Trauma to the skin, subcutaneous tissue and breast without major complications in Tennessee
What 5 hospitals in Tennessee charged and were paid for a Medicare hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605), from 2024 Medicare claims.
Average charge
$43,599
Hospital list price billed
Average payment
$8,967
Medicare + patient + other payers
Medicare paid
$6,231
Average per stay
State rank
#16 of 25
1 = lowest average payment
Hospitals in Tennessee billed an average of $43,599 for trauma to the skin, subcutaneous tissue and breast without major complications, about 4.9 times the average total payment of $8,967. That payment is 5% below the U.S. average of $9,406.
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 $8,967Billed $43,599
About 21¢ 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: trauma to the skin, subcutaneous tissue and breast without 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 |
|---|---|---|---|---|
| Johnson City Medical CenterJohnson City | 13 | $41,543 | $7,375 | $5,314 |
| Methodist Healthcare-MemphisMemphis | 12 | $29,460 | $9,345 | $6,945 |
| Erlanger Medical CenterChattanooga | 12 | $28,691 | $10,293 | $7,629 |
| Skyline Medical CenterNashville | 11 | $91,620 | $8,526 | $5,233 |
| Univ of Tn Mem HospitalKnoxville | 11 | $29,695 | $9,433 | $6,008 |
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
| Johnson City Medical CenterJohnson City, TN | $7,375 |
|---|---|
| Skyline Medical CenterNashville, TN | $8,526 |
| Methodist Healthcare-MemphisMemphis, TN | $9,345 |
| Univ of Tn Mem HospitalKnoxville, TN | $9,433 |
| Erlanger Medical CenterChattanooga, TN | $10,293 |
Highest
| Erlanger Medical CenterChattanooga, TN | $10,293 |
|---|---|
| Univ of Tn Mem HospitalKnoxville, TN | $9,433 |
| Methodist Healthcare-MemphisMemphis, TN | $9,345 |
| Skyline Medical CenterNashville, TN | $8,526 |
| Johnson City Medical CenterJohnson City, TN | $7,375 |
Trauma to the skin, subcutaneous tissue and breast without major complications in other states
Questions
How much does trauma to the skin, subcutaneous tissue and breast without major complications cost in Tennessee?
In 2024 Medicare data, a hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605) at 5 hospitals in Tennessee was billed at $43,599 on average, while the average total payment was $8,967, of which Medicare paid $6,231. 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 4.9 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.