facebook tracking Stomach, esophageal and duodenal procedures without complications cost in Tennessee: 4 hospitals compared (DRG 328)

Stomach, esophageal and duodenal procedures without complications in Tennessee

What 4 hospitals in Tennessee charged and were paid for a Medicare hospital stay for stomach, esophageal and duodenal procedures without complications (DRG 328), from 2024 Medicare claims.

DRG 328 Inpatient 2024 Medicare data
Average charge $57,775 Hospital list price billed
Average payment $14,144 Medicare + patient + other payers
Medicare paid $10,980 Average per stay
State rank #4 of 18 1 = lowest average payment

Hospitals in Tennessee billed an average of $57,775 for stomach, esophageal and duodenal procedures without complications, about 4.1 times the average total payment of $14,144. That payment is 17% below the U.S. average of $16,978.

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 $14,144Billed $57,775

About 24¢ was paid for every $1 hospitals in Tennessee billed for this stay.

Tennessee hospitals: stomach, esophageal and duodenal procedures without 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 31 $70,073 $16,353 $11,805
Baptist Memorial HospitalMemphis 14 $59,670 $11,343 $9,532
Fort Sanders Reg Medical CtrKnoxville 13 $31,437 $11,094 $9,417
Erlanger Medical CenterChattanooga 11 $51,834 $15,091 $12,344
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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

Fort Sanders Reg Medical CtrKnoxville, TN$11,094
Baptist Memorial HospitalMemphis, TN$11,343
Erlanger Medical CenterChattanooga, TN$15,091
Vanderbilt University HospitalNashville, TN$16,353

Highest

Vanderbilt University HospitalNashville, TN$16,353
Erlanger Medical CenterChattanooga, TN$15,091
Baptist Memorial HospitalMemphis, TN$11,343
Fort Sanders Reg Medical CtrKnoxville, TN$11,094

Stomach, esophageal and duodenal procedures without complications in other states

Questions

How much does stomach, esophageal and duodenal procedures without complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for stomach, esophageal and duodenal procedures without complications (DRG 328) at 4 hospitals in Tennessee was billed at $57,775 on average, while the average total payment was $14,144, of which Medicare paid $10,980. 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 4.1 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.