Simple pneumonia and pleurisy with major complications in Tennessee
What 63 hospitals in Tennessee charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$48,478
Hospital list price billed
Average payment
$10,291
Medicare + patient + other payers
Medicare paid
$8,209
Average per stay
State rank
#8 of 50
1 = lowest average payment
Hospitals in Tennessee billed an average of $48,478 for simple pneumonia and pleurisy with major complications, about 4.7 times the average total payment of $10,291. That payment is 14% below the U.S. average of $12,020.
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 $10,291Billed $48,478
About 21¢ 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 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 |
|---|---|---|---|---|
| Memorial Healthcare System, INCChattanooga | 201 | $40,020 | $8,652 | $6,811 |
| St Thomas HospitalNashville | 199 | $42,654 | $11,436 | $8,387 |
| Saint Thomas Rutherford HospitalMurfreesboro | 179 | $35,198 | $10,806 | $8,619 |
| Cookeville Regional Med CenterCookeville | 163 | $22,675 | $9,208 | $7,721 |
| Jackson-Madison Cnty Gen HospJackson | 158 | $42,696 | $10,119 | $8,184 |
| Baptist Memorial HospitalMemphis | 145 | $48,501 | $9,924 | $7,646 |
| Methodist Healthcare-MemphisMemphis | 135 | $48,560 | $12,860 | $9,820 |
| Blount Memorial HospitalMaryville | 103 | $30,655 | $9,294 | $7,716 |
| Johnson City Medical CenterJohnson City | 86 | $52,171 | $11,136 | $8,306 |
| Wellmont Holston Vly Med CtrKingsport | 85 | $45,080 | $10,147 | $7,448 |
| Saint Francis Bartlett Medical CenterBartlett | 81 | $84,808 | $8,305 | $6,947 |
| Univ of Tn Mem HospitalKnoxville | 80 | $29,865 | $12,961 | $9,231 |
| Parkridge Medical CenterChattanooga | 80 | $79,704 | $10,243 | $8,532 |
| Cleveland Community HospitalCleveland | 77 | $81,849 | $9,279 | $7,349 |
| Vanderbilt Clarksville HospitalClarksville | 76 | $66,746 | $9,104 | $7,967 |
| Physicians Regional Medical CenterKnoxville | 75 | $60,837 | $9,138 | $7,899 |
| Wellmont Bristol Regional Medical CenterBristol | 69 | $40,044 | $10,148 | $8,096 |
| Vanderbilt University HospitalNashville | 69 | $61,272 | $17,340 | $10,645 |
| Summit Medical CenterHermitage | 67 | $98,365 | $11,070 | $7,863 |
| Williamson Medical CenterFranklin | 64 | $29,738 | $8,288 | $7,008 |
| Parkwest Medical CenterKnoxville | 56 | $19,977 | $8,789 | $6,591 |
| Hendersonville Medical CenterHendersonville | 55 | $98,546 | $10,185 | $7,782 |
| River Park HospitalMcMinnville | 54 | $37,985 | $11,103 | $9,804 |
| Horizon Medical CenterDickson | 52 | $51,914 | $9,807 | $7,939 |
| Maury Regional HospitalColumbia | 51 | $56,097 | $9,581 | $8,133 |
| Cumberland Medical CenterCrossville | 46 | $21,171 | $9,440 | $8,375 |
| Sumner Regional Medical CenterGallatin | 45 | $67,557 | $9,822 | $7,847 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 43 | $23,161 | $8,847 | $7,089 |
| Erlanger Medical CenterChattanooga | 43 | $38,929 | $13,297 | $10,235 |
| Skyline Medical CenterNashville | 42 | $96,713 | $11,555 | $8,649 |
| Centennial Medical CenterNashville | 42 | $82,742 | $10,465 | $8,626 |
| Tristar Northcrest Medical CenterSpringfield | 39 | $70,777 | $11,870 | $9,752 |
| Franklin Woods Community HospitalJohnson City | 37 | $40,510 | $9,314 | $7,484 |
