Tennessee / Tennova Healthcare-Clarksville
CMS certification 440035 · Clarksville, TN
Tennova Healthcare-Clarksville: charges and Medicare payments
Tennova Healthcare-Clarksville reported 1,669 Medicare inpatient stays across 51 DRGs in 2024. Across them it charged 7.77 times what it was paid — among the higher ratios in Tennessee, number 8 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: 280 stays at an average charge of $90,907, 1% above the national average. It also billed 1,216 outpatient services, charging 11.43 times what Medicare paid.
- 1Medicare inpatient stays 1,669
- 2Charge ÷ paid, inpatient 7.77×
- 3Rank in TN (highest ratio = 1) 8 of 65
- 4CMS price-transparency actions 0
Inpatient stays
For the 51 DRGs that can be compared with the national average, Tennova Healthcare-Clarksville charged more than the national average in 40 (78%). 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 | 280 | $90,907 | +1% | $12,849 |
| 291 Heart Failure and Shock with MCC | 106 | $64,641 | +15% | $8,965 |
| 193 Simple Pneumonia and Pleurisy with MCC | 76 | $66,746 | +12% | $9,104 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 55 | $57,352 | +13% | $7,871 |
| 683 Renal Failure with CC | 51 | $42,657 | +5% | $6,685 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 46 | $56,766 | +16% | $7,378 |
| 690 Kidney and Urinary Tract Infections without MCC | 45 | $46,221 | +22% | $5,806 |
| 177 Respiratory Infections and Inflammations with MCC | 44 | $73,960 | +5% | $11,544 |
| 189 Pulmonary Edema and Respiratory Failure | 42 | $68,218 | +18% | $8,631 |
| 481 Hip and Femur Procedures except Major Joint with CC | 41 | $127,772 | +27% | $13,771 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 41 | $41,409 | +12% | $5,825 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 36 | $75,378 | +35% | $7,242 |
| 378 Gastrointestinal Hemorrhage with CC | 34 | $58,903 | +21% | $7,134 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 33 | $263,441 | +15% | $32,572 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 32 | $43,530 | +21% | $5,592 |
| 312 Syncope and Collapse | 32 | $47,852 | +5% | $6,323 |
| 682 Renal Failure with MCC | 32 | $57,743 | -12% | $9,956 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 31 | $161,747 | +41% | $12,544 |
| 689 Kidney and Urinary Tract Infections with MCC | 31 | $53,918 | +5% | $8,090 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 27 | $104,772 | +43% | $11,114 |
| 389 Gastrointestinal Obstruction with CC | 26 | $41,827 | +7% | $5,814 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $52,971 | +32% | $5,855 |
| 637 Diabetes with MCC | 26 | $57,183 | -14% | $9,876 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $60,582 | 0% | $9,090 |
| 069 Transient Ischemia without Thrombolytic | 24 | $64,932 | +29% | $5,956 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 24 | $86,598 | +14% | $10,497 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 24 | $36,549 | +27% | $4,508 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 23 | $127,534 | +25% | $14,391 |
| 603 Cellulitis without MCC | 23 | $35,063 | -6% | $6,302 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 21 | $62,018 | +23% | $6,907 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 20 | $67,937 | +20% | $8,570 |
| 812 Red Blood Cell Disorders without MCC | 20 | $49,053 | +11% | $6,604 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 19 | $155,570 | +15% | $17,706 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $240,661 | +47% | $19,815 |
| 305 Hypertension without MCC | 17 | $34,799 | -13% | $5,597 |
| 638 Diabetes with CC | 17 | $40,865 | -2% | $6,418 |
| 313 Chest Pain | 16 | $40,664 | +2% | $5,579 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 16 | $114,934 | -3% | $16,247 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 15 | $90,447 | -9% | $13,403 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 14 | $68,809 | +8% | $7,523 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $94,289 | +10% | $12,181 |
| 811 Red Blood Cell Disorders with MCC | 14 | $78,274 | +15% | $9,886 |
| 176 Pulmonary Embolism without MCC | 13 | $45,331 | +9% | $6,025 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $48,056 | +25% | $6,024 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 13 | $92,992 | +24% | $11,180 |
| 948 Signs and Symptoms without MCC | 13 | $41,693 | +9% | $5,691 |
| 304 Hypertension with MCC | 12 | $53,007 | -7% | $7,723 |
| 329 Major Small and Large Bowel Procedures with MCC | 12 | $216,132 | +1% | $29,572 |
| 552 Medical Back Problems without MCC | 12 | $47,771 | -2% | $6,516 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 11 | $168,514 | +21% | $19,086 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 11 | $317,743 | -2% | $44,065 |
Outpatient services
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Tennova Healthcare-Clarksville charged $90,907 on average, 29% more than the Tennessee average of $70,379, and was paid $12,849 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Tennova Healthcare-Clarksville charged $64,641 on average, 40% more than the Tennessee average of $46,128, and was paid $8,965 against a state average of $10,346. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Tennova Healthcare-Clarksville charged $66,746 on average, 39% more than the Tennessee average of $48,160, and was paid $9,104 against a state average of $10,379. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Tennova Healthcare-Clarksville charged $57,352 on average, 39% more than the Tennessee average of $41,368, and was paid $7,871 against a state average of $9,062. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,727 was 44% above the state average of $19,917. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $42,604 was 54% above the state average of $27,751. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $40,822 was 27% above the state average of $32,171. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $90,597 was 38% above the state average of $65,840.
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.