Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc in Tennessee
MS-DRG 494: Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
$58,180typical hospital bill
$16,552typical amount paid
$14,433–$16,737range paid across 3 hospitals
Tennessee hospitals billed Medicare a typical $58,180 for this stay in 2024, about 3.5 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 | |
|---|---|---|---|---|---|
| Baptist Memorial Hospital | Memphis | 17 | $86,476 | $14,433 | |
| University Health System, Inc | Knoxville | 23 | $46,774 | $16,552 | |
| Erlanger Medical Center | Chattanooga | 18 | $58,180 | $16,737 |
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.