Fort Sanders Regional Medical Center
Fort Sanders Regional Medical Center in Knoxville, TN charges 3.3x the Medicare reimbursement rate on average across 75 analyzed procedures at this nonprofit hospital.
Knoxville, TN 37916 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
C
Average
Avg markup vs Medicare
3.34x
Charge / Medicare rate
Max markup
6.06x
Worst procedure
Procedures analyzed
75
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 |
|---|---|---|---|---|---|
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $44,993 | $22,496 | — | 6.1x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $137,387 | $68,693 | — | 5.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $23,650 | $11,825 | — | 4.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $48,158 | $24,079 | — | 4.5x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $72,303 | $36,152 | — | 4.5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $19,114 | $9,557 | — | 4.4x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $55,948 | $27,974 | — | 4.4x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $51,151 | $25,576 | — | 4.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $15,392 | $7,696 | — | 4.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $21,967 | $10,984 | — | 4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $25,652 | $12,826 | — | 4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $42,251 | $21,126 | — | 4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $35,875 | $17,938 | — | 4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $43,233 | $21,616 | — | 3.9x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $29,638 | $14,819 | — | 3.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $22,700 | $11,350 | — | 3.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $36,972 | $18,486 | — | 3.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $16,652 | $8,326 | — | 3.7x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $28,654 | $14,327 | — | 3.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $23,378 | $11,689 | — | 3.7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $53,636 | $26,818 | — | 3.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $21,016 | $10,508 | — | 3.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $21,199 | $10,599 | — | 3.6x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $79,657 | $39,828 | — | 3.6x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $73,818 | $36,909 | — | 3.6x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $78,696 | $39,348 | — | 3.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $30,438 | $15,219 | — | 3.5x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $23,182 | $11,591 | — | 3.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $36,564 | $18,282 | — | 3.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $13,678 | $6,839 | — | 3.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $26,120 | $13,060 | — | 3.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $51,845 | $25,923 | — | 3.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $31,394 | $15,697 | — | 3.4x |
| RENAL FAILURE WITH MCC | 682 | $29,087 | $14,544 | — | 3.4x |
| SEIZURES WITH MCC | 100 | $40,759 | $20,379 | — | 3.4x |
| HYPERTENSION WITHOUT MCC | 305 | $12,416 | $6,208 | — | 3.4x |
| RENAL FAILURE WITH CC | 683 | $14,997 | $7,499 | — | 3.3x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $107,696 | $53,848 | — | 3.3x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $17,142 | $8,571 | — | 3.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $14,255 | $7,128 | — | 3.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $24,353 | $12,176 | — | 3.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $17,117 | $8,559 | — | 3.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $13,984 | $6,992 | — | 3.2x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $19,043 | $9,521 | — | 3.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $16,898 | $8,449 | — | 3.2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $39,726 | $19,863 | — | 3.1x |
| SYNCOPE AND COLLAPSE | 312 | $14,472 | $7,236 | — | 3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $33,233 | $16,616 | — | 3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $33,228 | $16,614 | — | 3x |
| CELLULITIS WITHOUT MCC | 603 | $14,411 | $7,206 | — | 3x |
Showing 50 of 75 procedures
How FORT SANDERS REGIONAL MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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