facebook tracking Reticuloendothelial and immunity disorders with complications cost in Tennessee: 1 hospitals compared (DRG 815)

Reticuloendothelial and immunity disorders with complications in Tennessee

What 1 hospital in Tennessee charged and were paid for a Medicare hospital stay for reticuloendothelial and immunity disorders with complications (DRG 815), from 2024 Medicare claims.

DRG 815 Inpatient 2024 Medicare data
Average charge $59,471 Hospital list price billed
Average payment $13,844 Medicare + patient + other payers
Medicare paid $8,683 Average per stay
Volume 12 Medicare hospital stays

Hospitals in Tennessee billed an average of $59,471 for reticuloendothelial and immunity disorders with complications, about 4.3 times the average total payment of $13,844. That payment is 42% below the U.S. average of $23,692.

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 $13,844Billed $59,471

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: reticuloendothelial and immunity disorders 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
Vanderbilt University HospitalNashville 12 $59,471 $13,844 $8,683
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Reticuloendothelial and immunity disorders with complications in other states

Questions

How much does reticuloendothelial and immunity disorders with complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for reticuloendothelial and immunity disorders with complications (DRG 815) at 1 hospital in Tennessee was billed at $59,471 on average, while the average total payment was $13,844, of which Medicare paid $8,683. 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.