Saint Thomas Rutherford Hospital
Saint Thomas Rutherford Hospital in Murfreesboro, TN charges 4.8x the Medicare reimbursement rate across 108 analyzed procedures at this nonprofit religious facility.
Murfreesboro, TN 37129 · 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 — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
C
Average
Avg markup vs Medicare
4.78x
Charge / Medicare rate
Max markup
10.45x
Worst procedure
Procedures analyzed
108
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $118,024 | $59,012 | — | 10.5x |
| DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | 446 | $42,614 | $21,307 | — | 8.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $97,740 | $48,870 | — | 7.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $32,941 | $16,471 | — | 7.5x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $250,193 | $125,096 | — | 7.2x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $72,750 | $36,375 | — | 7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $31,946 | $15,973 | — | 6.7x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $114,365 | $57,182 | — | 6.6x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $43,768 | $21,884 | — | 6.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $134,511 | $67,256 | — | 6.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $43,524 | $21,762 | — | 6.4x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $106,201 | $53,101 | — | 6.2x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $147,131 | $73,565 | — | 6.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $37,587 | $18,793 | — | 6.2x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $190,750 | $95,375 | — | 6.2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $67,741 | $33,870 | — | 6.1x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $71,884 | $35,942 | — | 5.7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $95,062 | $47,531 | — | 5.7x |
| HYPERTENSION WITHOUT MCC | 305 | $26,250 | $13,125 | — | 5.7x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $66,770 | $33,385 | — | 5.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $54,523 | $27,262 | — | 5.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $79,856 | $39,928 | — | 5.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $56,809 | $28,404 | — | 5.6x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $57,233 | $28,617 | — | 5.6x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | 494 | $69,611 | $34,806 | — | 5.6x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $185,747 | $92,874 | — | 5.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $75,312 | $37,656 | — | 5.4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $92,898 | $46,449 | — | 5.4x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $18,553 | $9,277 | — | 5.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $85,071 | $42,535 | — | 5.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $33,470 | $16,735 | — | 5.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $32,261 | $16,131 | — | 5.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $245,089 | $122,544 | — | 5.3x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $85,041 | $42,520 | — | 5.3x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $31,750 | $15,875 | — | 5.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $43,135 | $21,568 | — | 5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $63,485 | $31,742 | — | 5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $70,062 | $35,031 | — | 5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $28,750 | $14,375 | — | 4.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $23,096 | $11,548 | — | 4.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $27,983 | $13,992 | — | 4.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $93,278 | $46,639 | — | 4.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $40,710 | $20,355 | — | 4.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $15,206 | $7,603 | — | 4.8x |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $33,673 | $16,836 | — | 4.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $24,418 | $12,209 | — | 4.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $46,618 | $23,309 | — | 4.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $26,833 | $13,417 | — | 4.7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $106,116 | $53,058 | — | 4.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $155,911 | $77,956 | — | 4.6x |
Showing 50 of 108 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.
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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