Tennessee / Williamson Medical Center

CMS certification 440029 · Franklin, TN · 2 entries in CMS's price-transparency list

Williamson Medical Center: charges and Medicare payments

Williamson Medical Center reported 1,656 Medicare inpatient stays across 58 DRGs in 2024. Across them it charged 3.37 times what it was paid — among the lower ratios in Tennessee, number 45 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: 203 stays at an average charge of $34,797, 61% below the national average. It also billed 2,905 outpatient services, charging 6.25 times what Medicare paid.

1Medicare inpatient stays 1,656
2Charge ÷ paid, inpatient 3.37×
3Rank in TN (highest ratio = 1) 45 of 65
4CMS price-transparency actions 2

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

Inpatient stays

For the 58 DRGs that can be compared with the national average, Williamson Medical Center 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	203	$34,797	-61%	$12,211
291 Heart Failure and Shock with MCC	141	$26,552	-53%	$8,046
193 Simple Pneumonia and Pleurisy with MCC	64	$29,738	-50%	$8,288
177 Respiratory Infections and Inflammations with MCC	59	$29,245	-59%	$10,278
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	50	$23,532	-52%	$6,626
280 Acute Myocardial Infarction, Discharged Alive with MCC	45	$30,560	-60%	$9,817
682 Renal Failure with MCC	45	$28,361	-57%	$9,529
683 Renal Failure with CC	42	$17,907	-56%	$5,815
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	40	$72,505	-29%	$13,502
481 Hip and Femur Procedures except Major Joint with CC	39	$53,902	-47%	$13,416
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	36	$19,105	-52%	$5,192
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	36	$90,453	-55%	$34,132
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	35	$27,615	-50%	$6,432
689 Kidney and Urinary Tract Infections with MCC	33	$20,838	-59%	$7,286
603 Cellulitis without MCC	32	$18,209	-51%	$5,700
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	30	$18,278	-51%	$5,148
690 Kidney and Urinary Tract Infections without MCC	30	$17,390	-54%	$5,044
194 Simple Pneumonia and Pleurisy with CC	29	$21,944	-43%	$5,273
460 Spinal Fusion except Cervical without MCC	28	$81,997	-52%	$22,818
189 Pulmonary Edema and Respiratory Failure	24	$27,473	-52%	$7,823
309 Cardiac Arrhythmia and Conduction Disorders with CC	24	$18,947	-48%	$4,759
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	23	$32,862	-67%	$11,888
322 Percutaneous Cardiovascular Procedures with Intraluminal...	23	$69,120	-40%	$12,419
378 Gastrointestinal Hemorrhage with CC	23	$24,656	-49%	$6,257
470 Major Hip and Knee Joint Replacement or Reattachment of...	23	$71,833	-23%	$11,929
480 Hip and Femur Procedures except Major Joint with MCC	23	$67,815	-51%	$18,212
454 Combined Anterior and Posterior Spinal Fusion with CC	21	$100,252	-64%	$41,260
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	20	$27,191	-58%	$8,816
308 Cardiac Arrhythmia and Conduction Disorders with MCC	20	$23,781	-58%	$7,521
483 Major Joint or Limb Reattachment Procedures of Upper...	20	$68,006	-46%	$18,020
698 Other Kidney and Urinary Tract Diagnoses with MCC	20	$28,048	-62%	$9,253
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	19	$21,012	-65%	$8,274
281 Acute Myocardial Infarction, Discharged Alive with CC	17	$22,482	-55%	$5,738
853 Infectious and Parasitic Diseases with O.R. Procedures with...	17	$85,995	-62%	$28,191
178 Respiratory Infections and Inflammations with CC	16	$24,192	-47%	$6,278
190 Chronic Obstructive Pulmonary Disease with MCC	16	$28,063	-45%	$6,968
329 Major Small and Large Bowel Procedures with MCC	16	$84,154	-61%	$28,053
390 Gastrointestinal Obstruction without CC/MCC	16	$13,070	-53%	$3,571
286 Circulatory Disorders except AMI, with Cardiac...	15	$40,380	-64%	$13,618
389 Gastrointestinal Obstruction with CC	15	$17,571	-55%	$5,368
468 Revision of Hip or Knee Replacement without CC/MCC	15	$67,872	-45%	$16,948
536 Fractures of Hip and Pelvis without MCC	15	$16,514	-56%	$4,857
884 Organic Disturbances and Intellectual Disability	15	$20,911	-66%	$8,833
242 Permanent Cardiac Pacemaker Implant with MCC	14	$66,387	-59%	$21,948
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	14	$21,419	-51%	$4,540
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	14	$87,131	-36%	$18,727
812 Red Blood Cell Disorders without MCC	14	$18,504	-58%	$5,783
305 Hypertension without MCC	13	$16,087	-60%	$4,879
467 Revision of Hip or Knee Replacement with CC	13	$78,257	-50%	$22,082
202 Bronchitis and Asthma with CC/MCC	12	$21,546	-53%	$6,095
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	12	$34,951	-48%	$8,593
176 Pulmonary Embolism without MCC	11	$17,193	-59%	$5,123
180 Respiratory Neoplasms with MCC	11	$29,899	-66%	$11,128
252 Other Vascular Procedures with MCC	11	$86,874	-49%	$21,307
287 Circulatory Disorders except AMI, with Cardiac...	11	$23,835	-63%	$7,681
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	11	$11,593	-60%	$3,531
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	11	$20,550	-52%	$5,282
811 Red Blood Cell Disorders with MCC	11	$25,721	-62%	$9,153

