Tennessee / Blount Memorial Hospital

CMS certification 440011 · Maryville, TN

Blount Memorial Hospital: charges and Medicare payments

Blount Memorial Hospital reported 1,323 Medicare inpatient stays across 46 DRGs in 2024. Across them it charged 3.6 times what it was paid — mid-range in Tennessee, number 43 of 65 hospitals with at least 100 stays (state median 4.42×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 166 stays at an average charge of $53,972, 40% below the national average. It also billed 1,786 outpatient services, charging 6.21 times what Medicare paid.

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  1. 1Medicare inpatient stays 1,323
  2. 2Charge ÷ paid, inpatient 3.6×
  3. 3Rank in TN (highest ratio = 1) 43 of 65
  4. 4CMS price-transparency actions 0
DRG 871$53,972DRG 193$30,655DRG 291$31,574DRG 177$36,404DRG 280$39,126DRG 189$35,676DRG 689$26,281DRG 378$26,353DRG 682$26,145DRG 683$24,141
Average charge per stay at Blount Memorial Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 46 DRGs that can be compared with the national average, Blount Memorial Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC166$53,972-40%$13,620
193 Simple Pneumonia and Pleurisy with MCC103$30,655-49%$9,294
291 Heart Failure and Shock with MCC92$31,574-44%$9,455
177 Respiratory Infections and Inflammations with MCC69$36,404-48%$11,347
280 Acute Myocardial Infarction, Discharged Alive with MCC54$39,126-48%$11,547
189 Pulmonary Edema and Respiratory Failure47$35,676-38%$9,170
689 Kidney and Urinary Tract Infections with MCC36$26,281-49%$8,524
378 Gastrointestinal Hemorrhage with CC35$26,353-46%$7,763
682 Renal Failure with MCC35$26,145-60%$10,372
683 Renal Failure with CC35$24,141-41%$6,926
481 Hip and Femur Procedures except Major Joint with CC32$58,769-42%$14,331
389 Gastrointestinal Obstruction with CC31$20,498-47%$6,323
190 Chronic Obstructive Pulmonary Disease with MCC29$27,134-46%$8,241
853 Infectious and Parasitic Diseases with O.R. Procedures with...28$121,879-47%$35,213
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC26$31,073-37%$7,918
309 Cardiac Arrhythmia and Conduction Disorders with CC24$17,774-51%$6,219
322 Percutaneous Cardiovascular Procedures with Intraluminal...24$63,930-44%$14,630
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...24$22,833-43%$6,259
308 Cardiac Arrhythmia and Conduction Disorders with MCC23$29,296-48%$9,274
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...23$19,667-47%$6,172
812 Red Blood Cell Disorders without MCC23$21,005-53%$7,039
522 Hip Replacement with Principal Diagnosis of Hip Fracture...22$58,267-43%$14,824
603 Cellulitis without MCC21$20,835-44%$6,937
377 Gastrointestinal Hemorrhage with MCC20$42,630-50%$11,856
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...19$27,235-51%$7,472
208 Respiratory System Diagnosis with Ventilator Support <=96...19$93,650-31%$17,836
281 Acute Myocardial Infarction, Discharged Alive with CC18$24,803-51%$6,954
690 Kidney and Urinary Tract Infections without MCC18$17,379-54%$6,275
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC16$16,836-41%$4,867
480 Hip and Femur Procedures except Major Joint with MCC16$70,833-49%$19,103
196 Interstitial Lung Disease with MCC15$48,240-44%$12,568
064 Intracranial Hemorrhage or Cerebral Infarction with MCC14$55,224-45%$13,475
470 Major Hip and Knee Joint Replacement or Reattachment of...14$62,560-33%$13,316
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale13$34,591-47%$10,216
521 Hip Replacement with Principal Diagnosis of Hip Fracture...13$68,272-50%$20,083
186 Pleural Effusion with MCC12$53,440-25%$11,148
194 Simple Pneumonia and Pleurisy with CC12$23,780-38%$6,625
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...12$32,895-46%$9,437
439 Disorders of Pancreas except Malignancy with CC12$23,592-46%$6,926
637 Diabetes with MCC12$34,212-49%$10,198
070 Other Cerebrovascular Disorders with MCC11$33,973-55%$12,057
071 Other Cerebrovascular Disorders with CC11$20,020-60%$7,520
283 Acute Myocardial Infarction, Expired with MCC11$52,147-49%$14,264
330 Major Small and Large Bowel Procedures with CC11$73,130-39%$17,346
388 Gastrointestinal Obstruction with MCC11$33,193-51%$10,317
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...11$25,158-58%$9,260

Outpatient services

Against the Tennessee average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Blount Memorial Hospital charged $53,972 on average, 23% less than the Tennessee average of $70,379, and was paid $13,620 against a state average of $15,065. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Blount Memorial Hospital charged $30,655 on average, 36% less than the Tennessee average of $48,160, and was paid $9,294 against a state average of $10,379. For Heart Failure and Shock with MCC (DRG 291), Blount Memorial Hospital charged $31,574 on average, 32% less than the Tennessee average of $46,128, and was paid $9,455 against a state average of $10,346. For Respiratory Infections and Inflammations with MCC (DRG 177), Blount Memorial Hospital charged $36,404 on average, 33% less than the Tennessee average of $53,972, and was paid $11,347 against a state average of $12,921. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $5,850 was 51% below the state average of $12,036. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $49,409 was 25% below the state average of $65,840. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,866 was 24% below the state average of $10,318. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $32,911 was 18% below the state average of $40,281.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.