facebook tracking Respiratory neoplasms with complications cost in Tennessee: 2 hospitals compared (DRG 181)

Respiratory neoplasms with complications in Tennessee

What 2 hospitals in Tennessee charged and were paid for a Medicare hospital stay for respiratory neoplasms with complications (DRG 181), from 2024 Medicare claims.

DRG 181 Inpatient 2024 Medicare data
Average charge $44,177 Hospital list price billed
Average payment $9,932 Medicare + patient + other payers
Medicare paid $6,902 Average per stay
Volume 25 Medicare hospital stays

Hospitals in Tennessee billed an average of $44,177 for respiratory neoplasms with complications, about 4.4 times the average total payment of $9,932. That payment is 24% below the U.S. average of $13,073.

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 $9,932Billed $44,177

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: respiratory neoplasms with 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
Methodist Healthcare-MemphisMemphis 14 $33,490 $10,084 $7,784
Baptist Memorial HospitalMemphis 11 $57,779 $9,739 $5,780
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Respiratory neoplasms with complications in other states

Questions

How much does respiratory neoplasms with complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for respiratory neoplasms with complications (DRG 181) at 2 hospitals in Tennessee was billed at $44,177 on average, while the average total payment was $9,932, of which Medicare paid $6,902. 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 4.4 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.