Bristol Regional Medical Center: charges and Medicare payments

Bristol Regional Medical Center reported 2,217 Medicare inpatient stays across 74 DRGs in 2024. Across them it charged 4.36 times what it was paid — mid-range in Tennessee, number 34 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: 267 stays at an average charge of $59,757, 34% below the national average. It also billed 1,294 outpatient services, charging 9.6 times what Medicare paid.

1Medicare inpatient stays 2,217
2Charge ÷ paid, inpatient 4.36×
3Rank in TN (highest ratio = 1) 34 of 65
4CMS price-transparency actions 0

Average charge per stay at Bristol Regional Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 74 DRGs that can be compared with the national average, Bristol Regional Medical Center charged more than the national average in 1 (1%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	267	$59,757	-34%	$14,370
291 Heart Failure and Shock with MCC	141	$41,476	-26%	$9,700
690 Kidney and Urinary Tract Infections without MCC	78	$26,361	-30%	$6,464
193 Simple Pneumonia and Pleurisy with MCC	69	$40,044	-33%	$10,148
177 Respiratory Infections and Inflammations with MCC	60	$49,694	-30%	$12,460
280 Acute Myocardial Infarction, Discharged Alive with MCC	57	$50,730	-33%	$12,063
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	53	$34,675	-38%	$8,082
378 Gastrointestinal Hemorrhage with CC	49	$31,814	-34%	$7,625
309 Cardiac Arrhythmia and Conduction Disorders with CC	48	$22,804	-37%	$6,088
683 Renal Failure with CC	47	$29,181	-28%	$7,361
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	46	$23,329	-37%	$6,436
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	45	$33,644	-31%	$8,611
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	44	$66,876	-33%	$14,137
481 Hip and Femur Procedures except Major Joint with CC	39	$89,880	-11%	$15,478
682 Renal Failure with MCC	37	$44,749	-32%	$12,440
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	35	$29,211	-27%	$6,375
287 Circulatory Disorders except AMI, with Cardiac...	34	$48,458	-24%	$8,626
377 Gastrointestinal Hemorrhage with MCC	34	$53,366	-38%	$13,323
189 Pulmonary Edema and Respiratory Failure	32	$33,058	-43%	$10,235
689 Kidney and Urinary Tract Infections with MCC	32	$30,168	-41%	$8,700
322 Percutaneous Cardiovascular Procedures with Intraluminal...	31	$93,807	-18%	$13,501
194 Simple Pneumonia and Pleurisy with CC	30	$26,026	-32%	$6,676
281 Acute Myocardial Infarction, Discharged Alive with CC	30	$30,048	-40%	$7,694
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	30	$53,840	-11%	$9,711
069 Transient Ischemia without Thrombolytic	29	$25,207	-50%	$6,285
313 Chest Pain	29	$21,040	-47%	$5,770
308 Cardiac Arrhythmia and Conduction Disorders with MCC	28	$34,821	-39%	$9,377
853 Infectious and Parasitic Diseases with O.R. Procedures with...	28	$131,068	-43%	$35,886
389 Gastrointestinal Obstruction with CC	26	$24,110	-38%	$6,626
638 Diabetes with CC	26	$28,769	-31%	$7,601
190 Chronic Obstructive Pulmonary Disease with MCC	24	$34,252	-32%	$9,347
208 Respiratory System Diagnosis with Ventilator Support <=96...	23	$87,008	-36%	$20,581
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	23	$20,536	-29%	$4,662
312 Syncope and Collapse	22	$32,859	-28%	$6,919
552 Medical Back Problems without MCC	22	$31,479	-36%	$7,533
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	21	$90,599	-11%	$15,559
698 Other Kidney and Urinary Tract Diagnoses with MCC	21	$51,354	-30%	$11,619
637 Diabetes with MCC	20	$41,358	-38%	$11,356
948 Signs and Symptoms without MCC	20	$31,906	-16%	$6,290
470 Major Hip and Knee Joint Replacement or Reattachment of...	19	$81,897	-12%	$14,697
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	18	$31,728	-27%	$5,703
083 Traumatic Stupor and Coma >1 Hour with CC	17	$45,716	-38%	$10,383
191 Chronic Obstructive Pulmonary Disease with CC	16	$30,527	-23%	$6,906
432 Cirrhosis and Alcoholic Hepatitis with MCC	16	$50,601	-47%	$14,154
603 Cellulitis without MCC	16	$29,756	-20%	$6,812
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	16	$46,488	-31%	$11,148
699 Other Kidney and Urinary Tract Diagnoses with CC	16	$23,270	-51%	$7,557
812 Red Blood Cell Disorders without MCC	16	$26,811	-40%	$7,157
092 Other Disorders of Nervous System with CC	15	$32,006	-38%	$8,341
101 Seizures without MCC	15	$26,650	-45%	$7,330
418 Laparoscopic Cholecystectomy without C.D.E. with CC	15	$88,972	-5%	$12,890
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	15	$216,721	0%	$37,312
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	14	$44,767	-31%	$11,311
176 Pulmonary Embolism without MCC	14	$27,786	-33%	$6,497
329 Major Small and Large Bowel Procedures with MCC	14	$140,463	-35%	$30,438
854 Infectious and Parasitic Diseases with O.R. Procedures with...	14	$51,875	-47%	$18,272
870 Septicemia or Severe Sepsis with MV >96 Hours	14	$204,987	-37%	$40,561
884 Organic Disturbances and Intellectual Disability	14	$33,772	-46%	$11,365
071 Other Cerebrovascular Disorders with CC	13	$29,189	-42%	$9,025
303 Atherosclerosis without MCC	13	$21,999	-38%	$5,369

