Methodist Medical Center of Oak Ridge: charges and Medicare payments

Methodist Medical Center of Oak Ridge reported 1,290 Medicare inpatient stays across 39 DRGs in 2024. Across them it charged 2.58 times what it was paid — among the lower ratios in Tennessee, number 55 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: 297 stays at an average charge of $34,135, 62% below the national average. It also billed 970 outpatient services, charging 4.32 times what Medicare paid.

1Medicare inpatient stays 1,290
2Charge ÷ paid, inpatient 2.58×
3Rank in TN (highest ratio = 1) 55 of 65
4CMS price-transparency actions 0

Average charge per stay at Methodist Medical Center of Oak Ridge, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 39 DRGs that can be compared with the national average, Methodist Medical Center of Oak Ridge 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	297	$34,135	-62%	$13,341
291 Heart Failure and Shock with MCC	110	$22,007	-61%	$9,500
177 Respiratory Infections and Inflammations with MCC	58	$36,019	-49%	$11,521
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	50	$19,992	-59%	$7,447
280 Acute Myocardial Infarction, Discharged Alive with MCC	44	$24,724	-67%	$10,961
683 Renal Failure with CC	44	$14,196	-65%	$6,356
193 Simple Pneumonia and Pleurisy with MCC	43	$23,161	-61%	$8,847
189 Pulmonary Edema and Respiratory Failure	39	$26,612	-54%	$9,046
682 Renal Failure with MCC	37	$20,066	-70%	$9,946
853 Infectious and Parasitic Diseases with O.R. Procedures with...	37	$77,710	-66%	$33,539
378 Gastrointestinal Hemorrhage with CC	34	$17,964	-63%	$6,919
070 Other Cerebrovascular Disorders with MCC	30	$26,351	-65%	$11,492
322 Percutaneous Cardiovascular Procedures with Intraluminal...	30	$40,563	-65%	$12,948
190 Chronic Obstructive Pulmonary Disease with MCC	29	$27,604	-45%	$8,123
377 Gastrointestinal Hemorrhage with MCC	29	$26,898	-69%	$11,714
071 Other Cerebrovascular Disorders with CC	25	$16,880	-67%	$7,267
312 Syncope and Collapse	25	$23,111	-49%	$6,281
309 Cardiac Arrhythmia and Conduction Disorders with CC	23	$10,783	-70%	$5,391
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	22	$14,616	-64%	$6,581
690 Kidney and Urinary Tract Infections without MCC	21	$12,759	-66%	$5,801
308 Cardiac Arrhythmia and Conduction Disorders with MCC	20	$20,391	-64%	$8,521
281 Acute Myocardial Infarction, Discharged Alive with CC	19	$15,357	-70%	$7,042
698 Other Kidney and Urinary Tract Diagnoses with MCC	17	$25,493	-65%	$11,019
480 Hip and Femur Procedures except Major Joint with MCC	16	$57,219	-59%	$19,229
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	16	$15,451	-58%	$5,644
481 Hip and Femur Procedures except Major Joint with CC	15	$35,640	-65%	$13,687
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	15	$20,557	-66%	$9,018
305 Hypertension without MCC	14	$13,612	-66%	$5,526
470 Major Hip and Knee Joint Replacement or Reattachment of...	14	$48,253	-48%	$12,539
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	14	$43,912	-57%	$13,888
603 Cellulitis without MCC	13	$17,331	-54%	$6,239
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	12	$22,169	-66%	$9,463
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	12	$22,406	-63%	$8,864
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	11	$22,793	-77%	$12,652
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	11	$18,671	-66%	$6,942
233 Coronary Bypass with Cardiac Catheterization or Open...	11	$153,466	-60%	$50,288
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	11	$52,855	-61%	$19,084
637 Diabetes with MCC	11	$30,893	-54%	$9,769
854 Infectious and Parasitic Diseases with O.R. Procedures with...	11	$28,322	-71%	$17,254

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Endovascular Procedures	120	$8,719	$2,627
Level 2 Excision/ Biopsy/ Incision and Drainage	98	$6,117	$1,321
Comprehensive Observation Services	89	$10,607	$2,217
Level 1 Laparoscopy and Related Services	66	$12,079	$4,759
Level 4 Musculoskeletal Procedures	61	$20,868	$5,803
Level 3 Vascular Procedures	55	$8,071	$2,515
Level 2 Upper GI Procedures	52	$4,693	$1,533
Level 5 Musculoskeletal Procedures	48	$41,869	$10,843
Level 3 Endovascular Procedures	39	$25,130	$9,068
Level 6 Musculoskeletal Procedures	34	$59,472	$14,936
Level 5 Urology and Related Services	34	$9,743	$4,267
Level 3 Excision/ Biopsy/ Incision and Drainage	33	$7,370	$2,287
Level 3 Musculoskeletal Procedures	32	$9,179	$2,381
Level 4 Urology and Related Services	25	$11,470	$2,875
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	24	$8,548	$2,781
Level 5 Neurostimulator and Related Procedures	24	$113,889	$25,537
Level 3 Pacemaker and Similar Procedures	17	$35,434	$8,803
Level 2 Breast/Lymphatic Surgery and Related Procedures	16	$16,853	$5,110
Level 2 Musculoskeletal Procedures	15	$3,252	$1,325
Level 6 Urology and Related Services	15	$28,466	$7,194
Level 2 Endovascular Procedures	13	$17,421	$4,714
Level 4 Endovascular Procedures	13	$31,683	$14,435
Level 3 Upper GI Procedures	12	$5,173	$3,158
Level 3 Lower GI Procedures	12	$6,351	$2,314
Level 1 Nerve Procedures	12	$4,183	$1,592

Against the Tennessee average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Methodist Medical Center of Oak Ridge charged $34,135 on average, 51% less than the Tennessee average of $70,379, and was paid $13,341 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Methodist Medical Center of Oak Ridge charged $22,007 on average, 52% less than the Tennessee average of $46,128, and was paid $9,500 against a state average of $10,346. For Respiratory Infections and Inflammations with MCC (DRG 177), Methodist Medical Center of Oak Ridge charged $36,019 on average, 33% less than the Tennessee average of $53,972, and was paid $11,521 against a state average of $12,921. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Methodist Medical Center of Oak Ridge charged $19,992 on average, 51% less than the Tennessee average of $40,769, and was paid $7,447 against a state average of $8,809. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $8,719 was 69% below the state average of $27,751. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,117 was 41% below the state average of $10,318. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,607 was 47% below the state average of $19,917. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $12,079 was 62% below the state average of $32,171.

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.