Williamson Medical Center
WILLIAMSON MEDICAL CENTER in Franklin, TN charges 4.4x the Medicare reimbursement rate across 60 analyzed procedures, representing typical pricing for a government-owned hospital facility.
Franklin, TN 37067 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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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
4.38x
Charge / Medicare rate
Max markup
8.02x
Worst procedure
Procedures analyzed
60
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $18,555 | $9,277 | — | 8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $69,113 | $34,557 | — | 7.3x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $68,026 | $34,013 | — | 6.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $13,380 | $6,690 | — | 6.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $32,266 | $16,133 | — | 6.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $17,519 | $8,759 | — | 5.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $38,760 | $19,380 | — | 5.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $64,067 | $32,034 | — | 5.7x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $69,333 | $34,666 | — | 5.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $16,699 | $8,350 | — | 5.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $11,374 | $5,687 | — | 5.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $22,264 | $11,132 | — | 5.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $18,303 | $9,151 | — | 5.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $18,153 | $9,076 | — | 5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $17,173 | $8,586 | — | 5x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $28,871 | $14,436 | — | 5x |
| CELLULITIS WITHOUT MCC | 603 | $18,206 | $9,103 | — | 4.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $22,402 | $11,201 | — | 4.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $16,694 | $8,347 | — | 4.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $28,532 | $14,266 | — | 4.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $75,165 | $37,583 | — | 4.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $24,849 | $12,425 | — | 4.7x |
| RENAL FAILURE WITH CC | 683 | $18,033 | $9,017 | — | 4.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $14,862 | $7,431 | — | 4.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $50,193 | $25,096 | — | 4.4x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $14,835 | $7,418 | — | 4.3x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $17,432 | $8,716 | — | 4.3x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $97,239 | $48,620 | — | 4.3x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $80,747 | $40,374 | — | 4.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $20,091 | $10,045 | — | 4.2x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $54,909 | $27,455 | — | 4.2x |
| ENDOCRINE DISORDERS WITH MCC | 643 | $35,389 | $17,694 | — | 4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $16,549 | $8,274 | — | 4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $23,287 | $11,643 | — | 3.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $18,424 | $9,212 | — | 3.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $18,167 | $9,084 | — | 3.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $61,874 | $30,937 | — | 3.7x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $76,187 | $38,093 | — | 3.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $24,031 | $12,016 | — | 3.6x |
| DIABETES WITH MCC | 637 | $24,671 | $12,335 | — | 3.6x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $92,716 | $46,358 | — | 3.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $24,151 | $12,076 | — | 3.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $20,010 | $10,005 | — | 3.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $33,172 | $16,586 | — | 3.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $33,632 | $16,816 | — | 3.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $13,147 | $6,573 | — | 3.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $28,271 | $14,136 | — | 3.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $22,062 | $11,031 | — | 3.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $33,366 | $16,683 | — | 3.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $18,102 | $9,051 | — | 3.4x |
Showing 50 of 60 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.
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