Tennessee / Memorial Healthcare System, Inc

CMS certification 440091 · Chattanooga, TN

Memorial Healthcare System, Inc: charges and Medicare payments

Memorial Healthcare System, Inc reported 5,982 Medicare inpatient stays across 152 DRGs in 2024. Across them it charged 4.42 times what it was paid — mid-range in Tennessee, number 33 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: 591 stays at an average charge of $51,124, 43% below the national average. It also billed 6,345 outpatient services, charging 7.27 times what Medicare paid.

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  1. 1Medicare inpatient stays 5,982
  2. 2Charge ÷ paid, inpatient 4.42×
  3. 3Rank in TN (highest ratio = 1) 33 of 65
  4. 4CMS price-transparency actions 0
DRG 871$51,124DRG 291$35,064DRG 193$40,020DRG 177$45,301DRG 682$37,427DRG 280$49,660DRG 378$36,073DRG 853$101,027DRG 065$38,947DRG 064$54,103
Average charge per stay at Memorial Healthcare System, Inc, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 152 DRGs that can be compared with the national average, Memorial Healthcare System, Inc charged more than the national average in 1 (1%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC591$51,124-43%$12,412
291 Heart Failure and Shock with MCC301$35,064-38%$8,318
193 Simple Pneumonia and Pleurisy with MCC201$40,020-33%$8,652
177 Respiratory Infections and Inflammations with MCC153$45,301-36%$10,498
682 Renal Failure with MCC132$37,427-43%$9,333
280 Acute Myocardial Infarction, Discharged Alive with MCC125$49,660-35%$10,389
378 Gastrointestinal Hemorrhage with CC118$36,073-26%$6,420
853 Infectious and Parasitic Diseases with O.R. Procedures with...117$101,027-56%$29,744
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...115$38,947-30%$6,576
064 Intracranial Hemorrhage or Cerebral Infarction with MCC99$54,103-46%$11,960
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC98$27,323-44%$6,973
698 Other Kidney and Urinary Tract Diagnoses with MCC95$39,693-46%$10,403
189 Pulmonary Edema and Respiratory Failure94$38,194-34%$8,614
683 Renal Failure with CC92$23,946-41%$6,330
481 Hip and Femur Procedures except Major Joint with CC89$58,674-42%$13,410
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...85$25,820-36%$5,172
470 Major Hip and Knee Joint Replacement or Reattachment of...82$63,231-32%$12,815
309 Cardiac Arrhythmia and Conduction Disorders with CC74$26,391-27%$5,113
377 Gastrointestinal Hemorrhage with MCC73$63,880-25%$11,901
690 Kidney and Urinary Tract Infections without MCC68$23,372-38%$5,241
522 Hip Replacement with Principal Diagnosis of Hip Fracture...64$63,704-38%$13,572
330 Major Small and Large Bowel Procedures with CC58$65,330-45%$16,338
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...56$36,836-39%$8,379
236 Coronary Bypass without Cardiac Catheterization without MCC54$156,792-26%$26,369
266 Endovascular Cardiac Valve Replacement and Supplement...54$149,236-48%$40,848
811 Red Blood Cell Disorders with MCC53$57,246-16%$10,670
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...52$35,546-42%$8,522
689 Kidney and Urinary Tract Infections with MCC51$41,010-20%$7,469
552 Medical Back Problems without MCC49$30,012-39%$6,353
308 Cardiac Arrhythmia and Conduction Disorders with MCC46$42,084-26%$8,837
321 Percutaneous Cardiovascular Procedures with Intraluminal...46$106,961-35%$19,707
312 Syncope and Collapse45$31,578-31%$5,861
394 Other Digestive System Diagnoses with CC45$26,398-44%$6,607
322 Percutaneous Cardiovascular Procedures with Intraluminal...43$95,453-17%$13,043
281 Acute Myocardial Infarction, Discharged Alive with CC42$34,736-31%$5,821
274 Percutaneous and Other Intracardiac Procedures without MCC41$78,099-50%$20,287
393 Other Digestive System Diagnoses with MCC41$40,503-47%$10,672
467 Revision of Hip or Knee Replacement with CC41$88,519-44%$19,819
329 Major Small and Large Bowel Procedures with MCC40$104,400-51%$26,890
812 Red Blood Cell Disorders without MCC39$35,358-20%$6,318
480 Hip and Femur Procedures except Major Joint with MCC38$72,948-47%$17,992
092 Other Disorders of Nervous System with CC36$38,099-26%$6,523
287 Circulatory Disorders except AMI, with Cardiac...36$52,294-18%$7,500
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...36$29,371-21%$5,424
091 Other Disorders of Nervous System with MCC35$39,129-53%$11,384
603 Cellulitis without MCC35$24,672-34%$5,705
660 Kidney and Ureter Procedures for Non-Neoplasm with CC34$38,097-44%$8,577
234 Coronary Bypass with Cardiac Catheterization or Open...33$209,415-22%$38,257
252 Other Vascular Procedures with MCC33$89,668-48%$21,894
699 Other Kidney and Urinary Tract Diagnoses with CC33$28,333-40%$6,629
286 Circulatory Disorders except AMI, with Cardiac...32$69,241-38%$15,503
389 Gastrointestinal Obstruction with CC32$19,296-50%$5,572
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale31$38,508-41%$9,253
270 Other Major Cardiovascular Procedures with MCC31$153,972-41%$33,910
305 Hypertension without MCC30$31,045-23%$5,164
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...30$96,451+43%$15,502
178 Respiratory Infections and Inflammations with CC28$29,730-34%$6,197
388 Gastrointestinal Obstruction with MCC28$33,474-51%$9,326
314 Other Circulatory System Diagnoses with MCC27$48,794-49%$12,866
659 Kidney and Ureter Procedures for Non-Neoplasm with MCC26$59,237-51%$17,207

Showing the 60 most frequent of 152 DRGs.

Outpatient services

Against the Tennessee average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Memorial Healthcare System, Inc charged $51,124 on average, 27% less than the Tennessee average of $70,379, and was paid $12,412 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Memorial Healthcare System, Inc charged $35,064 on average, 24% less than the Tennessee average of $46,128, and was paid $8,318 against a state average of $10,346. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Memorial Healthcare System, Inc charged $40,020 on average, 17% less than the Tennessee average of $48,160, and was paid $8,652 against a state average of $10,379. For Respiratory Infections and Inflammations with MCC (DRG 177), Memorial Healthcare System, Inc charged $45,301 on average, 16% less than the Tennessee average of $53,972, and was paid $10,498 against a state average of $12,921. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,669 was 9% above the state average of $19,917. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,285 was 9% below the state average of $27,751. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $10,759 was 24% below the state average of $14,067. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,331 was 0% below the state average of $11,319.

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.