Jackson-Madison County General Hospital: charges and Medicare payments

Jackson-Madison County General Hospital reported 6,258 Medicare inpatient stays across 136 DRGs in 2024. Across them it charged 3.82 times what it was paid — mid-range in Tennessee, number 42 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: 856 stays at an average charge of $57,409, 36% below the national average. It also billed 5,996 outpatient services, charging 5.76 times what Medicare paid.

1Medicare inpatient stays 6,258
2Charge ÷ paid, inpatient 3.82×
3Rank in TN (highest ratio = 1) 42 of 65
4CMS price-transparency actions 0

Average charge per stay at Jackson-Madison County General Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 136 DRGs that can be compared with the national average, Jackson-Madison County General Hospital charged more than the national average in 2 (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	856	$57,409	-36%	$14,884
280 Acute Myocardial Infarction, Discharged Alive with MCC	323	$42,009	-45%	$12,025
291 Heart Failure and Shock with MCC	295	$40,992	-27%	$9,634
177 Respiratory Infections and Inflammations with MCC	178	$51,165	-28%	$12,618
193 Simple Pneumonia and Pleurisy with MCC	158	$42,696	-29%	$10,119
682 Renal Failure with MCC	133	$41,588	-37%	$11,526
481 Hip and Femur Procedures except Major Joint with CC	131	$58,950	-41%	$15,602
683 Renal Failure with CC	121	$29,207	-28%	$6,761
378 Gastrointestinal Hemorrhage with CC	119	$32,465	-33%	$7,437
189 Pulmonary Edema and Respiratory Failure	117	$38,377	-33%	$9,258
689 Kidney and Urinary Tract Infections with MCC	116	$35,915	-30%	$8,801
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	115	$34,195	-30%	$7,897
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	109	$44,007	-56%	$14,935
698 Other Kidney and Urinary Tract Diagnoses with MCC	108	$50,847	-31%	$12,289
281 Acute Myocardial Infarction, Discharged Alive with CC	107	$36,752	-27%	$7,140
853 Infectious and Parasitic Diseases with O.R. Procedures with...	103	$137,955	-40%	$38,606
322 Percutaneous Cardiovascular Procedures with Intraluminal...	97	$80,460	-30%	$14,428
377 Gastrointestinal Hemorrhage with MCC	93	$48,956	-43%	$13,156
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	91	$29,072	-48%	$7,788
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	87	$42,915	-29%	$9,709
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	79	$71,393	-30%	$15,697
208 Respiratory System Diagnosis with Ventilator Support <=96...	72	$65,812	-52%	$19,924
190 Chronic Obstructive Pulmonary Disease with MCC	66	$37,870	-25%	$8,256
308 Cardiac Arrhythmia and Conduction Disorders with MCC	60	$37,583	-34%	$9,085
309 Cardiac Arrhythmia and Conduction Disorders with CC	59	$27,357	-24%	$5,789
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	56	$25,225	-37%	$5,997
267 Endovascular Cardiac Valve Replacement and Supplement...	53	$130,184	-41%	$35,496
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	52	$33,344	-23%	$5,679
690 Kidney and Urinary Tract Infections without MCC	52	$27,231	-28%	$6,065
274 Percutaneous and Other Intracardiac Procedures without MCC	50	$91,865	-41%	$23,579
480 Hip and Femur Procedures except Major Joint with MCC	50	$81,385	-41%	$21,514
321 Percutaneous Cardiovascular Procedures with Intraluminal...	49	$101,368	-38%	$22,788
389 Gastrointestinal Obstruction with CC	49	$26,038	-33%	$6,120
637 Diabetes with MCC	49	$38,420	-42%	$10,342
330 Major Small and Large Bowel Procedures with CC	45	$74,590	-37%	$17,640
163 Major Chest Procedures with MCC	43	$77,806	-63%	$36,507
236 Coronary Bypass without Cardiac Catheterization without MCC	43	$148,029	-30%	$29,690
603 Cellulitis without MCC	41	$35,738	-4%	$6,755
100 Seizures with MCC	37	$47,868	-49%	$14,685
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	37	$20,372	-29%	$4,887
314 Other Circulatory System Diagnoses with MCC	37	$64,470	-32%	$15,293
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	37	$37,246	-39%	$10,236
870 Septicemia or Severe Sepsis with MV >96 Hours	36	$152,534	-53%	$52,016
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	33	$98,741	-54%	$33,980
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	31	$35,427	-46%	$10,413
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	31	$29,110	-21%	$6,263
283 Acute Myocardial Infarction, Expired with MCC	30	$43,225	-58%	$14,521
023 Craniotomy with Major Device Implant or Acute Complex Cns...	28	$91,902	-67%	$40,141
070 Other Cerebrovascular Disorders with MCC	28	$39,845	-48%	$12,192
329 Major Small and Large Bowel Procedures with MCC	28	$164,557	-23%	$38,583
036 Carotid Artery Stent Procedures without CC/MCC	27	$64,008	-28%	$13,357
312 Syncope and Collapse	27	$31,505	-31%	$6,481
812 Red Blood Cell Disorders without MCC	27	$29,839	-33%	$6,557
854 Infectious and Parasitic Diseases with O.R. Procedures with...	26	$53,176	-46%	$15,140
917 Poisoning and Toxic Effects of Drugs with MCC	26	$40,522	-46%	$11,565
207 Respiratory System Diagnosis with Ventilator Support >96...	25	$126,123	-57%	$53,421
418 Laparoscopic Cholecystectomy without C.D.E. with CC	25	$58,364	-37%	$12,739
243 Permanent Cardiac Pacemaker Implant with CC	24	$72,115	-35%	$19,601
331 Major Small and Large Bowel Procedures without CC/MCC	24	$64,612	-25%	$12,942
638 Diabetes with CC	24	$30,086	-28%	$6,916

