Tennessee / Highpoint Health - Winchester With Ascension Saint
CMS certification 440058 · Winchester, TN
Highpoint Health - Winchester With Ascension Saint: charges and Medicare payments
Highpoint Health - Winchester With Ascension Saint reported 293 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 5.33 times what it was paid — mid-range in Tennessee, number 24 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: 93 stays at an average charge of $74,199, 18% below the national average. It also billed 451 outpatient services, charging 12.73 times what Medicare paid.
- 1Medicare inpatient stays 293
- 2Charge ÷ paid, inpatient 5.33×
- 3Rank in TN (highest ratio = 1) 24 of 65
- 4CMS price-transparency actions 0
Inpatient stays
For the 13 DRGs that can be compared with the national average, Highpoint Health - Winchester With Ascension Saint charged more than the national average in 2 (15%). 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 | 93 | $74,199 | -18% | $13,956 |
| 291 Heart Failure and Shock with MCC | 26 | $50,173 | -11% | $10,688 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 23 | $45,942 | -6% | $7,877 |
| 177 Respiratory Infections and Inflammations with MCC | 22 | $67,125 | -5% | $12,246 |
| 193 Simple Pneumonia and Pleurisy with MCC | 18 | $64,236 | +7% | $9,956 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 17 | $63,109 | -17% | $11,115 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $37,231 | -2% | $6,364 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $43,399 | -15% | $8,903 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $31,102 | -16% | $6,308 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $32,782 | -9% | $6,081 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $54,585 | +8% | $8,616 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $38,344 | -32% | $9,276 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $38,060 | -34% | $9,492 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 103 | $29,411 | $2,340 |
| Level 1 Endovascular Procedures | 65 | $26,401 | $2,708 |
| Level 1 Nerve Procedures | 49 | $12,385 | $1,651 |
| Level 4 Urology and Related Services | 30 | $45,135 | $2,936 |
| Level 5 Musculoskeletal Procedures | 25 | $98,602 | $11,239 |
| Level 1 Intraocular Procedures | 25 | $13,952 | $1,992 |
| Level 4 Musculoskeletal Procedures | 23 | $57,096 | $6,116 |
| Level 3 Endovascular Procedures | 20 | $89,207 | $9,400 |
| Level 1 Laparoscopy and Related Services | 20 | $46,133 | $4,933 |
| Level 3 Musculoskeletal Procedures | 18 | $34,157 | $2,525 |
| Level 2 Musculoskeletal Procedures | 16 | $15,007 | $1,374 |
| Level 3 Vascular Procedures | 16 | $23,707 | $2,589 |
| Level 2 Upper GI Procedures | 15 | $12,331 | $1,562 |
| Level 5 Urology and Related Services | 14 | $49,724 | $4,424 |
| Level 3 Urology and Related Services | 12 | $17,170 | $1,741 |
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Highpoint Health - Winchester With Ascension Saint charged $74,199 on average, 5% more than the Tennessee average of $70,379, and was paid $13,956 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Highpoint Health - Winchester With Ascension Saint charged $50,173 on average, 9% more than the Tennessee average of $46,128, and was paid $10,688 against a state average of $10,346. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Highpoint Health - Winchester With Ascension Saint charged $45,942 on average, 13% more than the Tennessee average of $40,769, and was paid $7,877 against a state average of $8,809. For Respiratory Infections and Inflammations with MCC (DRG 177), Highpoint Health - Winchester With Ascension Saint charged $67,125 on average, 24% more than the Tennessee average of $53,972, and was paid $12,246 against a state average of $12,921. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $29,411 was 48% above the state average of $19,917. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $26,401 was 5% below the state average of $27,751. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $12,385 was 3% above the state average of $12,036. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $45,135 was 116% above the state average of $20,897.
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.