Hospital prices in Tennessee

75 Tennessee hospitals reported 116,069 Medicare inpatient stays in 2024. The median hospital charged 4.42 times what it was paid — above the national median of 4.15×, number 9 of 51. The widest gap was at Tristar Skyline Medical Center (10.65×), the narrowest at Henderson County Community Hospital (1.56×). CMS's price-transparency list records 316 enforcement actions involving 127 Tennessee hospitals.

1Median charge ÷ paid 4.42×
2Hospitals reporting 80
3Medicare inpatient stays 116,069
4Price-transparency actions 316

Inpatient charge-to-payment ratio, the 15 Tennessee hospitals with the widest gap (100+ Medicare stays), bars to scale. Source: CMS DY2024.

Most common stays in Tennessee

DRG	Stays	TN avg charge	US avg charge	TN avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with...	13,989	$70,379	$90,297	$15,065
291 Heart Failure and Shock with MCC	6,623	$46,128	$56,380	$10,346
193 Simple Pneumonia and Pleurisy with MCC	3,473	$48,160	$59,757	$10,379
177 Respiratory Infections and Inflammations with MCC	2,979	$53,972	$70,592	$12,921
280 Acute Myocardial Infarction, Discharged Alive with MCC	2,320	$60,791	$75,821	$12,633
872 Septicemia or Severe Sepsis without MV >96 Hours without...	2,317	$40,769	$49,049	$8,809
682 Renal Failure with MCC	1,990	$50,417	$65,939	$11,604
683 Renal Failure with CC	1,946	$32,131	$40,705	$7,604
189 Pulmonary Edema and Respiratory Failure	1,926	$46,082	$57,570	$10,179
853 Infectious and Parasitic Diseases with O.R. Procedures...	1,847	$180,353	$228,948	$37,966