Showing the 60 most frequent of 136 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	813	$15,524	$2,422
Level 1 Intraocular Procedures	602	$7,083	$2,062
Level 1 Endovascular Procedures	503	$23,858	$2,881
Level 5 Musculoskeletal Procedures	423	$56,014	$11,604
Level 2 Excision/ Biopsy/ Incision and Drainage	398	$6,605	$1,420
Level 3 Vascular Procedures	311	$10,929	$2,807
Level 4 Musculoskeletal Procedures	276	$33,146	$6,268
Level 1 Laparoscopy and Related Services	207	$27,284	$5,075
Level 3 Endovascular Procedures	188	$43,153	$9,814
Level 4 Urology and Related Services	165	$16,984	$3,077
Level 3 Urology and Related Services	157	$10,831	$1,808
Level 3 Excision/ Biopsy/ Incision and Drainage	140	$11,225	$2,495
Level 2 Intraocular Procedures	137	$21,611	$3,604
Level 3 Pacemaker and Similar Procedures	129	$29,854	$9,323
Level 5 Urology and Related Services	129	$19,232	$4,583
Level 2 Endovascular Procedures	128	$18,396	$5,126
Level 3 Musculoskeletal Procedures	121	$15,473	$2,845
Level 2 Vascular Procedures	102	$4,636	$1,429
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	98	$13,585	$3,103
Level 4 Pacemaker and Similar Procedures	85	$57,914	$17,173
Level 6 Musculoskeletal Procedures	81	$68,354	$16,677
Level 1 Breast/Lymphatic Surgery and Related Procedures	79	$19,728	$3,418
Level 2 Upper GI Procedures	71	$9,975	$1,668
Level 2 Laparoscopy and Related Services	57	$52,752	$9,093
Level 5 Airway Endoscopy	56	$33,769	$6,138

Against the Tennessee average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Jackson-Madison County General Hospital charged $57,409 on average, 18% less than the Tennessee average of $70,379, and was paid $14,884 against a state average of $15,065. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Jackson-Madison County General Hospital charged $42,009 on average, 31% less than the Tennessee average of $60,791, and was paid $12,025 against a state average of $12,633. For Heart Failure and Shock with MCC (DRG 291), Jackson-Madison County General Hospital charged $40,992 on average, 11% less than the Tennessee average of $46,128, and was paid $9,634 against a state average of $10,346. For Respiratory Infections and Inflammations with MCC (DRG 177), Jackson-Madison County General Hospital charged $51,165 on average, 5% less than the Tennessee average of $53,972, and was paid $12,618 against a state average of $12,921. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,524 was 22% below the state average of $19,917. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,083 was 34% below the state average of $10,656. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,858 was 14% below the state average of $27,751. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $56,014 was 15% 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.