Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit in Tennessee
MS-DRG 216: Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
$479,817typical hospital bill
$85,577typical amount paid
$57,488–$105,087range paid across 4 hospitals
Tennessee hospitals billed Medicare a typical $479,817 for this stay in 2024, about 5.6 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Parkwest Medical Center | Knoxville | 20 | $240,808 | $57,488 | |
| Ascension Saint Thomas Hospital | Nashville | 23 | $488,372 | $80,966 | |
| Tristar Centennial Medical Center | Nashville | 16 | $933,032 | $90,188 | |
| Vanderbilt University Medical Center | Nashville | 21 | $471,262 | $105,087 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.