Tennessee / Tennova Healthcare North Knoxville Medical Center
CMS certification 440120 · Powell, TN · 1 entry in CMS's price-transparency list
Tennova Healthcare North Knoxville Medical Center: charges and Medicare payments
Tennova Healthcare North Knoxville Medical Center reported 2,540 Medicare inpatient stays across 79 DRGs in 2024. Across them it charged 6.97 times what it was paid — among the higher ratios in Tennessee, number 12 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: 288 stays at an average charge of $84,792, 6% below the national average. It also billed 2,704 outpatient services, charging 12.1 times what Medicare paid.
- 1Medicare inpatient stays 2,540
- 2Charge ÷ paid, inpatient 6.97×
- 3Rank in TN (highest ratio = 1) 12 of 65
- 4CMS price-transparency actions 1
Inpatient stays
For the 79 DRGs that can be compared with the national average, Tennova Healthcare North Knoxville Medical Center charged more than the national average in 24 (30%). 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 | 288 | $84,792 | -6% | $12,715 |
| 291 Heart Failure and Shock with MCC | 151 | $58,575 | +4% | $8,880 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 79 | $224,837 | +43% | $21,312 |
| 177 Respiratory Infections and Inflammations with MCC | 78 | $65,841 | -7% | $11,243 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 76 | $69,960 | -8% | $10,843 |
| 193 Simple Pneumonia and Pleurisy with MCC | 75 | $60,837 | +2% | $9,138 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 70 | $150,791 | +32% | $12,542 |
| 378 Gastrointestinal Hemorrhage with CC | 57 | $52,424 | +8% | $7,171 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 57 | $41,419 | +3% | $5,861 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 54 | $163,620 | -29% | $28,775 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 52 | $46,892 | -4% | $7,239 |
| 682 Renal Failure with MCC | 49 | $60,370 | -8% | $9,897 |
| 481 Hip and Femur Procedures except Major Joint with CC | 47 | $83,230 | -17% | $13,418 |
| 683 Renal Failure with CC | 47 | $34,888 | -14% | $6,656 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 44 | $29,368 | -19% | $5,692 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 43 | $25,332 | -12% | $4,409 |
| 689 Kidney and Urinary Tract Infections with MCC | 43 | $54,546 | +6% | $8,126 |
| 377 Gastrointestinal Hemorrhage with MCC | 42 | $74,383 | -13% | $11,698 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 41 | $83,137 | -19% | $13,779 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 35 | $48,770 | -3% | $6,618 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 35 | $78,656 | -16% | $13,318 |
| 690 Kidney and Urinary Tract Infections without MCC | 33 | $40,313 | +7% | $5,941 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 32 | $62,768 | +11% | $9,439 |
| 330 Major Small and Large Bowel Procedures with CC | 31 | $74,302 | -38% | $15,780 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 30 | $51,602 | -7% | $7,285 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 30 | $48,250 | -5% | $7,833 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $42,786 | -29% | $8,848 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 29 | $185,892 | +14% | $19,033 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 27 | $230,043 | +107% | $15,691 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $40,694 | +10% | $5,838 |
| 312 Syncope and Collapse | 26 | $41,540 | -9% | $6,398 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 26 | $81,259 | +11% | $10,684 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 25 | $62,832 | -2% | $8,518 |
| 389 Gastrointestinal Obstruction with CC | 25 | $33,836 | -13% | $5,914 |
| 036 Carotid Artery Stent Procedures without CC/MCC | 24 | $72,246 | -18% | $12,324 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 24 | $78,201 | -30% | $14,376 |
| 603 Cellulitis without MCC | 23 | $39,481 | +6% | $6,362 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 22 | $63,966 | -36% | $13,031 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 22 | $289,719 | +80% | $24,352 |
| 069 Transient Ischemia without Thrombolytic | 20 | $43,463 | -14% | $6,047 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $67,727 | +18% | $8,592 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 20 | $52,098 | +20% | $5,588 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 19 | $272,892 | -29% | $49,023 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 19 | $198,151 | -32% | $36,675 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $68,448 | +12% | $8,895 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 18 | $446,539 | +57% | $39,463 |
| 552 Medical Back Problems without MCC | 18 | $26,020 | -47% | $6,749 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 18 | $36,823 | -14% | $6,514 |
| 163 Major Chest Procedures with MCC | 17 | $151,507 | -28% | $35,600 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 17 | $68,442 | -12% | $10,703 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $82,688 | -16% | $16,578 |
| 536 Fractures of Hip and Pelvis without MCC | 16 | $25,718 | -32% | $5,711 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 16 | $37,882 | -44% | $9,311 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $37,503 | -2% | $6,155 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 15 | $163,281 | -23% | $27,056 |
| 313 Chest Pain | 15 | $40,386 | +1% | $5,417 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $118,049 | -13% | $19,334 |
| 071 Other Cerebrovascular Disorders with CC | 14 | $42,907 | -15% | $7,578 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 14 | $124,191 | -8% | $17,664 |
| 305 Hypertension without MCC | 14 | $42,429 | +6% | $5,634 |
Showing the 60 most frequent of 79 DRGs.
Outpatient services
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Tennova Healthcare North Knoxville Medical Center charged $84,792 on average, 20% more than the Tennessee average of $70,379, and was paid $12,715 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Tennova Healthcare North Knoxville Medical Center charged $58,575 on average, 27% more than the Tennessee average of $46,128, and was paid $8,880 against a state average of $10,346. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Tennova Healthcare North Knoxville Medical Center charged $224,837 on average, 44% more than the Tennessee average of $156,643, and was paid $21,312 against a state average of $24,179. For Respiratory Infections and Inflammations with MCC (DRG 177), Tennova Healthcare North Knoxville Medical Center charged $65,841 on average, 22% more than the Tennessee average of $53,972, and was paid $11,243 against a state average of $12,921. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $30,027 was 8% above the state average of $27,751. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $62,854 was 5% below the state average of $65,840. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,796 was 30% above the state average of $19,917. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $23,240 was 12% below the state average of $26,306.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Tennova Healthcare North Knoxville Medical Center in Powell, TN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-07-18 (CMS case 5822)
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.