Saint Francis Bartlett Medical Center: charges and Medicare payments

Saint Francis Bartlett Medical Center reported 1,459 Medicare inpatient stays across 47 DRGs in 2024. Across them it charged 9.61 times what it was paid — among the higher ratios in Tennessee, number 3 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: 274 stays at an average charge of $116,796, 29% above the national average. It also billed 941 outpatient services, charging 16.6 times what Medicare paid.

1Medicare inpatient stays 1,459
2Charge ÷ paid, inpatient 9.61×
3Rank in TN (highest ratio = 1) 3 of 65
4CMS price-transparency actions 0

Average charge per stay at Saint Francis Bartlett Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 47 DRGs that can be compared with the national average, Saint Francis Bartlett Medical Center charged more than the national average in 43 (91%). 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	274	$116,796	+29%	$12,193
291 Heart Failure and Shock with MCC	87	$74,907	+33%	$8,676
193 Simple Pneumonia and Pleurisy with MCC	81	$84,808	+42%	$8,305
280 Acute Myocardial Infarction, Discharged Alive with MCC	58	$90,813	+20%	$9,637
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	53	$88,887	+81%	$6,822
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	48	$73,143	+21%	$7,972
853 Infectious and Parasitic Diseases with O.R. Procedures with...	47	$284,020	+24%	$30,906
682 Renal Failure with MCC	44	$83,537	+27%	$10,471
481 Hip and Femur Procedures except Major Joint with CC	43	$120,880	+20%	$11,033
689 Kidney and Urinary Tract Infections with MCC	40	$69,100	+35%	$7,450
177 Respiratory Infections and Inflammations with MCC	35	$79,951	+13%	$11,373
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	35	$50,685	+37%	$5,242
690 Kidney and Urinary Tract Infections without MCC	34	$56,533	+49%	$5,185
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	32	$71,002	+27%	$7,387
683 Renal Failure with CC	31	$56,874	+40%	$6,646
698 Other Kidney and Urinary Tract Diagnoses with MCC	30	$95,370	+30%	$10,586
189 Pulmonary Edema and Respiratory Failure	29	$73,024	+27%	$7,657
312 Syncope and Collapse	24	$56,189	+23%	$5,780
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	23	$107,310	+7%	$12,983
322 Percutaneous Cardiovascular Procedures with Intraluminal...	22	$133,182	+16%	$14,298
377 Gastrointestinal Hemorrhage with MCC	22	$95,693	+12%	$11,122
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	20	$135,379	+32%	$13,809
321 Percutaneous Cardiovascular Procedures with Intraluminal...	19	$215,144	+31%	$16,623
309 Cardiac Arrhythmia and Conduction Disorders with CC	18	$57,757	+60%	$4,890
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	18	$67,537	+68%	$4,999
378 Gastrointestinal Hemorrhage with CC	17	$76,700	+58%	$6,366
070 Other Cerebrovascular Disorders with MCC	16	$143,537	+89%	$12,919
603 Cellulitis without MCC	16	$45,763	+23%	$5,991
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	15	$45,885	+60%	$4,110
101 Seizures without MCC	14	$66,755	+37%	$5,780
194 Simple Pneumonia and Pleurisy with CC	14	$59,166	+54%	$6,262
313 Chest Pain	14	$70,049	+75%	$5,395
480 Hip and Femur Procedures except Major Joint with MCC	14	$145,622	+5%	$16,140
638 Diabetes with CC	14	$50,696	+22%	$6,056
071 Other Cerebrovascular Disorders with CC	13	$68,125	+35%	$6,968
281 Acute Myocardial Infarction, Discharged Alive with CC	13	$72,760	+44%	$5,967
854 Infectious and Parasitic Diseases with O.R. Procedures with...	13	$97,322	-1%	$12,859
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	13	$179,805	-17%	$24,377
287 Circulatory Disorders except AMI, with Cardiac...	12	$83,733	+31%	$6,995
299 Peripheral Vascular Disorders with MCC	12	$68,376	-9%	$10,660
308 Cardiac Arrhythmia and Conduction Disorders with MCC	12	$94,018	+66%	$7,417
389 Gastrointestinal Obstruction with CC	12	$59,850	+54%	$5,068
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	12	$219,040	+62%	$16,113
551 Medical Back Problems with MCC	12	$93,767	+19%	$9,643
811 Red Blood Cell Disorders with MCC	12	$93,319	+37%	$9,218
208 Respiratory System Diagnosis with Ventilator Support <=96...	11	$152,199	+12%	$17,491
286 Circulatory Disorders except AMI, with Cardiac...	11	$106,364	-5%	$12,585

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Endovascular Procedures	207	$38,008	$2,545
Comprehensive Observation Services	141	$41,389	$2,091
Level 5 Musculoskeletal Procedures	69	$120,141	$10,557
Level 3 Musculoskeletal Procedures	53	$36,167	$2,611
Level 6 Musculoskeletal Procedures	50	$191,840	$14,589
Level 3 Endovascular Procedures	49	$95,376	$8,352
Level 4 Urology and Related Services	48	$27,980	$2,750
Level 5 Urology and Related Services	42	$36,147	$3,957
Level 2 Excision/ Biopsy/ Incision and Drainage	36	$20,832	$1,158
Level 1 Laparoscopy and Related Services	35	$56,794	$4,098
Level 4 Musculoskeletal Procedures	33	$77,011	$5,475
Level 2 Laparoscopy and Related Services	26	$86,686	$7,336
Level 6 Urology and Related Services	24	$94,347	$7,525
Level 3 Vascular Procedures	19	$44,449	$2,354
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	18	$51,460	$2,355
Level 4 Endovascular Procedures	15	$118,328	$12,815
Level 3 Pacemaker and Similar Procedures	14	$119,702	$7,963
Level 3 Urology and Related Services	14	$32,416	$1,512
Level 3 Excision/ Biopsy/ Incision and Drainage	13	$34,360	$2,106
Level 2 Endovascular Procedures	13	$79,635	$4,252
Level 2 Musculoskeletal Procedures	11	$25,073	$1,358
Level 4 Airway Endoscopy	11	$38,617	$2,625

Against the Tennessee average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Francis Bartlett Medical Center charged $116,796 on average, 66% more than the Tennessee average of $70,379, and was paid $12,193 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Saint Francis Bartlett Medical Center charged $74,907 on average, 62% more than the Tennessee average of $46,128, and was paid $8,676 against a state average of $10,346. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Saint Francis Bartlett Medical Center charged $84,808 on average, 76% more than the Tennessee average of $48,160, and was paid $8,305 against a state average of $10,379. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Saint Francis Bartlett Medical Center charged $90,813 on average, 49% more than the Tennessee average of $60,791, and was paid $9,637 against a state average of $12,633. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $38,008 was 37% above the state average of $27,751. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $41,389 was 108% above the state average of $19,917. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $120,141 was 82% above the state average of $65,840. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $36,167 was 63% above the state average of $22,180.

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.