Hospital · CCN 440003

Highpoint Health-Sumner With Ascension Saint Thoma

555 Hartsville Pike, Gallatin, TN 37066 · Sumner County
Part of Lifepoint Health · 138 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

42 admission types 39 outpatient services 1 Medicare-file findings

Billed per dollar paid, all admissions

7.00×

$85.2M billed against $12.2M paid across 1,207 Medicare discharges; the national figure is 5.03×.

3.1%

of adults in Sumner County have medical debt in collections

9.6%

uninsured in the county · state 11.1%

$86K

median household income

7.8×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ

40.6%

obesity in the countyⓘ

12.2%

diagnosed diabetes (PLACES)

6.4%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

871

Septicemia or severe sepsis without mv >96 hours with mcc

231

$95,376

$13,391

7.1× st 4.7×

291

Heart failure and shock with mcc

$73,602

$9,704

7.6× st 4.5×

689

Kidney and urinary tract infections with mcc

$52,929

$8,171

6.5× st 4.7×

872

Septicemia or severe sepsis without mv >96 hours without mcc

$50,626

$7,402

6.8× st 4.7×

193

Simple pneumonia and pleurisy with mcc

$67,557

$9,822

6.9× st 4.7×

690

Kidney and urinary tract infections without mcc

$40,992

$6,013

6.8× st 4.7×

190

Chronic obstructive pulmonary disease with mcc

$78,101

$8,544

9.1× st 4.5×

312

Syncope and collapse

$46,201

$6,536

7.1× st 5.1×

392

Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc

$38,528

$6,170

6.2× st 5.0×

641

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc

$40,251

$5,856

6.9× st 4.6×

280

Acute myocardial infarction, discharged alive with mcc

$87,510

$10,841

8.1× st 4.9×

378

Gastrointestinal hemorrhage with cc

$53,551

$7,279

7.4× st 4.9×

640

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc

$52,110

$9,337

5.6× st 4.6×

552

Medical back problems without mcc

$48,033

$6,907

7.0× st 4.9×

313

Chest pain

$37,957

$5,536

6.9× st 6.1×

853

Infectious and parasitic diseases with o.r. procedures with mcc

$192,525

$33,872

5.7× st 4.8×

309

Cardiac arrhythmia and conduction disorders with cc

$39,324

$5,589

7.0× st 4.4×

698

Other kidney and urinary tract diagnoses with mcc

$75,792

$10,282

7.4× st 4.7×

305

Hypertension without mcc

$33,725

$5,874

5.7× st 5.0×

682

Renal failure with mcc

$77,413

$10,224

7.6× st 4.5×

377

Gastrointestinal hemorrhage with mcc

$84,550

$12,087

7.0× st 4.9×

064

Intracranial hemorrhage or cerebral infarction with mcc

$94,995

$13,083

7.3× st 5.2×

948

Signs and symptoms without mcc

$40,751

$5,874

6.9× st 4.1×

177

Respiratory infections and inflammations with mcc

$80,790

$11,510

7.0× st 4.2×

481

Hip and femur procedures except major joint with cc

$93,602

$13,671

6.8× st 5.5×

563

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc

$36,290

$6,612

5.5× st 4.6×

637

Diabetes with mcc

$48,202

$10,062

4.8× st 4.1×

189

Pulmonary edema and respiratory failure

$60,915

$9,243

6.6× st 4.6×

603

Cellulitis without mcc

$40,604

$6,600

6.2× st 3.9×

638

Diabetes with cc

$47,573

$6,697

7.1× st 4.5×

683

Renal failure with cc

$38,981

$6,608

5.9× st 4.4×

287

Circulatory disorders except ami, with cardiac catheterization without mcc

$61,707

$10,621

5.8× st 6.2×

854

Infectious and parasitic diseases with o.r. procedures with cc

$125,060

$21,417

5.8× st 4.1×

281

Acute myocardial infarction, discharged alive with cc

$46,087

$7,113

6.5× st 5.7×

191

Chronic obstructive pulmonary disease with cc

$49,514

$6,461

7.7× st 4.4×

286

Circulatory disorders except ami, with cardiac catheterization with mcc

$120,534

$14,324

8.4× st 5.3×

322

Percutaneous cardiovascular procedures with intraluminal device without mcc

$131,027

$19,797

6.6× st 7.4×

391

Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc

$64,313

$9,052

7.1× st 4.3×

812

Red blood cell disorders without mcc

$36,012

$6,620

5.4× st 4.5×

522

Hip replacement with principal diagnosis of hip fracture without mcc

$130,773

$14,191

9.2× st 5.5×

536

Fractures of hip and pelvis without mcc

$35,166

$5,732

6.1× st 3.9×

175

Pulmonary embolism with mcc or acute cor pulmonale

$115,473

$9,394

12.3× st 4.6×

02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

8011

Comprehensive Observation Services

$29,719

$2,339

12.7×

5375

Level 5 Urology and Related Services

$29,614

$4,372

6.8×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$13,987

$1,397

10.0×

5183

Level 3 Vascular Procedures

$28,708

$2,658

10.8×

5374

Level 4 Urology and Related Services

$23,841

$2,949

8.1×

5302

Level 2 Upper GI Procedures

$12,100

$1,598

7.6×

5191

Level 1 Endovascular Procedures

$32,505

$2,812

11.6×

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

$37,541

$2,437

15.4×

5114

Level 4 Musculoskeletal Procedures

$69,257

$5,905

11.7×

5182

Level 2 Vascular Procedures

$10,345

$1,380

7.5×

5361

Level 1 Laparoscopy and Related Services

$56,475

$4,971

11.4×

5373

Level 3 Urology and Related Services

$18,952

$1,755

10.8×

5113

Level 3 Musculoskeletal Procedures

$24,189

$2,789

8.7×

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

$34,774

$2,981

11.7×

5112

Level 2 Musculoskeletal Procedures

$13,040

$1,385

9.4×

5193

Level 3 Endovascular Procedures

$94,488

$9,472

10.0×

5461

Level 1 Neurostimulator and Related Procedures

—

5627

Level 7 Radiation Therapy

—

5491

Level 1 Intraocular Procedures

—

5376

Level 6 Urology and Related Services

—

5414

Level 4 Gynecologic Procedures

—

5415

Level 5 Gynecologic Procedures

—

5465

Level 5 Neurostimulator and Related Procedures

—

5464

Level 4 Neurostimulator and Related Procedures

—

5462

Level 2 Neurostimulator and Related Procedures

—

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

—

5372

Level 2 Urology and Related Services

—

5115

Level 5 Musculoskeletal Procedures

—

5116

Level 6 Musculoskeletal Procedures

—

5153

Level 3 Airway Endoscopy

—

5154

Level 4 Airway Endoscopy

—

5155

Level 5 Airway Endoscopy

—

5163

Level 3 ENT Procedures

—

5192

Level 2 Endovascular Procedures

—

5194

Level 4 Endovascular Procedures

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5313

Level 3 Lower GI Procedures

—

5362

Level 2 Laparoscopy and Related Services

—

5223

Level 3 Pacemaker and Similar Procedures

—

03 · Checks

Where the Medicare rows do not agree with themselves

Service

Severity

Rule

Detail

MS-DRG 175

info

inp_charge_10x_payment

average charge $115,473 is 12.3× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.