Tennessee / Cumberland Medical Center
CMS certification 440009 · Crossville, TN
Cumberland Medical Center: charges and Medicare payments
Cumberland Medical Center reported 868 Medicare inpatient stays across 31 DRGs in 2024. Across them it charged 2.4 times what it was paid — among the lower ratios in Tennessee, number 57 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: 129 stays at an average charge of $27,530, 70% below the national average. It also billed 700 outpatient services, charging 3.55 times what Medicare paid.
- 1Medicare inpatient stays 868
- 2Charge ÷ paid, inpatient 2.4×
- 3Rank in TN (highest ratio = 1) 57 of 65
- 4CMS price-transparency actions 0
Inpatient stays
For the 31 DRGs that can be compared with the national average, Cumberland 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 | 129 | $27,530 | -70% | $14,077 |
| 291 Heart Failure and Shock with MCC | 78 | $21,496 | -62% | $9,174 |
| 189 Pulmonary Edema and Respiratory Failure | 58 | $24,555 | -57% | $8,805 |
| 193 Simple Pneumonia and Pleurisy with MCC | 46 | $21,171 | -65% | $9,440 |
| 177 Respiratory Infections and Inflammations with MCC | 42 | $28,222 | -60% | $11,932 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 37 | $25,028 | -67% | $11,270 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 37 | $25,925 | -54% | $9,392 |
| 683 Renal Failure with CC | 37 | $13,353 | -67% | $6,470 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 32 | $36,075 | -61% | $13,386 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 25 | $28,469 | -44% | $7,961 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 24 | $16,258 | -55% | $5,139 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $13,876 | -65% | $5,614 |
| 682 Renal Failure with MCC | 23 | $20,743 | -69% | $10,659 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 23 | $27,011 | -63% | $11,851 |
| 071 Other Cerebrovascular Disorders with CC | 21 | $26,874 | -47% | $7,890 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 19 | $18,837 | -66% | $7,362 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $46,271 | -60% | $13,017 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $32,002 | -68% | $14,187 |
| 069 Transient Ischemia without Thrombolytic | 16 | $17,938 | -64% | $5,692 |
| 070 Other Cerebrovascular Disorders with MCC | 16 | $27,777 | -63% | $12,648 |
| 637 Diabetes with MCC | 16 | $21,100 | -68% | $10,419 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $12,405 | -67% | $5,560 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $22,875 | -62% | $9,469 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $17,775 | -64% | $7,365 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $36,759 | -64% | $14,791 |
| 091 Other Disorders of Nervous System with MCC | 13 | $36,791 | -56% | $17,468 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $56,488 | -65% | $20,384 |
| 378 Gastrointestinal Hemorrhage with CC | 12 | $23,573 | -51% | $7,026 |
| 389 Gastrointestinal Obstruction with CC | 12 | $10,850 | -72% | $5,713 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $36,010 | -65% | $15,011 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $17,379 | -66% | $8,371 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 114 | $9,440 | $2,350 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 75 | $5,419 | $1,432 |
| Level 1 Nerve Procedures | 63 | $4,004 | $1,705 |
| Level 5 Musculoskeletal Procedures | 55 | $33,488 | $11,429 |
| Level 2 Upper GI Procedures | 46 | $4,937 | $1,652 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 45 | $5,290 | $3,050 |
| Level 3 Vascular Procedures | 43 | $6,504 | $2,684 |
| Level 4 Musculoskeletal Procedures | 42 | $19,617 | $6,319 |
| Level 2 Musculoskeletal Procedures | 40 | $2,764 | $1,391 |
| Level 3 Musculoskeletal Procedures | 32 | $6,123 | $2,770 |
| Level 1 Laparoscopy and Related Services | 27 | $9,258 | $5,096 |
| Level 5 Urology and Related Services | 26 | $8,222 | $4,570 |
| Level 2 Vascular Procedures | 23 | $3,127 | $1,405 |
| Level 1 Endovascular Procedures | 23 | $9,055 | $2,883 |
| Level 4 Urology and Related Services | 22 | $9,625 | $3,079 |
| Level 6 Musculoskeletal Procedures | 13 | $61,619 | $16,426 |
| Level 3 Urology and Related Services | 11 | $4,874 | $1,799 |
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cumberland Medical Center charged $27,530 on average, 61% less than the Tennessee average of $70,379, and was paid $14,077 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Cumberland Medical Center charged $21,496 on average, 53% less than the Tennessee average of $46,128, and was paid $9,174 against a state average of $10,346. For Pulmonary Edema and Respiratory Failure (DRG 189), Cumberland Medical Center charged $24,555 on average, 47% less than the Tennessee average of $46,082, and was paid $8,805 against a state average of $10,179. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Cumberland Medical Center charged $21,171 on average, 56% less than the Tennessee average of $48,160, and was paid $9,440 against a state average of $10,379. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,440 was 53% below the state average of $19,917. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,419 was 47% below the state average of $10,318. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $4,004 was 67% below the state average of $12,036. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $33,488 was 49% below the state average of $65,840.
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.