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	653	$13,228	$2,355
Level 5 Musculoskeletal Procedures	515	$58,072	$11,312
Level 2 Excision/ Biopsy/ Incision and Drainage	161	$7,521	$1,397
Level 1 Endovascular Procedures	160	$15,413	$2,812
Level 1 Laparoscopy and Related Services	144	$47,859	$4,971
Level 4 Urology and Related Services	139	$17,966	$3,004
Level 4 Musculoskeletal Procedures	135	$28,265	$6,043
Level 5 Urology and Related Services	125	$21,591	$4,401
Level 6 Musculoskeletal Procedures	123	$58,629	$15,920
Level 3 Musculoskeletal Procedures	71	$20,639	$2,789
Level 3 Endovascular Procedures	58	$49,532	$9,472
Level 3 Urology and Related Services	56	$14,216	$1,731
Level 2 Laparoscopy and Related Services	53	$57,286	$8,865
Level 3 Vascular Procedures	46	$15,187	$2,746
Level 2 Upper GI Procedures	44	$8,606	$1,621
Level 2 Breast/Lymphatic Surgery and Related Procedures	41	$24,651	$5,618
Level 2 Endovascular Procedures	41	$22,400	$4,754
Level 1 Nerve Procedures	39	$12,953	$1,629
Level 5 Airway Endoscopy	36	$20,308	$5,897
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	34	$30,976	$2,981
Level 1 Breast/Lymphatic Surgery and Related Procedures	29	$17,436	$3,284
Level 2 Vascular Procedures	27	$5,513	$1,380
Level 3 Excision/ Biopsy/ Incision and Drainage	25	$14,300	$2,448
Level 2 Musculoskeletal Procedures	25	$8,574	$1,341
Level 4 Airway Endoscopy	23	$17,585	$3,226

Against the Tennessee average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Williamson Medical Center charged $34,797 on average, 51% less than the Tennessee average of $70,379, and was paid $12,211 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Williamson Medical Center charged $26,552 on average, 42% less than the Tennessee average of $46,128, and was paid $8,046 against a state average of $10,346. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Williamson Medical Center charged $29,738 on average, 38% less than the Tennessee average of $48,160, and was paid $8,288 against a state average of $10,379. For Respiratory Infections and Inflammations with MCC (DRG 177), Williamson Medical Center charged $29,245 on average, 46% less than the Tennessee average of $53,972, and was paid $10,278 against a state average of $12,921. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,228 was 34% below the state average of $19,917. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $58,072 was 12% below the state average of $65,840. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,521 was 27% below the state average of $10,318. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $15,413 was 44% below the state average of $27,751.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Williamson Medical Center in Franklin, TN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

CAP Request — 2026-04-17 (CMS case 7517)
Closure Notice — 2026-06-23 (CMS case 7517)

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.