22/100
#2,122 nationally
Physicians Regional Medical Center
7565 Dannaher Way Powell, Powell, TN 37849 · (865) 545-8000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Physicians Regional Medical Center billed $7.99 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
- 8.0x
- volume-weighted across all its priced work
- Procedures priced
- 112
- inpatient and outpatient combined
- Rank in TN
- #48
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 15% of U.S. hospitals.
Better than 18% of U.S. hospitals.
Better than 32% of U.S. hospitals.
Better than 22% 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 |
|---|---|---|---|---|
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
422 | $30,027 | $2,664 | +19% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
288 | $84,792 | $12,715 | +30% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
222 | $62,854 | $10,641 | about average |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
219 | $25,796 | $2,208 | +33% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
153 | $23,240 | $4,194 | -15% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
151 | $58,575 | $8,880 | +35% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
150 | $13,978 | $1,302 | +39% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
140 | $16,848 | $1,569 | +43% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
133 | $136,630 | $8,695 | +165% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
117 | $109,303 | $8,834 | +62% |
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 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$280,333 | $15,351 | +194% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$136,630 | $8,695 | +165% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$373,940 | $27,054 | +152% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$94,167 | $7,006 | +149% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
$230,043 | $15,691 | +146% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
$289,719 | $24,352 | +109% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
$446,539 | $39,463 | +86% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$31,978 | $2,343 | +81% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$26,020 | $6,749 | -33% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
$37,882 | $9,311 | -32% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
$74,302 | $15,780 | -26% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
$63,805 | $11,932 | -23% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
$25,718 | $5,711 | -22% |
|
Carotid Artery Stent Procedures with Complications
MS-DRG 035 · Inpatient stay |
$76,762 | $15,191 | -19% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$28,476 | $4,728 | -19% |
|
Kidney and Ureter Procedures for Non-neoplasm without Complications/mcc
MS-DRG 661 · Inpatient stay |
$38,223 | $7,439 | -19% |
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.