southern Hills Medical CtrNashville | 20 | $51,871 | $12,342 | $9,366 |
| Vanderbilt Wilson County HospitalLebanon | 19 | $49,222 | $9,405 | $8,374 |
| Volunteer Community HospitalMartin | 17 | $32,450 | $8,884 | $7,828 |
| Baptist Memorial Hospital TiptonCovington | 17 | $28,914 | $11,518 | $9,607 |
| Sumner Regional Medical CenterGallatin | 15 | $60,915 | $9,243 | $7,263 |
| Leconte Medical CenterSevierville | 14 | $25,599 | $9,285 | $8,120 |
| Centennial Medical CenterNashville | 14 | $62,934 | $12,368 | $6,813 |
| Stonecrest Medical CenterSmyrna | 13 | $69,236 | $11,717 | $6,202 |
| Fort Sanders Loudon Med CenterLoudon | 12 | $21,230 | $8,869 | $7,781 |
| Franklin Woods Community HospitalJohnson City | 12 | $44,027 | $8,525 | $7,437 |
| Southern Tennessee Medical CenterWinchester | 11 | $38,060 | $9,492 | $8,750 |
| Hardin County General HospitalSavannah | 11 | $24,394 | $10,807 | $9,474 |
| River Park HospitalMcMinnville | 11 | $34,782 | $10,795 | $9,462 |
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
| Saint Francis Bartlett Medical CenterBartlett, TN | $7,657 |
|---|---|
| Williamson Medical CenterFranklin, TN | $7,823 |
| Franklin Woods Community HospitalJohnson City, TN | $8,525 |
| Parkwest Medical CenterKnoxville, TN | $8,564 |
| Morristown-Hamblen HospitalMorristown, TN | $8,569 |
Highest
| Vanderbilt University HospitalNashville, TN | $19,772 |
|---|---|
| Centennial Medical CenterNashville, TN | $12,368 |
| Southern Hills Medical CtrNashville, TN | $12,342 |
| Erlanger Medical CenterChattanooga, TN | $12,215 |
| Stonecrest Medical CenterSmyrna, TN | $11,717 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in Tennessee?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 48 hospitals in Tennessee was billed at $46,238 on average, while the average total payment was $10,069, of which Medicare paid $7,793. 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 4.6 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.