Regional One Health
Regional One Health in Memphis, Tennessee charges 3.4x the Medicare reimbursement rate across the 20 procedures we analyzed at this government-owned hospital.
Memphis, TN 38103 · Acute Care Hospitals · CMS Rating: 2/5
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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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
3.4x
Charge / Medicare rate
Max markup
5.3x
Worst procedure
Procedures analyzed
20
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 |
|---|---|---|---|---|---|
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $193,711 | $96,856 | — | 5.3x |
| LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | 956 | $248,397 | $124,198 | — | 5.2x |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | 963 | $161,639 | $80,819 | — | 4.9x |
| OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | 957 | $313,000 | $156,500 | — | 4.3x |
| OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | 958 | $175,443 | $87,721 | — | 4.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $100,301 | $50,151 | — | 4x |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | 964 | $75,861 | $37,931 | — | 3.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $77,211 | $38,606 | — | 3.7x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $82,215 | $41,107 | — | 3.6x |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $498,301 | $249,150 | — | 3.6x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $100,467 | $50,234 | — | 3.5x |
| FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | 928 | $258,959 | $129,479 | — | 3.2x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $77,250 | $38,625 | — | 2.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $122,851 | $61,426 | — | 2.8x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $53,628 | $26,814 | — | 2.7x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $47,341 | $23,671 | — | 2.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $58,795 | $29,397 | — | 2.3x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | 087 | $35,005 | $17,503 | — | 2.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $36,180 | $18,090 | — | 2.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $19,657 | $9,829 | — | 1.2x |
How REGIONAL ONE HEALTH 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.
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