82/100
#290 nationally
Cookeville Regional Medical Center
1 Medical Center Boulevard, Cookeville, TN 38501 · (931) 783-2000
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Cookeville Regional Medical Center billed $3.23 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
- 3.2x
- volume-weighted across all its priced work
- Procedures priced
- 127
- inpatient and outpatient combined
- Rank in TN
- #9
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 73% of U.S. hospitals.
Better than 86% of U.S. hospitals.
Better than 87% of U.S. hospitals.
Better than 91% of U.S. hospitals.
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 |
775 | $15,951 | $2,505 | -18% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
383 | $37,230 | $13,695 | -43% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
260 | $43,364 | $12,020 | -31% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
253 | $20,500 | $2,977 | -19% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
240 | $7,602 | $1,739 | -35% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
224 | $23,710 | $9,017 | -45% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
222 | $21,834 | $6,562 | -45% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
163 | $22,675 | $9,208 | -51% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
162 | $20,351 | $5,281 | -42% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
136 | $13,914 | $3,198 | -33% |
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 |
|---|---|---|---|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$9,325 | $1,469 | +9% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$24,085 | $3,435 | +6% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$15,951 | $2,505 | -18% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$20,500 | $2,977 | -19% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
$28,137 | $4,941 | -21% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$29,626 | $6,278 | -23% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$8,560 | $1,444 | -24% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$7,505 | $1,478 | -26% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$40,145 | $30,088 | -73% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$17,047 | $9,788 | -67% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
$47,613 | $23,386 | -66% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
$96,821 | $47,276 | -64% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
$25,092 | $11,006 | -63% |
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay |
$24,972 | $12,424 | -63% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
$44,298 | $19,493 | -61% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$30,730 | $14,236 | -61% |
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.