Fracture or sprain (not hip or thigh) in Tennessee
MS-DRG 563: Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
$31,309typical hospital bill
$6,996typical amount paid
$5,282–$13,727range paid across 17 hospitals
Tennessee hospitals billed Medicare a typical $31,309 for this stay in 2024, about 4.5 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 | |
|---|---|---|---|---|---|
| Williamson Medical Center | Franklin | 11 | $20,550 | $5,282 | |
| Wellmont Bristol Regional Medical Center | Bristol | 11 | $27,665 | $6,344 | |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma | 16 | $45,636 | $6,404 | |
| Physicians Regional Medical Center | Powell | 18 | $36,823 | $6,514 | |
| Wellmont Holston Valley Medical Center | Kingsport | 11 | $28,732 | $6,601 | |
| Highpoint Health-Sumner with Ascension Saint Thoma | Gallatin | 16 | $36,290 | $6,612 | |
| Tristar Summit Medical Center | Hermitage | 15 | $61,526 | $6,686 | |
| Baptist Memorial Hospital | Memphis | 43 | $37,696 | $6,885 | |
| Tristar Horizon Medical Center | Dickson | 14 | $64,144 | $6,996 | |
| Maury Regional Hospital | Columbia | 14 | $27,603 | $7,017 | |
| Johnson City Medical Center | Johnson City | 14 | $29,676 | $7,260 | |
| Saint Thomas Rutherford Hospital | Murfreesboro | 22 | $22,508 | $7,707 | |
| Ascension Saint Thomas Hospital | Nashville | 18 | $21,145 | $8,280 | |
| Methodist Hospitals of Memphis | Memphis | 24 | $33,627 | $9,035 | |
| Erlanger Medical Center | Chattanooga | 14 | $31,309 | $9,569 | |
| University Health System, Inc | Knoxville | 23 | $25,139 | $10,375 | |
| Vanderbilt University Medical Center | Nashville | 21 | $63,684 | $13,727 |
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.