Showing the 60 most frequent of 74 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	214	$14,369	$2,290
Level 5 Musculoskeletal Procedures	134	$76,864	$11,005
Level 1 Endovascular Procedures	127	$19,535	$2,788
Level 2 Excision/ Biopsy/ Incision and Drainage	125	$8,880	$1,368
Level 1 Laparoscopy and Related Services	94	$42,677	$4,957
Level 3 Vascular Procedures	78	$22,056	$2,738
Level 3 Excision/ Biopsy/ Incision and Drainage	75	$13,160	$2,366
Level 4 Musculoskeletal Procedures	56	$47,256	$6,060
Level 6 Musculoskeletal Procedures	52	$158,959	$15,977
Level 2 Endovascular Procedures	45	$36,315	$4,736
Level 3 Endovascular Procedures	43	$80,008	$9,082
Level 4 Endovascular Procedures	38	$135,186	$14,640
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	33	$37,572	$2,829
Level 5 Airway Endoscopy	28	$47,486	$5,880
Level 5 Urology and Related Services	28	$26,922	$4,445
Level 2 Vascular Procedures	22	$8,810	$1,376
Level 2 Breast/Lymphatic Surgery and Related Procedures	21	$43,195	$5,399
Level 4 Airway Endoscopy	21	$23,176	$3,217
Level 3 Pacemaker and Similar Procedures	19	$70,017	$9,169
Level 3 Musculoskeletal Procedures	16	$19,583	$2,781
Level 1 Breast/Lymphatic Surgery and Related Procedures	14	$25,538	$3,275
Level 4 Vascular Procedures	11	$45,671	$4,721

Against the Tennessee average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Bristol Regional Medical Center charged $59,757 on average, 15% less than the Tennessee average of $70,379, and was paid $14,370 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Bristol Regional Medical Center charged $41,476 on average, 10% less than the Tennessee average of $46,128, and was paid $9,700 against a state average of $10,346. For Kidney and Urinary Tract Infections without MCC (DRG 690), Bristol Regional Medical Center charged $26,361 on average, 16% less than the Tennessee average of $31,522, and was paid $6,464 against a state average of $6,923. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Bristol Regional Medical Center charged $40,044 on average, 17% less than the Tennessee average of $48,160, and was paid $10,148 against a state average of $10,379. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,369 was 28% below the state average of $19,917. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $76,864 was 17% above the state average of $65,840. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,535 was 30% below the state average of $27,751. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,880 was 14% below the state average of $10,318.

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.