Simple pneumonia and pleurisy with complications in Tennessee
What 33 hospitals in Tennessee charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$33,301
Hospital list price billed
Average payment
$7,299
Medicare + patient + other payers
Medicare paid
$5,025
Average per stay
State rank
#18 of 47
1 = lowest average payment
Hospitals in Tennessee billed an average of $33,301 for simple pneumonia and pleurisy with complications, about 4.6 times the average total payment of $7,299. That payment is 8% below the U.S. average of $7,941.
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 $7,299Billed $33,301
About 22¢ was paid for every $1 hospitals in Tennessee billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Tennessee:
Tennessee hospitals: simple pneumonia and pleurisy 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 |
|---|---|---|---|---|
| St Thomas HospitalNashville | 62 | $28,016 | $7,642 | $5,252 |
| Univ of Tn Mem HospitalKnoxville | 49 | $20,543 | $9,170 | $6,016 |
| Vanderbilt University HospitalNashville | 45 | $33,792 | $11,141 | $5,824 |
| Saint Thomas Rutherford HospitalMurfreesboro | 44 | $24,924 | $7,266 | $5,683 |
| Baptist Memorial HospitalMemphis | 43 | $43,163 | $6,672 | $4,504 |
| Maury Regional HospitalColumbia | 32 | $25,192 | $5,923 | $4,587 |
| Sweetwater Hospital AssociationSweetwater | 31 | $23,337 | $7,548 | $6,601 |
| Wellmont Bristol Regional Medical CenterBristol | 30 | $26,026 | $6,676 | $4,625 |
| Williamson Medical CenterFranklin | 29 | $21,944 | $5,273 | $3,734 |
| Methodist Healthcare-MemphisMemphis | 29 | $25,639 | $8,298 | $6,017 |
| Memorial Healthcare System, INCChattanooga | 24 | $31,189 | $5,501 | $3,569 |
| Jackson-Madison Cnty Gen HospJackson | 21 | $30,995 | $6,308 | $4,519 |
| Cookeville Regional Med CenterCookeville | 20 | $17,428 | $5,688 | $4,276 |
| Wellmont Holston Vly Med CtrKingsport | 17 | $41,832 | $6,242 | $4,616 |
| Johnson City Medical CenterJohnson City | 17 | $34,410 | $7,065 | $5,340 |
| Summit Medical CenterHermitage | 17 | $65,048 | $12,511 | $3,616 |
| Fort Sanders Reg Medical CtrKnoxville | 16 | $18,652 | $6,144 | $4,737 |
| Harton Regional Medical CenterTullahoma | 16 | $31,075 | $5,913 | $4,587 |
| River Park HospitalMcMinnville | 16 | $25,644 | $7,398 | $6,174 |
| Physicians Regional Medical CenterKnoxville | 15 | $37,503 | $6,155 | $4,781 |
| Centennial Medical CenterNashville | 14 | $54,502 | $7,170 | $5,700 |
| Saint Francis Bartlett Medical CenterBartlett | 14 | $59,166 | $6,262 | $3,755 |
| Vanderbilt Clarksville HospitalClarksville | 13 | $48,056 | $6,024 | $4,643 |
| St Francis HospitalMemphis | 13 | $88,700 | $5,779 | $4,298 |
| Livingston Regional HospitalLivingston | 13 | $44,128 | $6,599 | $5,469 |
| Blount Memorial HospitalMaryville | 12 | $23,780 | $6,625 | $4,521 |
| Parkridge Medical CenterChattanooga | 12 | $50,914 | $7,643 | $4,873 |
| Crockett HospitalLeoma | 12 | $70,062 | $6,765 | $5,426 |
| Franklin Woods Community HospitalJohnson City | 12 | $36,176 | $7,468 | $3,822 |
| Greeneville Community HospitalGreeneville | 11 | $27,214 | $6,213 | $4,370 |
| Erlanger Medical CenterChattanooga | 11 | $27,379 | $9,402 | $6,526 |
| Fort Sanders Loudon Med CenterLoudon | 11 | $16,186 | $6,052 | $4,378 |
| Cleveland Community HospitalCleveland | 11 | $59,859 | $6,022 | $4,686 |
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 | $5,273 |
|---|---|
| Memorial Healthcare System, INCChattanooga, TN | $5,501 |
| Cookeville Regional Med CenterCookeville, TN | $5,688 |
| St Francis HospitalMemphis, TN | $5,779 |
| Harton Regional Medical CenterTullahoma, TN | $5,913 |
Highest
| Summit Medical CenterHermitage, TN | $12,511 |
|---|---|
| Vanderbilt University HospitalNashville, TN | $11,141 |
| Erlanger Medical CenterChattanooga, TN | $9,402 |
| Univ of Tn Mem HospitalKnoxville, TN | $9,170 |
| Methodist Healthcare-MemphisMemphis, TN | $8,298 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Tennessee?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 33 hospitals in Tennessee was billed at $33,301 on average, while the average total payment was $7,299, of which Medicare paid $5,025. 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.