US Health Care Costs

Pneumonia, with major complications in Tennessee

MS-DRG 193: Simple pneumonia and pleurisy with mcc

$42,150typical hospital bill
$9,956typical amount paid
$7,833–$17,340range paid across 63 hospitals

Tennessee hospitals billed Medicare a typical $42,150 for this stay in 2024, about 4.2 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)

HospitalCityMedicare staysBilledPaid
Tennova Healthcare-Jefferson Memorial HospitalJefferson City31$43,711$7,833
Williamson Medical CenterFranklin64$29,738$8,288
Saint Francis Bartlett Medical CenterBartlett81$84,808$8,305
Memorial Healthcare System, IncChattanooga201$40,020$8,652
Morristown Hamblen Hospital AssociationMorristown35$20,549$8,694
Parkwest Medical CenterKnoxville56$19,977$8,789
Baptist Memorial Hospital Union CityUnion City34$44,200$8,802
Methodist Medical Center of Oak RidgeOak Ridge43$23,161$8,847
Greeneville Community HospitalGreeneville30$42,150$8,939
Sycamore Shoals HospitalElizabethton21$34,704$8,993
Claiborne Medical CenterTazewell11$14,008$9,070
Roane Medical CenterHarriman34$19,469$9,076
Vanderbilt Wilson County HospitalLebanon19$41,967$9,085
Vanderbilt Clarksville HospitalClarksville76$66,746$9,104
Physicians Regional Medical CenterPowell75$60,837$9,138
Vanderbilt Tullahoma-Harton HospitalTullahoma31$69,762$9,178
Cookeville Regional Medical CenterCookeville163$22,675$9,208
Affiliate of Vitruvian HealthCleveland77$81,849$9,279
Blount Memorial HospitalMaryville103$30,655$9,295
Franklin Woods Community HospitalJohnson City37$40,510$9,314
Dyersburg Regional Medical CenterDyersburg20$34,722$9,404
Fort Sanders Regional Medical CenterKnoxville35$22,040$9,439
Cumberland Medical CenterCrossville46$21,171$9,440
Fort Loudoun Medical CenterLenoir City19$19,248$9,533
Maury Regional HospitalColumbia51$56,097$9,581
Baptist Memorial Hospital - Carroll CountyHuntingdon14$23,662$9,765
Tristar Horizon Medical CenterDickson52$51,914$9,807
Highpoint Health-Sumner with Ascension Saint ThomaGallatin45$67,557$9,822
Leconte Medical CenterSevierville15$20,365$9,920
Baptist Memorial HospitalMemphis145$48,501$9,924
Livingston Regional HospitalLivingston15$57,310$9,954
Southern Tennessee Regional Health System WinchestWinchester18$64,236$9,956
Tristar Stonecrest Medical CenterSmyrna28$79,008$10,056
West Tennessee Healthcare Henry County HospitalParis18$29,389$10,073
St Francis HospitalMemphis33$116,073$10,095
Jackson-Madison County General HospitalJackson158$42,696$10,119
Wellmont Holston Valley Medical CenterKingsport85$45,080$10,147
Wellmont Bristol Regional Medical CenterBristol69$40,044$10,148
Tristar Hendersonville Medical CenterHendersonville55$98,546$10,185
Parkridge Medical CenterChattanooga80$79,704$10,243
Tristar Centennial Medical CenterNashville42$82,742$10,465
Southern Tennessee Regional Health System LawrenceLawrenceburg35$77,340$10,549
Sweetwater Hospital AssociationSweetwater12$41,829$10,681
Indian Path Community HospitalKingsport13$30,065$10,782
Saint Thomas Rutherford HospitalMurfreesboro179$35,198$10,806
Starr Regional Medical Center AthensAthens29$56,675$10,881
Tristar Summit Medical CenterHermitage67$98,365$11,070
Saint Thomas River Park HospitalMcMinnville54$37,985$11,103
Johnson City Medical CenterJohnson City86$52,171$11,136
Hardin Medical CenterSavannah21$26,466$11,256
Lafollette Medical CenterLa Follette24$48,986$11,395
Ascension Saint Thomas HospitalNashville199$42,654$11,436
Tristar Skyline Medical CenterNashville42$96,713$11,555
Unity Medical CenterManchester11$16,279$11,653
Tristar Southern Hills Medical CenterNashville26$59,344$11,682
Baptist Memorial Hospital TiptonCovington13$41,602$11,823
Tristar Northcrest Medical CenterSpringfield39$70,777$11,870
Methodist Hospitals of MemphisMemphis135$48,560$12,860
University Health System, IncKnoxville80$29,865$12,961
Dekalb Community HospitalSmithville15$23,633$13,178
Saint Thomas Highlands HospitalSparta16$21,347$13,295
Erlanger Medical CenterChattanooga43$38,929$13,297
Vanderbilt University Medical CenterNashville69$61,272$17,340

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.