facebook tracking Red blood cell disorders without major complications cost in Tennessee: 21 hospitals compared (DRG 812)

Red blood cell disorders without major complications in Tennessee

What 21 hospitals in Tennessee charged and were paid for a Medicare hospital stay for red blood cell disorders without major complications (DRG 812), from 2024 Medicare claims.

DRG 812 Inpatient 2024 Medicare data
Average charge $38,194 Hospital list price billed
Average payment $8,439 Medicare + patient + other payers
Medicare paid $6,203 Average per stay
State rank #17 of 40 1 = lowest average payment

Hospitals in Tennessee billed an average of $38,194 for red blood cell disorders without major complications, about 4.5 times the average total payment of $8,439. That payment is 10% below the U.S. average of $9,427.

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 $8,439Billed $38,194

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: red blood cell disorders without 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
Baptist Memorial HospitalMemphis 63 $44,242 $7,052 $5,273
Vanderbilt University HospitalNashville 55 $54,947 $14,424 $7,500
Methodist Healthcare-MemphisMemphis 50 $33,784 $8,913 $6,997
Memorial Healthcare System, INCChattanooga 39 $35,358 $6,318 $4,422
Saint Thomas Rutherford HospitalMurfreesboro 31 $21,158 $7,370 $6,196
St Thomas HospitalNashville 29 $38,687 $8,086 $6,423
Jackson-Madison Cnty Gen HospJackson 27 $29,839 $6,557 $5,384
Johnson City Medical CenterJohnson City 24 $30,740 $7,929 $6,337
Blount Memorial HospitalMaryville 23 $21,005 $7,039 $6,074
Univ of Tn Mem HospitalKnoxville 23 $24,357 $10,047 $6,676
Centennial Medical CenterNashville 21 $97,888 $7,845 $5,888
Vanderbilt Clarksville HospitalClarksville 20 $49,053 $6,604 $4,972
Cookeville Regional Med CenterCookeville 17 $21,599 $6,269 $5,189
Fort Sanders Reg Medical CtrKnoxville 17 $15,831 $6,669 $5,098
Wellmont Bristol Regional Medical CenterBristol 16 $26,811 $7,157 $5,318
Williamson Medical CenterFranklin 14 $18,504 $5,783 $4,492
Regional One HealthMemphis 14 $30,571 $20,485 $16,787
Sumner Regional Medical CenterGallatin 12 $36,012 $6,620 $5,918
Harton Regional Medical CenterTullahoma 12 $28,482 $6,525 $5,407
St Francis HospitalMemphis 12 $64,936 $7,408 $6,148
Cleveland Community HospitalCleveland 11 $59,868 $6,734 $5,548
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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

Williamson Medical CenterFranklin, TN$5,783
Cookeville Regional Med CenterCookeville, TN$6,269
Memorial Healthcare System, INCChattanooga, TN$6,318
Harton Regional Medical CenterTullahoma, TN$6,525
Jackson-Madison Cnty Gen HospJackson, TN$6,557

Highest

Regional One HealthMemphis, TN$20,485
Vanderbilt University HospitalNashville, TN$14,424
Univ of Tn Mem HospitalKnoxville, TN$10,047
Methodist Healthcare-MemphisMemphis, TN$8,913
St Thomas HospitalNashville, TN$8,086

Red blood cell disorders without major complications in other states

Questions

How much does red blood cell disorders without major complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for red blood cell disorders without major complications (DRG 812) at 21 hospitals in Tennessee was billed at $38,194 on average, while the average total payment was $8,439, of which Medicare paid $6,203. 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 4.5 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.