Tennessee / Regional One Health
CMS certification 440152 · Memphis, TN · 2 entries in CMS's price-transparency list
Regional One Health: charges and Medicare payments
Regional One Health reported 329 Medicare inpatient stays across 18 DRGs in 2024. Across them it charged 3.18 times what it was paid — among the lower ratios in Tennessee, number 46 of 65 hospitals with at least 100 stays (state median 4.42×, national 4.15×). Its most frequent stay was DRG 086, Traumatic Stupor and Coma <1 Hour with CC: 40 stays at an average charge of $52,375, 23% below the national average. It also billed 466 outpatient services, charging 7.85 times what Medicare paid.
- 1Medicare inpatient stays 329
- 2Charge ÷ paid, inpatient 3.18×
- 3Rank in TN (highest ratio = 1) 46 of 65
- 4CMS price-transparency actions 2
Inpatient stays
For the 18 DRGs that can be compared with the national average, Regional One Health charged more than the national average in 7 (39%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 086 Traumatic Stupor and Coma <1 Hour with CC | 40 | $52,375 | -23% | $21,830 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 34 | $67,122 | -26% | $28,199 |
| 481 Hip and Femur Procedures except Major Joint with CC | 28 | $103,627 | +3% | $29,523 |
| 552 Medical Back Problems without MCC | 25 | $54,393 | +11% | $18,746 |
| 085 Traumatic Stupor and Coma <1 Hour with MCC | 21 | $97,531 | -10% | $31,013 |
| 551 Medical Back Problems with MCC | 20 | $61,442 | -22% | $25,177 |
| 964 Other Multiple Significant Trauma with CC | 18 | $70,967 | -9% | $23,485 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 17 | $123,721 | +4% | $32,851 |
| 183 Major Chest Trauma with MCC | 15 | $74,731 | 0% | $25,356 |
| 812 Red Blood Cell Disorders without MCC | 14 | $30,571 | -31% | $20,485 |
| 184 Major Chest Trauma with CC | 13 | $60,717 | +9% | $19,609 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $190,099 | -17% | $56,072 |
| 956 Limb Reattachment, Hip and Femur Procedures for Multiple... | 13 | $193,681 | +10% | $40,928 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $92,630 | -9% | $29,850 |
| 562 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 12 | $48,773 | -26% | $23,434 |
| 958 Other O.R. Procedures for Multiple Significant Trauma with... | 12 | $156,843 | -27% | $47,128 |
| 536 Fractures of Hip and Pelvis without MCC | 11 | $40,936 | +9% | $19,356 |
| 957 Other O.R. Procedures for Multiple Significant Trauma with... | 11 | $416,169 | +5% | $86,371 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Urology and Related Services | 90 | $2,281 | $570 |
| Comprehensive Observation Services | 74 | $17,691 | $2,237 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 69 | $7,156 | $1,124 |
| Level 3 Urology and Related Services | 67 | $4,334 | $1,679 |
| Level 3 Neurostimulator and Related Procedures | 40 | $90,318 | $11,259 |
| Level 3 Vascular Procedures | 31 | $12,118 | $2,597 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 30 | $9,918 | $1,307 |
| Level 4 Urology and Related Services | 26 | $9,072 | $2,908 |
| Level 4 Musculoskeletal Procedures | 16 | $42,909 | $4,857 |
| Level 5 Urology and Related Services | 12 | $19,040 | $4,337 |
| Level 5 Musculoskeletal Procedures | 11 | $58,753 | $11,011 |
Against the Tennessee average
For Traumatic Stupor and Coma <1 Hour with CC (DRG 086), Regional One Health charged $52,375 on average, 7% less than the Tennessee average of $56,168, and was paid $21,830 against a state average of $12,527. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Regional One Health charged $67,122 on average, 5% less than the Tennessee average of $70,379, and was paid $28,199 against a state average of $15,065. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Regional One Health charged $103,627 on average, 18% more than the Tennessee average of $87,998, and was paid $29,523 against a state average of $15,965. For Medical Back Problems without MCC (DRG 552), Regional One Health charged $54,393 on average, 27% more than the Tennessee average of $42,677, and was paid $18,746 against a state average of $8,699. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,281 was 73% below the state average of $8,522. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,691 was 11% below the state average of $19,917. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $7,156 was 58% below the state average of $16,856. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $4,334 was 69% below the state average of $14,067.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Regional One Health in Memphis, TN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-10-31 (CMS case 2871)
- Closure Notice — 2025-01-15 (CMS case 2871)
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.