Blount Memorial Hospital
BLOUNT MEMORIAL HOSPITAL in Maryville, TN charges 4.7x the Medicare reimbursement rate across 44 analyzed procedures, reflecting typical pricing patterns for government-owned healthcare facilities.
Maryville, TN 37804 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
C
Average
Avg markup vs Medicare
4.65x
Charge / Medicare rate
Max markup
7.68x
Worst procedure
Procedures analyzed
44
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $121,633 | $60,817 | — | 7.7x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $112,852 | $56,426 | — | 7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $60,968 | $30,484 | — | 6.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $30,278 | $15,139 | — | 6.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $68,313 | $34,157 | — | 6.2x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $17,321 | $8,661 | — | 6.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $15,826 | $7,913 | — | 5.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $21,557 | $10,779 | — | 5.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $21,722 | $10,861 | — | 5.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $24,117 | $12,059 | — | 5.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $27,156 | $13,578 | — | 5.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $30,107 | $15,054 | — | 5.2x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $20,965 | $10,483 | — | 5.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $24,191 | $12,095 | — | 5.1x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $81,316 | $40,658 | — | 5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $70,024 | $35,012 | — | 5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $54,116 | $27,058 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $52,284 | $26,142 | — | 4.8x |
| CELLULITIS WITHOUT MCC | 603 | $20,788 | $10,394 | — | 4.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $54,512 | $27,256 | — | 4.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $30,551 | $15,276 | — | 4.5x |
| DIABETES WITH CC | 638 | $23,201 | $11,601 | — | 4.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $16,622 | $8,311 | — | 4.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $45,170 | $22,585 | — | 4.4x |
| RENAL FAILURE WITH CC | 683 | $21,271 | $10,636 | — | 4.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $30,621 | $15,311 | — | 4.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $33,707 | $16,853 | — | 4.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $32,422 | $16,211 | — | 4.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $105,284 | $52,642 | — | 4.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $29,108 | $14,554 | — | 4.2x |
| RENAL FAILURE WITH MCC | 682 | $35,041 | $17,521 | — | 4.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $16,126 | $8,063 | — | 4.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $67,203 | $33,601 | — | 4.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $39,096 | $19,548 | — | 3.9x |
| DIABETES WITH MCC | 637 | $30,102 | $15,051 | — | 3.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $67,846 | $33,923 | — | 3.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $23,813 | $11,907 | — | 3.8x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $16,026 | $8,013 | — | 3.7x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $24,387 | $12,194 | — | 3.7x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $17,817 | $8,908 | — | 3.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $21,143 | $10,572 | — | 3.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $32,597 | $16,298 | — | 3x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $24,840 | $12,420 | — | 3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $17,763 | $8,882 | — | 2.4x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use