Ungraded
#27 nationally
Claiborne Medical Center
1850 Old Knoxville Highway, Tazewell, TN 37879 · (423) 626-4211
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, Claiborne Medical Center billed $1.90 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 1.9x
- volume-weighted across all its priced work
- Procedures priced
- 7
- inpatient and outpatient combined
- Rank in TN
- #2
- lower markup ranks higher
- CMS quality stars
- Not rated
- shown for context, not in the grade
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
102 | $8,025 | $2,205 | -59% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
87 | $23,187 | $14,230 | -64% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
19 | $9,953 | $4,759 | -72% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
16 | $16,483 | $9,329 | -62% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
14 | $4,139 | $1,337 | -59% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
11 | $14,008 | $9,070 | -70% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
11 | $12,354 | $8,488 | -69% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$8,025 | $2,205 | -59% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$4,139 | $1,337 | -59% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$16,483 | $9,329 | -62% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$23,187 | $14,230 | -64% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$12,354 | $8,488 | -69% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$14,008 | $9,070 | -70% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$9,953 | $4,759 | -72% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$9,953 | $4,759 | -72% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$14,008 | $9,070 | -70% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$12,354 | $8,488 | -69% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$23,187 | $14,230 | -64% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$16,483 | $9,329 | -62% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$4,139 | $1,337 | -59% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$8,025 | $2,205 | -59% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.