Heart valve replacement through a catheter (TAVR), with major complications in Tennessee
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$249,303typical hospital bill
$45,807typical amount paid
$39,463–$63,483range paid across 12 hospitals
Tennessee hospitals billed Medicare a typical $249,303 for this stay in 2024, about 5.4 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 | |
|---|---|---|---|---|---|
| Physicians Regional Medical Center | Powell | 18 | $446,539 | $39,463 | |
| Parkwest Medical Center | Knoxville | 133 | $250,337 | $39,513 | |
| Memorial Healthcare System, Inc | Chattanooga | 54 | $149,236 | $40,848 | |
| Cookeville Regional Medical Center | Cookeville | 12 | $110,836 | $42,078 | |
| Baptist Memorial Hospital | Memphis | 52 | $202,516 | $45,134 | |
| Tristar Centennial Medical Center | Nashville | 51 | $333,761 | $45,695 | |
| Johnson City Medical Center | Johnson City | 26 | $378,857 | $45,919 | |
| Methodist Hospitals of Memphis | Memphis | 44 | $217,735 | $47,900 | |
| Ascension Saint Thomas Hospital | Nashville | 95 | $373,033 | $48,174 | |
| Wellmont Holston Valley Medical Center | Kingsport | 35 | $400,743 | $49,615 | |
| University Health System, Inc | Knoxville | 18 | $248,268 | $51,135 | |
| Vanderbilt University Medical Center | Nashville | 78 | $231,128 | $63,483 |
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.