Methodist Medical Center of Oak Ridge
Methodist Medical Center of Oak Ridge in Oak Ridge, Tennessee charges 3.3x the Medicare reimbursement rate across 40 analyzed procedures, reflecting the pricing structure at this nonprofit hospital.
Oak Ridge, TN 37830 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
C
Average
Avg markup vs Medicare
3.33x
Charge / Medicare rate
Max markup
5.29x
Worst procedure
Procedures analyzed
40
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 |
|---|---|---|---|---|---|
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $19,915 | $9,958 | — | 5.3x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $57,028 | $28,514 | — | 4.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $23,547 | $11,774 | — | 4.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $44,279 | $22,139 | — | 4.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $14,826 | $7,413 | — | 4.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $20,956 | $10,478 | — | 4.2x |
| RENAL FAILURE WITH CC | 683 | $20,004 | $10,002 | — | 4x |
| SYNCOPE AND COLLAPSE | 312 | $16,015 | $8,008 | — | 3.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $45,749 | $22,874 | — | 3.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $21,539 | $10,770 | — | 3.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $22,582 | $11,291 | — | 3.7x |
| CELLULITIS WITHOUT MCC | 603 | $17,036 | $8,518 | — | 3.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $25,288 | $12,644 | — | 3.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $18,181 | $9,090 | — | 3.5x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $19,431 | $9,715 | — | 3.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $31,378 | $15,689 | — | 3.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $17,836 | $8,918 | — | 3.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $24,757 | $12,379 | — | 3.5x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $27,274 | $13,637 | — | 3.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $33,020 | $16,510 | — | 3.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $22,758 | $11,379 | — | 3.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $35,504 | $17,752 | — | 3.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $17,238 | $8,619 | — | 3.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $33,054 | $16,527 | — | 3.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $11,747 | $5,874 | — | 3.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $78,547 | $39,274 | — | 3.1x |
| DIABETES WITH MCC | 637 | $23,450 | $11,725 | — | 3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $27,609 | $13,804 | — | 3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $34,964 | $17,482 | — | 3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $31,097 | $15,549 | — | 2.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $13,392 | $6,696 | — | 2.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $9,781 | $4,890 | — | 2.7x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $24,435 | $12,217 | — | 2.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $41,255 | $20,628 | — | 2.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $26,391 | $13,195 | — | 2.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $4,983 | $2,492 | — | 2.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $15,638 | $7,819 | — | 2.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $17,041 | $8,520 | — | 2.4x |
| RENAL FAILURE WITH MCC | 682 | $20,174 | $10,087 | — | 2.4x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $21,892 | $10,946 | — | 2x |
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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