Tennessee / Parkwest Medical Center
CMS certification 440173 · Knoxville, TN · 1 entry in CMS's price-transparency list
Parkwest Medical Center: charges and Medicare payments
Parkwest Medical Center reported 3,483 Medicare inpatient stays across 101 DRGs in 2024. Across them it charged 3.9 times what it was paid — mid-range in Tennessee, number 39 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: 340 stays at an average charge of $32,602, 64% below the national average. It also billed 3,455 outpatient services, charging 4.71 times what Medicare paid.
- 1Medicare inpatient stays 3,483
- 2Charge ÷ paid, inpatient 3.9×
- 3Rank in TN (highest ratio = 1) 39 of 65
- 4CMS price-transparency actions 1
Inpatient stays
For the 101 DRGs that can be compared with the national average, Parkwest Medical Center charged more than the national average in 1 (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 | 340 | $32,602 | -64% | $12,527 |
| 291 Heart Failure and Shock with MCC | 177 | $19,696 | -65% | $8,304 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 164 | $243,055 | +10% | $32,633 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 133 | $250,337 | -12% | $39,513 |
| 189 Pulmonary Edema and Respiratory Failure | 85 | $23,819 | -59% | $8,564 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 85 | $44,809 | -52% | $12,848 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 74 | $128,550 | -18% | $20,074 |
| 683 Renal Failure with CC | 67 | $16,928 | -58% | $6,006 |
| 682 Renal Failure with MCC | 66 | $23,170 | -65% | $9,363 |
| 885 Psychoses | 65 | $12,355 | -72% | $8,904 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 61 | $11,866 | -67% | $5,202 |
| 177 Respiratory Infections and Inflammations with MCC | 60 | $27,700 | -61% | $10,760 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 58 | $45,593 | -60% | $12,447 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 58 | $66,780 | -71% | $30,347 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 57 | $25,638 | -66% | $11,116 |
| 378 Gastrointestinal Hemorrhage with CC | 57 | $17,131 | -65% | $6,459 |
| 193 Simple Pneumonia and Pleurisy with MCC | 56 | $19,977 | -67% | $8,789 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 53 | $19,313 | -61% | $7,654 |
| 377 Gastrointestinal Hemorrhage with MCC | 49 | $26,089 | -69% | $11,950 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 48 | $22,827 | -64% | $7,113 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 48 | $19,338 | -66% | $7,863 |
| 690 Kidney and Urinary Tract Infections without MCC | 45 | $12,002 | -68% | $5,335 |
| 070 Other Cerebrovascular Disorders with MCC | 44 | $24,176 | -68% | $10,790 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 43 | $17,227 | -69% | $6,458 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 43 | $14,189 | -72% | $6,436 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 42 | $45,957 | -55% | $13,019 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 39 | $23,098 | -69% | $9,892 |
| 071 Other Cerebrovascular Disorders with CC | 38 | $17,285 | -66% | $6,813 |
| 460 Spinal Fusion except Cervical without MCC | 38 | $106,080 | -38% | $23,356 |
| 481 Hip and Femur Procedures except Major Joint with CC | 38 | $38,291 | -62% | $13,386 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 34 | $18,886 | -69% | $7,876 |
| 312 Syncope and Collapse | 31 | $13,342 | -71% | $5,719 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $13,704 | -66% | $5,231 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 28 | $38,632 | -66% | $14,673 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 28 | $58,824 | -64% | $19,182 |
| 603 Cellulitis without MCC | 28 | $13,293 | -64% | $5,822 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 27 | $127,362 | -57% | $37,669 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 26 | $28,771 | -71% | $11,771 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 26 | $72,620 | -42% | $15,654 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 25 | $72,616 | -41% | $17,374 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 25 | $46,214 | -67% | $18,495 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $12,942 | -65% | $5,215 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 23 | $24,631 | -51% | $7,366 |
| 330 Major Small and Large Bowel Procedures with CC | 23 | $42,200 | -65% | $15,309 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 23 | $159,966 | -43% | $44,258 |
| 552 Medical Back Problems without MCC | 22 | $15,430 | -68% | $6,368 |
| 314 Other Circulatory System Diagnoses with MCC | 21 | $31,615 | -67% | $13,434 |
| 472 Cervical Spinal Fusion with CC | 21 | $75,262 | -47% | $19,336 |
| 091 Other Disorders of Nervous System with MCC | 20 | $24,179 | -71% | $11,251 |
| 216 Cardiac Valve and Other Major Cardiothoracic Procedures with... | 20 | $240,808 | -51% | $57,488 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $18,837 | -69% | $8,172 |
| 329 Major Small and Large Bowel Procedures with MCC | 19 | $50,893 | -76% | $25,153 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 19 | $45,898 | -61% | $14,032 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 18 | $112,480 | -47% | $27,083 |
| 305 Hypertension without MCC | 18 | $14,492 | -64% | $5,031 |
| 389 Gastrointestinal Obstruction with CC | 18 | $11,359 | -71% | $5,305 |
| 519 Back and Neck Procedures except Spinal Fusion with CC | 18 | $24,034 | -77% | $12,382 |
| 638 Diabetes with CC | 18 | $17,137 | -59% | $6,179 |
| 689 Kidney and Urinary Tract Infections with MCC | 18 | $15,144 | -70% | $7,533 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $18,443 | -81% | $12,408 |
Showing the 60 most frequent of 101 DRGs.
Outpatient services
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Parkwest Medical Center charged $32,602 on average, 54% less than the Tennessee average of $70,379, and was paid $12,527 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Parkwest Medical Center charged $19,696 on average, 57% less than the Tennessee average of $46,128, and was paid $8,304 against a state average of $10,346. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Parkwest Medical Center charged $243,055 on average, 10% more than the Tennessee average of $221,812, and was paid $32,633 against a state average of $36,669. For Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC (DRG 266), Parkwest Medical Center charged $250,337 on average, 10% less than the Tennessee average of $276,909, and was paid $39,513 against a state average of $46,876. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,704 was 41% below the state average of $65,840. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $10,345 was 63% below the state average of $27,751. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,090 was 54% below the state average of $19,917. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $11,277 was 65% below the state average of $32,171.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Parkwest Medical Center in Knoxville, TN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2026-04-14 (CMS case 7477)
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.