Pulmonary embolism with major complications or acute cor pulmonale in Tennessee
What 22 hospitals in Tennessee charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.
Average charge
$54,062
Hospital list price billed
Average payment
$11,642
Medicare + patient + other payers
Medicare paid
$8,896
Average per stay
State rank
#12 of 48
1 = lowest average payment
Hospitals in Tennessee billed an average of $54,062 for pulmonary embolism with major complications or acute cor pulmonale, about 4.6 times the average total payment of $11,642. That payment is 14% below the U.S. average of $13,466.
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 $11,642Billed $54,062
About 22¢ 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: pulmonary embolism with major complications or acute cor pulmonale
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 |
|---|---|---|---|---|
| Baptist Memorial HospitalMemphis | 62 | $60,695 | $10,652 | $7,985 |
| St Thomas HospitalNashville | 38 | $53,334 | $12,137 | $9,389 |
| Vanderbilt University HospitalNashville | 37 | $89,645 | $20,728 | $11,951 |
| Methodist Healthcare-MemphisMemphis | 34 | $57,242 | $12,835 | $9,850 |
| Jackson-Madison Cnty Gen HospJackson | 31 | $35,427 | $10,413 | $9,075 |
| Memorial Healthcare System, INCChattanooga | 31 | $38,508 | $9,253 | $7,051 |
| Univ of Tn Mem HospitalKnoxville | 30 | $37,326 | $14,506 | $9,574 |
| Cookeville Regional Med CenterCookeville | 27 | $27,931 | $9,579 | $8,692 |
| Saint Thomas Rutherford HospitalMurfreesboro | 24 | $43,436 | $10,629 | $8,948 |
| Williamson Medical CenterFranklin | 20 | $27,191 | $8,816 | $7,566 |
| Johnson City Medical CenterJohnson City | 17 | $84,523 | $12,003 | $9,975 |
| Wellmont Holston Vly Med CtrKingsport | 16 | $46,560 | $10,834 | $9,107 |
| Centennial Medical CenterNashville | 16 | $63,559 | $11,783 | $8,694 |
| Parkwest Medical CenterKnoxville | 15 | $34,575 | $8,632 | $7,761 |
| Wellmont Bristol Regional Medical CenterBristol | 14 | $44,767 | $11,311 | $8,795 |
| St Francis HospitalMemphis | 14 | $105,460 | $10,876 | $9,826 |
| Blount Memorial HospitalMaryville | 13 | $34,591 | $10,216 | $7,864 |
| Physicians Regional Medical CenterKnoxville | 13 | $53,859 | $9,030 | $7,900 |
| Hendersonville Medical CenterHendersonville | 13 | $95,386 | $13,200 | $7,404 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 12 | $22,169 | $9,463 | $8,511 |
| Maury Regional HospitalColumbia | 12 | $39,941 | $9,728 | $9,037 |
| Sumner Regional Medical CenterGallatin | 11 | $115,473 | $9,394 | $8,015 |
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 | $8,632 |
|---|---|
| Williamson Medical CenterFranklin, TN | $8,816 |
| Physicians Regional Medical CenterKnoxville, TN | $9,030 |
| Memorial Healthcare System, INCChattanooga, TN | $9,253 |
| Sumner Regional Medical CenterGallatin, TN | $9,394 |
Highest
| Vanderbilt University HospitalNashville, TN | $20,728 |
|---|---|
| Univ of Tn Mem HospitalKnoxville, TN | $14,506 |
| Hendersonville Medical CenterHendersonville, TN | $13,200 |
| Methodist Healthcare-MemphisMemphis, TN | $12,835 |
| St Thomas HospitalNashville, TN | $12,137 |
Pulmonary embolism with major complications or acute cor pulmonale in other states
Questions
How much does pulmonary embolism with major complications or acute cor pulmonale cost in Tennessee?
In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 22 hospitals in Tennessee was billed at $54,062 on average, while the average total payment was $11,642, of which Medicare paid $8,896. 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.