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Healthcare Pricing Data: KINGSPORT, TN

2 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

2

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

6.9x

Across all procedures

vs National Average

-19%

Chargemaster rates

About This Data

KINGSPORT, TN has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 6.9x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in KINGSPORT is ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC (DRG 266), with an average chargemaster rate of $351,342 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$49,56024.4x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$29,89225.6x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$351,34217.9x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$333,98618.1x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$310,34818.6x
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$292,50218.2x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$246,22015.3x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$234,54416.3x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$220,43015.0x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$189,69919.0x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$179,89515.4x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$177,71616.0x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC270$169,71615.3x
OTHER VASCULAR PROCEDURES WITH CC253$161,39418.0x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$147,66619.2x
REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$130,76716.0x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$120,34415.8x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$113,15016.2x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$111,93316.8x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$107,39217.3x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$100,34915.8x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC521$100,29515.4x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$93,30018.7x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$92,08518.1x
RESPIRATORY NEOPLASMS WITH MCC180$91,47719.8x
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC244$87,90017.6x
CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC036$86,85317.6x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$82,76716.8x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$78,72416.6x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$78,37315.5x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error