Tennessee / Tennova Healthcare Jefferson Memorial Hospital
CMS certification 440056 · Jefferson City, TN · 3 entries in CMS's price-transparency list
Tennova Healthcare Jefferson Memorial Hospital: charges and Medicare payments
Tennova Healthcare Jefferson Memorial Hospital reported 226 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 5.83 times what it was paid — among the higher ratios in Tennessee, number 17 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: 72 stays at an average charge of $66,912, 26% below the national average. It also billed 478 outpatient services, charging 10.81 times what Medicare paid.
- 1Medicare inpatient stays 226
- 2Charge ÷ paid, inpatient 5.83×
- 3Rank in TN (highest ratio = 1) 17 of 65
- 4CMS price-transparency actions 3
Inpatient stays
For the 10 DRGs that can be compared with the national average, Tennova Healthcare Jefferson Memorial Hospital 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 | 72 | $66,912 | -26% | $11,535 |
| 193 Simple Pneumonia and Pleurisy with MCC | 31 | $43,711 | -27% | $7,833 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $57,010 | -19% | $10,264 |
| 291 Heart Failure and Shock with MCC | 23 | $44,845 | -20% | $7,617 |
| 682 Renal Failure with MCC | 15 | $46,720 | -29% | $8,112 |
| 683 Renal Failure with CC | 14 | $37,081 | -9% | $5,570 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $71,111 | -29% | $13,008 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $32,670 | -19% | $5,051 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $45,588 | -10% | $6,467 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $43,833 | -15% | $7,272 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 132 | $28,428 | $2,244 |
| Level 5 Musculoskeletal Procedures | 62 | $65,348 | $10,843 |
| Level 1 Endovascular Procedures | 41 | $29,968 | $2,692 |
| Level 5 Urology and Related Services | 35 | $21,706 | $4,267 |
| Level 4 Musculoskeletal Procedures | 33 | $45,592 | $5,628 |
| Level 3 Musculoskeletal Procedures | 23 | $28,343 | $2,669 |
| Level 4 Urology and Related Services | 22 | $25,256 | $2,667 |
| Level 4 Endovascular Procedures | 17 | $193,098 | $14,435 |
| Level 6 Musculoskeletal Procedures | 16 | $89,941 | $13,636 |
| Level 1 Laparoscopy and Related Services | 16 | $26,119 | $4,759 |
| Level 2 Endovascular Procedures | 15 | $60,658 | $4,714 |
| Level 3 Endovascular Procedures | 15 | $111,991 | $8,646 |
| Level 3 Urology and Related Services | 15 | $17,709 | $1,680 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 13 | $22,154 | $2,853 |
| Level 1 Nerve Procedures | 12 | $16,379 | $1,592 |
| Level 2 Musculoskeletal Procedures | 11 | $12,128 | $1,325 |
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Tennova Healthcare Jefferson Memorial Hospital charged $66,912 on average, 5% less than the Tennessee average of $70,379, and was paid $11,535 against a state average of $15,065. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Tennova Healthcare Jefferson Memorial Hospital charged $43,711 on average, 9% less than the Tennessee average of $48,160, and was paid $7,833 against a state average of $10,379. For Respiratory Infections and Inflammations with MCC (DRG 177), Tennova Healthcare Jefferson Memorial Hospital charged $57,010 on average, 6% more than the Tennessee average of $53,972, and was paid $10,264 against a state average of $12,921. For Heart Failure and Shock with MCC (DRG 291), Tennova Healthcare Jefferson Memorial Hospital charged $44,845 on average, 3% less than the Tennessee average of $46,128, and was paid $7,617 against a state average of $10,346. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,428 was 43% above the state average of $19,917. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $65,348 was 1% below the state average of $65,840. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $29,968 was 8% above the state average of $27,751. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $21,706 was 17% below the state average of $26,306.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Tennova Healthcare Jefferson Memorial Hospital in Jefferson City, TN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-09-30 (CMS case 2740)
- CAP Request — 2025-01-08 (CMS case 2740)
- Closure Notice — 2025-03-05 (CMS case 2740)
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.