Cookeville Regional Medical Center
Cookeville Regional Medical Center, a government-owned hospital in Cookeville, TN, charges 3.9x the Medicare reimbursement rate across 89 analyzed procedures.
Cookeville, TN 38501 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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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
3.86x
Charge / Medicare rate
Max markup
7.52x
Worst procedure
Procedures analyzed
89
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $22,641 | $11,321 | — | 7.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $74,321 | $37,161 | — | 7.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $32,033 | $16,017 | — | 6.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $19,830 | $9,915 | — | 6.7x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $36,444 | $18,222 | — | 6.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $22,659 | $11,329 | — | 6.1x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $30,867 | $15,434 | — | 5.6x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $78,355 | $39,178 | — | 5.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $60,557 | $30,279 | — | 5.3x |
| HYPERTENSION WITHOUT MCC | 305 | $18,152 | $9,076 | — | 5.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $24,510 | $12,255 | — | 5.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $23,211 | $11,606 | — | 5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $91,756 | $45,878 | — | 5x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $152,994 | $76,497 | — | 5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $25,475 | $12,737 | — | 4.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $119,977 | $59,988 | — | 4.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $10,867 | $5,433 | — | 4.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $24,633 | $12,317 | — | 4.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $45,614 | $22,807 | — | 4.7x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $160,127 | $80,063 | — | 4.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $17,787 | $8,894 | — | 4.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $17,483 | $8,741 | — | 4.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $14,744 | $7,372 | — | 4.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $18,127 | $9,063 | — | 4.4x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $28,394 | $14,197 | — | 4.4x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $23,270 | $11,635 | — | 4.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $15,885 | $7,943 | — | 4.2x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $35,600 | $17,800 | — | 4.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $20,771 | $10,386 | — | 4.1x |
| DIABETES WITH CC | 638 | $18,606 | $9,303 | — | 4.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $23,493 | $11,746 | — | 4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $15,558 | $7,779 | — | 4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $19,671 | $9,836 | — | 4x |
| SYNCOPE AND COLLAPSE | 312 | $17,587 | $8,794 | — | 4x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $15,196 | $7,598 | — | 3.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $49,374 | $24,687 | — | 3.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $24,599 | $12,300 | — | 3.8x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $89,662 | $44,831 | — | 3.8x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $71,746 | $35,873 | — | 3.7x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $76,675 | $38,337 | — | 3.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $42,141 | $21,070 | — | 3.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $26,798 | $13,399 | — | 3.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $50,212 | $25,106 | — | 3.7x |
| DIABETES WITH MCC | 637 | $27,609 | $13,804 | — | 3.6x |
| RENAL FAILURE WITH CC | 683 | $17,334 | $8,667 | — | 3.6x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $117,384 | $58,692 | — | 3.6x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $40,312 | $20,156 | — | 3.6x |
| COAGULATION DISORDERS | 813 | $40,833 | $20,416 | — | 3.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $21,669 | $10,835 | — | 3.5x |
| CELLULITIS WITHOUT MCC | 603 | $16,232 | $8,116 | — | 3.5x |
Showing 50 of 89 procedures
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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.
FAQ — government hospital billing
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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