Tennessee / Fort Sanders Regional Medical Center
CMS certification 440125 · Knoxville, TN · 2 entries in CMS's price-transparency list
Fort Sanders Regional Medical Center: charges and Medicare payments
Fort Sanders Regional Medical Center reported 2,004 Medicare inpatient stays across 74 DRGs in 2024. Across them it charged 2.64 times what it was paid — among the lower ratios in Tennessee, number 54 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: 239 stays at an average charge of $34,888, 61% below the national average. It also billed 2,090 outpatient services, charging 4.88 times what Medicare paid.
- 1Medicare inpatient stays 2,004
- 2Charge ÷ paid, inpatient 2.64×
- 3Rank in TN (highest ratio = 1) 54 of 65
- 4CMS price-transparency actions 2
Inpatient stays
For the 74 DRGs that can be compared with the national average, Fort Sanders 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 | 239 | $34,888 | -61% | $13,627 |
| 291 Heart Failure and Shock with MCC | 87 | $20,370 | -64% | $9,226 |
| 189 Pulmonary Edema and Respiratory Failure | 75 | $23,563 | -59% | $9,247 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 72 | $22,494 | -60% | $7,410 |
| 177 Respiratory Infections and Inflammations with MCC | 71 | $32,117 | -55% | $11,572 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 68 | $30,711 | -69% | $12,954 |
| 682 Renal Failure with MCC | 49 | $25,771 | -61% | $10,447 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 49 | $18,787 | -62% | $7,856 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 42 | $95,258 | -58% | $34,092 |
| 378 Gastrointestinal Hemorrhage with CC | 39 | $16,798 | -65% | $7,324 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 38 | $28,433 | -67% | $11,749 |
| 330 Major Small and Large Bowel Procedures with CC | 37 | $32,296 | -73% | $15,769 |
| 036 Carotid Artery Stent Procedures without CC/MCC | 36 | $53,084 | -40% | $12,419 |
| 193 Simple Pneumonia and Pleurisy with MCC | 35 | $22,040 | -63% | $9,439 |
| 683 Renal Failure with CC | 35 | $16,184 | -60% | $6,638 |
| 070 Other Cerebrovascular Disorders with MCC | 34 | $22,687 | -70% | $11,467 |
| 071 Other Cerebrovascular Disorders with CC | 34 | $16,987 | -66% | $7,814 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 31 | $18,805 | -53% | $6,048 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 30 | $23,773 | -68% | $11,318 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 28 | $103,412 | -63% | $38,274 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 28 | $12,022 | -67% | $5,538 |
| 377 Gastrointestinal Hemorrhage with MCC | 26 | $35,759 | -58% | $12,414 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 25 | $24,626 | -51% | $8,124 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $41,375 | -64% | $13,838 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $13,774 | -63% | $5,981 |
| 035 Carotid Artery Stent Procedures with CC | 23 | $55,683 | -51% | $15,390 |
| 024 Craniotomy with Major Device Implant or Acute Complex Cns... | 22 | $84,942 | -56% | $26,363 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 22 | $15,752 | -72% | $8,619 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $23,301 | -55% | $8,508 |
| 100 Seizures with MCC | 21 | $27,815 | -71% | $13,391 |
| 164 Major Chest Procedures with CC | 21 | $67,555 | -47% | $16,340 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $20,447 | -66% | $9,234 |
| 092 Other Disorders of Nervous System with CC | 19 | $24,139 | -53% | $7,546 |
| 163 Major Chest Procedures with MCC | 19 | $85,027 | -60% | $30,603 |
| 314 Other Circulatory System Diagnoses with MCC | 19 | $27,858 | -71% | $13,494 |
| 069 Transient Ischemia without Thrombolytic | 18 | $19,303 | -62% | $6,061 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 18 | $39,104 | -71% | $18,060 |
| 389 Gastrointestinal Obstruction with CC | 18 | $12,486 | -68% | $6,045 |
| 603 Cellulitis without MCC | 18 | $15,202 | -59% | $6,517 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 18 | $21,259 | -68% | $9,787 |
| 312 Syncope and Collapse | 17 | $18,227 | -60% | $6,506 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $21,625 | -43% | $6,151 |
| 812 Red Blood Cell Disorders without MCC | 17 | $15,831 | -64% | $6,669 |
| 194 Simple Pneumonia and Pleurisy with CC | 16 | $18,652 | -51% | $6,144 |
| 305 Hypertension without MCC | 15 | $15,042 | -62% | $5,771 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $48,341 | -52% | $13,765 |
| 552 Medical Back Problems without MCC | 15 | $14,479 | -70% | $7,482 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 14 | $70,376 | -70% | $31,432 |
| 091 Other Disorders of Nervous System with MCC | 14 | $29,611 | -64% | $12,742 |
| 101 Seizures without MCC | 14 | $13,877 | -72% | $6,818 |
| 299 Peripheral Vascular Disorders with MCC | 14 | $31,100 | -59% | $10,508 |
| 329 Major Small and Large Bowel Procedures with MCC | 14 | $47,132 | -78% | $28,523 |
| 394 Other Digestive System Diagnoses with CC | 14 | $18,480 | -61% | $6,927 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $30,822 | -59% | $11,146 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 13 | $5,355 | -81% | $4,673 |
| 328 Stomach, Esophageal and Duodenal Procedures without CC/MCC | 13 | $31,437 | -64% | $11,094 |
| 439 Disorders of Pancreas except Malignancy with CC | 13 | $14,193 | -67% | $6,639 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 13 | $36,266 | -58% | $12,899 |
| 638 Diabetes with CC | 13 | $12,184 | -71% | $6,541 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 12 | $15,900 | -62% | $5,592 |
Showing the 60 most frequent of 74 DRGs.
Outpatient services
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Fort Sanders Regional Medical Center charged $34,888 on average, 50% less than the Tennessee average of $70,379, and was paid $13,627 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Fort Sanders Regional Medical Center charged $20,370 on average, 56% less than the Tennessee average of $46,128, and was paid $9,226 against a state average of $10,346. For Pulmonary Edema and Respiratory Failure (DRG 189), Fort Sanders Regional Medical Center charged $23,563 on average, 49% less than the Tennessee average of $46,082, and was paid $9,247 against a state average of $10,179. For Intracranial Hemorrhage or Cerebral Infarction with CC or Tpa in 24 Hours (DRG 065), Fort Sanders Regional Medical Center charged $22,494 on average, 52% less than the Tennessee average of $46,946, and was paid $7,410 against a state average of $8,503. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $5,245 was 54% below the state average of $11,319. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,603 was 47% below the state average of $19,917. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $39,837 was 39% below the state average of $65,840. For Level 5 Airway Endoscopy (outpatient APC 5155), its average charge of $18,193 was 61% below the state average of $46,956.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Fort Sanders Regional Medical Center in Knoxville, TN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-06-23 (CMS case 120)
- Closure Notice — 2021-12-01 (CMS case 120)
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.