91/100
#62 nationally
Cumberland Medical Center
421 S Main St, Crossville, TN 38555 · (931) 484-9511
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Cumberland Medical Center billed $2.51 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
- 2.5x
- volume-weighted across all its priced work
- Procedures priced
- 48
- inpatient and outpatient combined
- Rank in TN
- #2
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 83% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 95% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
129 | $27,530 | $14,077 | -58% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
114 | $9,440 | $2,350 | -51% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
78 | $21,496 | $9,174 | -50% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
75 | $5,419 | $1,432 | -46% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
63 | $4,004 | $1,705 | -65% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
58 | $24,555 | $8,805 | -49% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
55 | $33,488 | $11,429 | -46% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
46 | $21,171 | $9,440 | -55% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
46 | $4,937 | $1,652 | -58% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
45 | $5,290 | $3,050 | -77% |
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 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$61,619 | $16,426 | -26% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$28,469 | $7,961 | -32% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
$26,874 | $7,890 | -39% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$23,573 | $7,026 | -43% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$25,925 | $9,392 | -45% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$5,419 | $1,432 | -46% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$33,488 | $11,429 | -46% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$16,258 | $5,139 | -47% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$5,290 | $3,050 | -77% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$2,764 | $1,391 | -75% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$9,258 | $5,096 | -74% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$8,222 | $4,570 | -70% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$6,123 | $2,770 | -70% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$6,504 | $2,684 | -66% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$10,850 | $5,713 | -65% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$4,004 | $1,705 | -65% |
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.