Ungraded
#386 nationally
Saint Thomas Highlands Hospital
401 Sewell Dr, Sparta, TN 38583 · (931) 738-9211
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, Saint Thomas Highlands Hospital billed $2.83 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
- 2.8x
- volume-weighted across all its priced work
- Procedures priced
- 7
- inpatient and outpatient combined
- Rank in TN
- #12
- 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 |
85 | $13,101 | $2,344 | -33% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
29 | $23,589 | $4,840 | -33% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
19 | $17,632 | $2,772 | -13% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
17 | $25,266 | $17,175 | -61% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
16 | $21,347 | $13,295 | -54% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
15 | $18,264 | $9,691 | -39% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
13 | $24,376 | $14,716 | -56% |
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 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$17,632 | $2,772 | -13% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$13,101 | $2,344 | -33% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$23,589 | $4,840 | -33% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$18,264 | $9,691 | -39% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$21,347 | $13,295 | -54% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$24,376 | $14,716 | -56% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$25,266 | $17,175 | -61% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$25,266 | $17,175 | -61% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$24,376 | $14,716 | -56% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$21,347 | $13,295 | -54% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$18,264 | $9,691 | -39% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$23,589 | $4,840 | -33% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$13,101 | $2,344 | -33% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$17,632 | $2,772 | -13% |
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.