Tennessee / Livingston Regional Hospital
CMS certification 440187 · Livingston, TN · 2 entries in CMS's price-transparency list
Livingston Regional Hospital: charges and Medicare payments
Livingston Regional Hospital reported 242 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 5.8 times what it was paid — among the higher ratios in Tennessee, number 18 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: 71 stays at an average charge of $79,953, 11% below the national average. It also billed 66 outpatient services, charging 12.39 times what Medicare paid.
- 1Medicare inpatient stays 242
- 2Charge ÷ paid, inpatient 5.8×
- 3Rank in TN (highest ratio = 1) 18 of 65
- 4CMS price-transparency actions 2
Inpatient stays
For the 10 DRGs that can be compared with the national average, Livingston Regional Hospital charged more than the national average in 5 (50%). 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 | 71 | $79,953 | -11% | $14,847 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 29 | $52,981 | +8% | $8,161 |
| 683 Renal Failure with CC | 26 | $46,819 | +15% | $7,209 |
| 291 Heart Failure and Shock with MCC | 24 | $59,277 | +5% | $9,943 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $50,451 | +33% | $6,498 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $65,878 | -7% | $12,643 |
| 689 Kidney and Urinary Tract Infections with MCC | 16 | $49,458 | -4% | $9,203 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $57,310 | -4% | $9,954 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $44,128 | +15% | $6,599 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $33,628 | -9% | $6,305 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 55 | $28,494 | $2,344 |
| Level 1 Laparoscopy and Related Services | 11 | $22,012 | $4,942 |
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Livingston Regional Hospital charged $79,953 on average, 14% more than the Tennessee average of $70,379, and was paid $14,847 against a state average of $15,065. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Livingston Regional Hospital charged $52,981 on average, 30% more than the Tennessee average of $40,769, and was paid $8,161 against a state average of $8,809. For Renal Failure with CC (DRG 683), Livingston Regional Hospital charged $46,819 on average, 46% more than the Tennessee average of $32,131, and was paid $7,209 against a state average of $7,604. For Heart Failure and Shock with MCC (DRG 291), Livingston Regional Hospital charged $59,277 on average, 29% more than the Tennessee average of $46,128, and was paid $9,943 against a state average of $10,346. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,494 was 43% above the state average of $19,917. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $22,012 was 32% below the state average of $32,171.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Livingston Regional Hospital in Livingston, TN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-03 (CMS case 3527)
- Warning Notice — 2026-07-14 (CMS case 8245)
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.