facebook tracking Wound debridement and skin graft except hand for musculoskeletal and connective tissue d cost in Tennessee: 2 hospitals compared (DRG 463)

Wound debridement and skin graft except hand for musculoskeletal and connective tissue d in Tennessee

What 2 hospitals in Tennessee charged and were paid for a Medicare hospital stay for wound debridement and skin graft except hand for musculoskeletal and connective tissue d (DRG 463), from 2024 Medicare claims.

DRG 463 Inpatient 2024 Medicare data
Average charge $246,603 Hospital list price billed
Average payment $49,735 Medicare + patient + other payers
Medicare paid $35,796 Average per stay
Volume 30 Medicare hospital stays

Hospitals in Tennessee billed an average of $246,603 for wound debridement and skin graft except hand for musculoskeletal and connective tissue d, about 5.0 times the average total payment of $49,735. That payment is 26% below the U.S. average of $66,992.

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 $49,735Billed $246,603

About 20¢ 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: wound debridement and skin graft except hand for musculoskeletal and connective tissue d

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 18 $296,658 $61,610 $40,171
Baptist Memorial HospitalMemphis 12 $171,521 $31,924 $29,233
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Wound debridement and skin graft except hand for musculoskeletal and connective tissue d in other states

Questions

How much does wound debridement and skin graft except hand for musculoskeletal and connective tissue d cost in Tennessee?

In 2024 Medicare data, a hospital stay for wound debridement and skin graft except hand for musculoskeletal and connective tissue d (DRG 463) at 2 hospitals in Tennessee was billed at $246,603 on average, while the average total payment was $49,735, of which Medicare paid $35,796. 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 5.0 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.