LAFOLLETTE MEDICAL CENTER
LA FOLLETTE, TN 37766 · Acute Care Hospitals
9 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 29, 2026 · Methodology
Procedures Analyzed
9
With CMS pricing data
Avg Charge-to-Medicare Ratio
4.7x
Chargemaster ÷ Medicare
CMS Quality Rating
Not rated
No CMS star rating available
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Church
Above 90th Percentile
0%
Compared to TN hospitals
Understanding Your Costs
When you receive a bill from LAFOLLETTE MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, LAFOLLETTE MEDICAL CENTER lists chargemaster rates that average 4.7x the corresponding Medicare reimbursement amount across 9 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in TN has a chargemaster-to-Medicare ratio of 4.9x, with ratios across the state ranging from 1.4x to 13.4x. At 4.7x, this facility’s average ratio is below the state median. 74 hospitals in TN report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at LAFOLLETTE MEDICAL CENTER is Simple Pneumonia and Pleurisy with Complications (DRG 194). The listed chargemaster rate is $39,768, while Medicare reimburses $6,530 for the same procedure — a ratio of 6.1x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
LAFOLLETTE MEDICAL CENTER is a voluntary non-profit - church acute care hospitals facility. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| Simple Pneumonia and Pleurisy with Complications | 194 | $39,768 | $6,530 | 6.1x | 1st | Compare your bill |
| Respiratory Infections and Inflammations with Major Complications or Comorbidities | 177 | $70,369 | $12,809 | 5.5x | 1st | Compare your bill |
| Heart Failure and Shock with Major Complications or Comorbidities | 291 | $53,795 | $9,869 | 5.5x | 1st | Compare your bill |
| Simple Pneumonia and Pleurisy with Major Complications or Comorbidities | 193 | $53,160 | $10,068 | 5.3x | 1st | Compare your bill |
| Kidney and Urinary Tract Infections without Major Complications | 690 | $31,182 | $6,314 | 4.9x | 1st | Compare your bill |
| Chronic Obstructive Pulmonary Disease with Major Complications or Comorbidities | 190 | $34,035 | $8,399 | 4.0x | 0th | Compare your bill |
| Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours with Major Complications or Comorbidities | 871 | $56,090 | $14,692 | 3.8x | 0th | Compare your bill |
| Renal Failure with Complications | 683 | $24,811 | $6,759 | 3.7x | 0th | Compare your bill |
| Kidney and Urinary Tract Infections with Major Complications or Comorbidities | 689 | $31,009 | $9,258 | 3.4x | 0th | Compare your bill |
Showing 9 of 9 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across TN hospitals
74 hospitals in TN report pricing data to CMS. This facility's average ratio of 4.7x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About LAFOLLETTE MEDICAL CENTER
How much does LAFOLLETTE MEDICAL CENTER charge compared to Medicare?
According to CMS IPPS data, LAFOLLETTE MEDICAL CENTER's listed chargemaster rates average 4.7x the Medicare reimbursement amount across 9 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at LAFOLLETTE MEDICAL CENTER?
The procedure with the highest chargemaster-to-Medicare ratio at LAFOLLETTE MEDICAL CENTER is Simple Pneumonia and Pleurisy with Complications (DRG 194), with a listed charge of $39,768 compared to Medicare reimbursement of $6,530 — a ratio of 6.1x. Source: CMS IPPS Provider Summary.
Is LAFOLLETTE MEDICAL CENTER expensive compared to other TN hospitals?
LAFOLLETTE MEDICAL CENTER's average chargemaster-to-Medicare ratio is 4.7x. Ratios vary significantly across TN hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for LAFOLLETTE MEDICAL CENTER come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from LAFOLLETTE MEDICAL CENTER is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does LAFOLLETTE MEDICAL CENTER in LA FOLLETTE, TN accept Medicare?
LAFOLLETTE MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact LAFOLLETTE MEDICAL CENTER directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.