Tennessee / Cookeville Regional Medical Center

CMS certification 440059 · Cookeville, TN · 6 entries in CMS's price-transparency list

Cookeville Regional Medical Center: charges and Medicare payments

Cookeville Regional Medical Center reported 2,969 Medicare inpatient stays across 87 DRGs in 2024. Across them it charged 2.93 times what it was paid — among the lower ratios in Tennessee, number 50 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: 383 stays at an average charge of $37,230, 59% below the national average. It also billed 3,717 outpatient services, charging 4.55 times what Medicare paid.

1Medicare inpatient stays 2,969
2Charge ÷ paid, inpatient 2.93×
3Rank in TN (highest ratio = 1) 50 of 65
4CMS price-transparency actions 6

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

Inpatient stays

For the 87 DRGs that can be compared with the national average, Cookeville Regional Medical Center charged more than the national average in 0 (0%). 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	383	$37,230	-59%	$13,695
291 Heart Failure and Shock with MCC	224	$23,710	-58%	$9,017
193 Simple Pneumonia and Pleurisy with MCC	163	$22,675	-62%	$9,208
177 Respiratory Infections and Inflammations with MCC	118	$29,096	-59%	$11,664
280 Acute Myocardial Infarction, Discharged Alive with MCC	96	$29,749	-61%	$11,197
189 Pulmonary Edema and Respiratory Failure	83	$20,591	-64%	$8,823
682 Renal Failure with MCC	71	$29,984	-55%	$10,269
698 Other Kidney and Urinary Tract Diagnoses with MCC	64	$36,413	-50%	$11,625
853 Infectious and Parasitic Diseases with O.R. Procedures with...	58	$88,813	-61%	$35,588
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	55	$27,694	-50%	$7,156
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	55	$20,317	-59%	$7,090
378 Gastrointestinal Hemorrhage with CC	53	$25,093	-48%	$6,960
274 Percutaneous and Other Intracardiac Procedures without MCC	52	$58,175	-63%	$22,354
683 Renal Failure with CC	51	$17,913	-56%	$6,196
481 Hip and Femur Procedures except Major Joint with CC	50	$49,534	-51%	$14,164
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	48	$39,946	-60%	$13,948
689 Kidney and Urinary Tract Infections with MCC	48	$22,454	-56%	$8,043
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	46	$22,523	-63%	$8,983
309 Cardiac Arrhythmia and Conduction Disorders with CC	41	$15,308	-58%	$5,150
377 Gastrointestinal Hemorrhage with MCC	35	$36,780	-57%	$12,466
690 Kidney and Urinary Tract Infections without MCC	35	$18,726	-50%	$5,821
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	33	$11,142	-61%	$4,218
308 Cardiac Arrhythmia and Conduction Disorders with MCC	30	$20,324	-64%	$8,228
281 Acute Myocardial Infarction, Discharged Alive with CC	28	$29,588	-41%	$6,343
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	27	$27,931	-57%	$9,579
322 Percutaneous Cardiovascular Procedures with Intraluminal...	27	$73,106	-36%	$12,871
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	27	$52,322	-49%	$14,403
208 Respiratory System Diagnosis with Ventilator Support <=96...	26	$44,298	-67%	$19,493
236 Coronary Bypass without Cardiac Catheterization without MCC	26	$121,670	-42%	$27,478
321 Percutaneous Cardiovascular Procedures with Intraluminal...	25	$99,647	-39%	$23,660
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	25	$20,770	-48%	$5,424
432 Cirrhosis and Alcoholic Hepatitis with MCC	25	$36,010	-62%	$13,535
603 Cellulitis without MCC	25	$18,691	-50%	$6,201
699 Other Kidney and Urinary Tract Diagnoses with CC	25	$23,191	-51%	$7,240
070 Other Cerebrovascular Disorders with MCC	24	$29,501	-61%	$12,099
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	23	$14,994	-60%	$5,342
286 Circulatory Disorders except AMI, with Cardiac...	22	$41,604	-63%	$14,692
194 Simple Pneumonia and Pleurisy with CC	20	$17,428	-55%	$5,688
389 Gastrointestinal Obstruction with CC	20	$16,593	-57%	$5,775
374 Digestive Malignancy with MCC	19	$41,264	-59%	$14,244
460 Spinal Fusion except Cervical without MCC	19	$82,755	-51%	$24,756
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	19	$81,296	-62%	$34,214
069 Transient Ischemia without Thrombolytic	18	$26,523	-47%	$5,535
329 Major Small and Large Bowel Procedures with MCC	18	$83,012	-61%	$34,231
480 Hip and Femur Procedures except Major Joint with MCC	18	$55,759	-60%	$20,078
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	18	$63,366	-53%	$20,237
638 Diabetes with CC	18	$17,720	-57%	$6,494
267 Endovascular Cardiac Valve Replacement and Supplement...	17	$95,421	-57%	$32,932
312 Syncope and Collapse	17	$23,142	-49%	$5,913
812 Red Blood Cell Disorders without MCC	17	$21,599	-51%	$6,269
091 Other Disorders of Nervous System with MCC	16	$40,871	-51%	$12,215
178 Respiratory Infections and Inflammations with CC	16	$20,387	-55%	$6,799
234 Coronary Bypass with Cardiac Catheterization or Open...	16	$147,929	-45%	$35,373
305 Hypertension without MCC	16	$17,932	-55%	$5,462
314 Other Circulatory System Diagnoses with MCC	16	$30,730	-68%	$14,236
482 Hip and Femur Procedures except Major Joint without CC/MCC	16	$40,481	-48%	$10,884
552 Medical Back Problems without MCC	16	$24,482	-50%	$7,767
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	15	$27,141	-60%	$9,999
233 Coronary Bypass with Cardiac Catheterization or Open...	14	$174,563	-55%	$53,052
253 Other Vascular Procedures with CC	14	$67,001	-49%	$19,964

