46/100
#1,397 nationally
Sycamore Shoals Hospital
1501 West Elk Avenue, Elizabethton, TN 37643 · (423) 542-1300
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Sycamore Shoals Hospital billed $5.08 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
- 5.1x
- volume-weighted across all its priced work
- Procedures priced
- 17
- inpatient and outpatient combined
- Rank in TN
- #29
- 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 38% of U.S. hospitals.
Better than 40% of U.S. hospitals.
Better than 56% of U.S. hospitals.
Better than 61% 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 |
64 | $42,911 | $11,779 | -34% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
42 | $71,625 | $10,437 | +15% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
29 | $83,153 | $11,946 | +4% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
26 | $14,936 | $2,200 | -23% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
22 | $28,637 | $8,242 | -34% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
22 | $31,743 | $7,876 | -22% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
21 | $34,704 | $8,993 | -26% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
19 | $43,534 | $7,496 | +4% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
18 | $64,634 | $10,701 | +17% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
14 | $25,982 | $7,006 | -34% |
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 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$14,948 | $1,574 | +27% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$64,634 | $10,701 | +17% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$71,625 | $10,437 | +15% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$43,534 | $7,496 | +4% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$83,153 | $11,946 | +4% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$41,254 | $5,919 | +3% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$20,906 | $2,678 | about average |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$30,528 | $5,712 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$18,342 | $5,478 | -40% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$42,911 | $11,779 | -34% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$28,637 | $8,242 | -34% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$25,982 | $7,006 | -34% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$23,250 | $5,579 | -28% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$34,704 | $8,993 | -26% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$14,936 | $2,200 | -23% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$31,743 | $7,876 | -22% |
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.