Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Tennessee
MS-DRG 220: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$240,179typical hospital bill
$43,616typical amount paid
$38,150–$53,944range paid across 8 hospitals
Tennessee hospitals billed Medicare a typical $240,179 for this stay in 2024, about 5.5 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 | |
|---|---|---|---|---|---|
| Cookeville Regional Medical Center | Cookeville | 11 | $146,641 | $38,150 | |
| Jackson-Madison County General Hospital | Jackson | 11 | $183,740 | $38,734 | |
| Ascension Saint Thomas Hospital | Nashville | 30 | $295,505 | $41,474 | |
| Memorial Healthcare System, Inc | Chattanooga | 19 | $216,991 | $43,294 | |
| Tristar Centennial Medical Center | Nashville | 16 | $551,383 | $43,938 | |
| Wellmont Holston Valley Medical Center | Kingsport | 21 | $276,771 | $44,789 | |
| University Health System, Inc | Knoxville | 19 | $190,968 | $45,354 | |
| Vanderbilt University Medical Center | Nashville | 65 | $263,367 | $53,944 |
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.