| Morristown-Hamblen HospitalMorristown | 35 | $20,549 | $8,694 | $7,576 |
| Fort Sanders Reg Medical CtrKnoxville | 35 | $22,040 | $9,439 | $7,924 |
| Crockett HospitalLeoma | 35 | $77,340 | $10,549 | $8,624 |
| Roane Medical CenterHarriman | 34 | $19,469 | $9,076 | $7,780 |
| Baptist Memorial Hospital Union CityUnion City | 34 | $44,200 | $8,802 | $7,699 |
| St Francis HospitalMemphis | 33 | $116,073 | $10,095 | $8,632 |
| St Mary's Jefferson Memorial HospitalJefferson City | 31 | $43,711 | $7,833 | $6,571 |
| Harton Regional Medical CenterTullahoma | 31 | $69,762 | $9,178 | $8,072 |
| Greeneville Community HospitalGreeneville | 30 | $42,150 | $8,939 | $7,742 |
| Athens Regional Medical CenterAthens | 29 | $56,675 | $10,881 | $9,205 |
| Stonecrest Medical CenterSmyrna | 28 | $79,008 | $10,056 | $8,907 |
| Southern Hills Medical CtrNashville | 26 | $59,344 | $11,682 | $9,745 |
| Lafollette Medical CenterLa Follette | 24 | $48,986 | $11,395 | $9,811 |
| Sycamore Shoals HospitalElizabethton | 21 | $34,704 | $8,993 | $7,406 |
| Hardin County General HospitalSavannah | 21 | $26,466 | $11,256 | $10,013 |
| Dyersburg Regional Medical CenterDyersburg | 20 | $34,722 | $9,404 | $8,261 |
| Fort Sanders Loudon Med CenterLoudon | 19 | $19,248 | $9,533 | $8,159 |
| Vanderbilt Wilson County HospitalLebanon | 19 | $41,967 | $9,085 | $7,711 |
| Southern Tennessee Medical CenterWinchester | 18 | $64,236 | $9,956 | $7,987 |
| Henry County Medical CenterParis | 18 | $29,389 | $10,073 | $8,422 |
| Saint Thomas Highlands HospitalSparta | 16 | $21,347 | $13,295 | $12,173 |
| Leconte Medical CenterSevierville | 15 | $20,365 | $9,920 | $7,945 |
| Stones River Hospital and Dekalb Community HospSmithville | 15 | $23,633 | $13,178 | $11,872 |
| Livingston Regional HospitalLivingston | 15 | $57,310 | $9,954 | $8,648 |
| Baptist Memorial Hospital HuntingdonHuntingdon | 14 | $23,662 | $9,765 | $8,832 |
| Baptist Memorial Hospital TiptonCovington | 13 | $41,602 | $11,823 | $9,970 |
| Indian Path Medical CenterKingsport | 13 | $30,065 | $10,782 | $8,326 |
| Sweetwater Hospital AssociationSweetwater | 12 | $41,829 | $10,681 | $9,187 |
| Unity Medical CenterManchester | 11 | $16,279 | $11,653 | $9,888 |
| Claiborne County HospitalTazewell | 11 | $14,008 | $9,070 | $7,883 |
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
| St Mary's Jefferson Memorial HospitalJefferson City, TN | $7,833 |
|---|---|
| Williamson Medical CenterFranklin, TN | $8,288 |
| Saint Francis Bartlett Medical CenterBartlett, TN | $8,305 |
| Memorial Healthcare System, INCChattanooga, TN | $8,652 |
| Morristown-Hamblen HospitalMorristown, TN | $8,694 |
Highest
| Vanderbilt University HospitalNashville, TN | $17,340 |
|---|---|
| Erlanger Medical CenterChattanooga, TN | $13,297 |
| Saint Thomas Highlands HospitalSparta, TN | $13,295 |
| Stones River Hospital and Dekalb Community HospSmithville, TN | $13,178 |
| Univ of Tn Mem HospitalKnoxville, TN | $12,961 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Tennessee?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 63 hospitals in Tennessee was billed at $48,478 on average, while the average total payment was $10,291, of which Medicare paid $8,209. 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 4.7 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.