Healthcare Pricing Data: KNOXVILLE, TN
3 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
3
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
3.6x
Across all procedures
vs National Average
-51%
Chargemaster rates
About This Data
KNOXVILLE, TN has 3 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 3.6x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in KNOXVILLE is SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC (DRG 460), with an average chargemaster rate of $124,697 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
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $124,697 | 3 | 5.3x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $90,688 | 3 | 3.5x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $87,398 | 3 | 4.0x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $84,886 | 3 | 3.0x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $79,032 | 3 | 4.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $73,169 | 3 | 2.7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $69,555 | 3 | 4.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $63,990 | 3 | 3.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $56,388 | 3 | 3.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $51,638 | 3 | 4.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $50,991 | 3 | 4.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $45,889 | 3 | 3.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $44,072 | 3 | 3.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $42,631 | 3 | 3.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $39,301 | 3 | 3.5x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $39,162 | 3 | 3.0x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $37,466 | 3 | 3.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $37,015 | 3 | 4.0x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $36,814 | 3 | 3.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $34,994 | 3 | 2.9x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $34,942 | 3 | 3.2x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $34,089 | 3 | 3.2x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $31,809 | 3 | 3.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $31,273 | 3 | 3.3x |
| RENAL FAILURE WITH MCC | 682 | $29,028 | 3 | 3.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $28,310 | 3 | 2.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $28,281 | 3 | 4.0x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $27,788 | 3 | 2.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $26,468 | 3 | 3.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $26,439 | 3 | 2.6x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in KNOXVILLE With Pricing Data
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Upload your bill — free comparisonData 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