Every hospital

Hospital	Stays	Ratio	Actions
Baptist Memorial Hospital Memphis	10,347	5.09×	–
Vanderbilt University Medical Center Nashville	9,486	4.5×	3
Methodist Hospitals of Memphis Memphis	8,120	4.11×	–
Ascension Saint Thomas Hospital Nashville	7,289	5.37×	–
Jackson-Madison County General Hospital Jackson	6,258	3.82×	–
Memorial Healthcare System, Inc Chattanooga	5,982	4.42×	–
University of Tn Medical Center (The) Knoxville	5,494	2.93×	–
Tristar Centennial Medical Center Nashville	3,961	9.25×	4
Ascension Saint Thomas Rutherford Hospital Murfreesboro	3,564	4×	–
Parkwest Medical Center Knoxville	3,483	3.9×	1
Erlanger Health System Chattanooga	3,399	3.55×	–
Johnson City Medical Center Johnson City	3,236	5.11×	4
Cookeville Regional Medical Center Cookeville	2,969	2.93×	6
Tennova Healthcare North Knoxville Medical Center Powell	2,540	6.97×	1
Maury Regional Hospital Columbia	2,510	4.65×	–
Parkridge Medical Center Chattanooga	2,275	7.32×	3
Holston Valley Medical Center Kingsport	2,227	5.36×	1
Bristol Regional Medical Center Bristol	2,217	4.36×	–
Fort Sanders Regional Medical Center Knoxville	2,004	2.64×	2
Tennova Healthcare-Clarksville Clarksville	1,669	7.77×	–
Williamson Medical Center Franklin	1,656	3.37×	2
Tristar Summit Medical Center Hermitage	1,641	8.62×	4
Tristar Skyline Medical Center Nashville	1,605	10.65×	3
St Francis Hospital Memphis	1,492	10.03×	–
Saint Francis Bartlett Medical Center Bartlett	1,459	9.61×	–
Blount Memorial Hospital Maryville	1,323	3.6×	–
Methodist Medical Center of Oak Ridge Oak Ridge	1,290	2.58×	–
Bradley Medical Center Cleveland	1,231	8.69×	–
Highpoint Health-Sumner With Ascension Saint Thoma Gallatin	1,207	7×	–
Tristar Hendersonville Medical Center Hendersonville	1,115	8.59×	2
Vanderbilt Wilson County Hospital Lebanon	937	5.48×	–
Vanderbilt Tullahoma-Harton Hospital Tullahoma	933	6.13×	–
Cumberland Medical Center Crossville	868	2.4×	–
Tristar Horizon Medical Center Dickson	846	6.53×	3
Morristown Hamblen Hospital Association Morristown	756	2.74×	–
Greeneville Community Hospital Greeneville	660	4.49×	–
Franklin Woods Community Hospital Johnson City	659	4.32×	1
West Tennessee Healthcare Dyersburg Hospital Dyersburg	470	3.89×	–
Tristar Stonecrest Medical Center Smyrna	424	6×	2
Leconte Medical Center Sevierville	397	2.09×	–
Tristar Southern Hills Medical Center Nashville	379	5.59×	2
Regional One Health Memphis	329	3.18×	2
Saint Thomas Hospital for Specialty Surgery Nashville	304	2.98×	3
Highpoint Health - Winchester With Ascension Saint Winchester	293	5.33×	–
Ascension Saint Thomas River Park Hospital Mcminnville	287	3×	–
Roane Medical Center Harriman	271	2.06×	1
Sycamore Shoals Hospital Elizabethton	257	4.58×	–
Baptist Memorial Hospital Union City Union City	251	3.86×	1
Southern Tennessee Regional Health System Lawrence Lawrenceburg	245	7.37×	–
Livingston Regional Hospital Livingston	242	5.8×	2
Fort Loudon Medical Center Lenoir City	230	2.04×	–
Tennova Healthcare Jefferson Memorial Hospital Jefferson City	226	5.83×	3
Henderson County Community Hospital Lexington	224	1.56×	7
Baptist Memorial Hospital Tipton Covington	220	2.45×	1
West Tennessee Healthcare Henry County Hospital Paris	217	2.9×	–
Tristar Northcrest Medical Center Springfield	202	4.94×	2
Baptist Memorial Hospital - Carroll County Huntingdon	199	2.22×	2
Vanderbilt Bedford Hospital Shelbyville	196	3.96×	–
Sweetwater Hospital Association Sweetwater	195	2.98×	5
Starr Regional Medical Center Athens Athens	193	6.25×	–
Southern Tennessee Regional Health System Pulaski Pulaski	162	4.53×	2
Hardin Medical Center Savannah	141	2.07×	5
Claiborne Medical Center Tazewell	125	1.63×	–
Tennova Healthcare - Newport Medical Center Newport	113	5.79×	1
Lincoln Medical Center Fayetteville	105	1.9×	3
Tennova Healthcare Lafollette Medical Center La Follette	94	4.94×	3
Haywood County Community Hospital Brownsville	71	1.81×	–
Saint Thomas Highlands Hospital Sparta	61	1.62×	–
Unity Medical Center Manchester	59	1.37×	–
West Tennessee Healthcare Volunteer Hospital Martin	48	2.62×	–
Ascension Saint Thomas Dekalb Smithville	42	1.85×	3
Indian Path Community Hospital Kingsport	41	2.66×	–
Unicoi County Hospital Erwin	21	2.31×	–
Wayne Medical Center Waynesboro	14	2.81×	–
West Tennessee Healthcare Milan Hospital Milan	13	2.02×	3
Ascension Saint Thomas Stones River Hospital Woodbury	0	–	–
Hawkins County Memorial Hospital Rogersville	0	–	1
Metro Nashville General Hospital Nashville	0	–	–
Tristar Ashland City Medical Center Ashland City	0	–	2
Wayne Medical Center Waynesboro	0	–	–

Price-transparency enforcement in Tennessee

117 “met requirements” findings, 78 closure notices, 73 warning notices, 44 corrective-action-plan requests, 4 administrative closures — CMS's actions under the hospital price-transparency rule since 2021. See the enforcement page for what each step means.

Sources: CMS Medicare Inpatient 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.