Showing the 60 most frequent of 87 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	775	$15,951	$2,505
Level 5 Musculoskeletal Procedures	260	$43,364	$12,020
Level 1 Endovascular Procedures	253	$20,500	$2,977
Level 2 Upper GI Procedures	240	$7,602	$1,739
Level 4 Musculoskeletal Procedures	222	$21,834	$6,562
Level 1 Laparoscopy and Related Services	162	$20,351	$5,281
Level 4 Urology and Related Services	136	$13,914	$3,198
Level 2 Excision/ Biopsy/ Incision and Drainage	126	$7,505	$1,478
Level 1 Nerve Procedures	113	$7,473	$1,771
Level 3 Endovascular Procedures	107	$41,276	$10,083
Level 3 Vascular Procedures	106	$13,048	$2,924
Level 3 Urology and Related Services	99	$8,694	$1,855
Level 3 Musculoskeletal Procedures	97	$14,703	$2,969
Level 5 Urology and Related Services	97	$16,538	$4,746
Level 3 Pacemaker and Similar Procedures	73	$17,047	$9,788
Level 2 Musculoskeletal Procedures	72	$8,560	$1,444
Level 3 Excision/ Biopsy/ Incision and Drainage	61	$7,998	$2,606
Level 3 Electrophysiologic Procedures	58	$53,036	$21,103
Level 4 Endovascular Procedures	53	$48,308	$16,052
Level 5 Airway Endoscopy	49	$29,626	$6,278
Level 3 Lower GI Procedures	49	$9,243	$2,574
Level 2 Laparoscopy and Related Services	47	$40,129	$9,276
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	45	$14,389	$3,174
Level 2 Endovascular Procedures	43	$22,488	$5,243
Level 2 Breast/Lymphatic Surgery and Related Procedures	40	$22,460	$5,982

Against the Tennessee average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cookeville Regional Medical Center charged $37,230 on average, 47% less than the Tennessee average of $70,379, and was paid $13,695 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Cookeville Regional Medical Center charged $23,710 on average, 49% less than the Tennessee average of $46,128, and was paid $9,017 against a state average of $10,346. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Cookeville Regional Medical Center charged $22,675 on average, 53% less than the Tennessee average of $48,160, and was paid $9,208 against a state average of $10,379. For Respiratory Infections and Inflammations with MCC (DRG 177), Cookeville Regional Medical Center charged $29,096 on average, 46% less than the Tennessee average of $53,972, and was paid $11,664 against a state average of $12,921. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,951 was 20% below the state average of $19,917. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $43,364 was 34% below the state average of $65,840. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $20,500 was 26% below the state average of $27,751. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $7,602 was 33% below the state average of $11,319.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Cookeville Regional Medical Center in Cookeville, TN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2021-10-27 (CMS case 207)
CAP Request — 2022-07-27 (CMS case 207)
Closure Notice — 2022-10-04 (CMS case 207)
Met Requirements — 2026-02-09 (CMS case 6985)
Warning Notice — 2026-04-15 (CMS case 7481)
Closure Notice — 2026-07-16 (CMS case 7481)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

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.