Hospital · CCN 440035
Tennova Healthcare-Clarksville
651 Dunlop Lane, Clarksville, TN 37040 · Montgomery County
Part of Community Health Systems · 250 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
51 admission types 41 outpatient services price file: failed 4 Medicare-file findings
Billed per dollar paid, all admissions
7.77×
$133.7M billed against $17.2M paid across 1,669 Medicare discharges; the national figure is 5.03×.
7.7%
of adults in Montgomery County have medical debt in collections
9.4%
uninsured in the county · state 11.1%
$75K
median household income
7.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
38.4%
obesity in the countyⓘ
10.8%
diagnosed diabetes (PLACES)
4.8%
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
280
$90,907
$12,849
7.1× st 4.7×
291
Heart failure and shock with mcc
106
$64,641
$8,965
7.2× st 4.5×
193
Simple pneumonia and pleurisy with mcc
76
$66,746
$9,104
7.3× st 4.7×
190
Chronic obstructive pulmonary disease with mcc
55
$57,352
$7,871
7.3× st 4.5×
683
Renal failure with cc
51
$42,657
$6,685
6.4× st 4.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
46
$56,766
$7,378
7.7× st 4.7×
690
Kidney and urinary tract infections without mcc
45
$46,221
$5,806
8.0× st 4.7×
177
Respiratory infections and inflammations with mcc
44
$73,960
$11,544
6.4× st 4.2×
189
Pulmonary edema and respiratory failure
42
$68,218
$8,631
7.9× st 4.6×
481
Hip and femur procedures except major joint with cc
41
$127,772
$13,771
9.3× st 5.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
41
$41,409
$5,825
7.1× st 4.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
36
$75,378
$7,242
10.4× st 5.6×
378
Gastrointestinal hemorrhage with cc
34
$58,903
$7,134
8.3× st 4.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
33
$263,441
$32,572
8.1× st 4.8×
682
Renal failure with mcc
32
$57,743
$9,956
5.8× st 4.5×
312
Syncope and collapse
32
$47,853
$6,323
7.6× st 5.1×
309
Cardiac arrhythmia and conduction disorders with cc
32
$43,530
$5,592
7.8× st 4.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
31
$161,747
$12,544
12.9× st 7.4×
689
Kidney and urinary tract infections with mcc
31
$53,918
$8,090
6.7× st 4.7×
698
Other kidney and urinary tract diagnoses with mcc
27
$104,772
$11,114
9.4× st 4.7×
637
Diabetes with mcc
26
$57,183
$9,876
5.8× st 4.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
26
$52,971
$5,855
9.0× st 5.0×
389
Gastrointestinal obstruction with cc
26
$41,827
$5,814
7.2× st 4.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
26
$60,582
$9,090
6.7× st 4.6×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
24
$36,549
$4,508
8.1× st 4.5×
280
Acute myocardial infarction, discharged alive with mcc
24
$86,598
$10,497
8.3× st 4.9×
069
Transient ischemia without thrombolytic
24
$64,932
$5,956
10.9× st 6.3×
603
Cellulitis without mcc
23
$35,063
$6,302
5.6× st 3.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
23
$127,534
$14,391
8.9× st 5.5×
281
Acute myocardial infarction, discharged alive with cc
21
$62,018
$6,907
9.0× st 5.7×
812
Red blood cell disorders without mcc
20
$49,053
$6,604
7.4× st 4.5×
308
Cardiac arrhythmia and conduction disorders with mcc
20
$67,937
$8,570
7.9× st 4.4×
208
Respiratory system diagnosis with ventilator support <=96 hours
19
$155,570
$17,706
8.8× st 5.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
19
$240,661
$19,815
12.1× st 6.5×
305
Hypertension without mcc
17
$34,799
$5,597
6.2× st 5.0×
638
Diabetes with cc
17
$40,865
$6,418
6.4× st 4.5×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
16
$114,934
$16,247
7.1× st 5.1×
313
Chest pain
16
$40,665
$5,579
7.3× st 6.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
15
$90,447
$13,403
6.7× st 5.2×
377
Gastrointestinal hemorrhage with mcc
14
$94,289
$12,181
7.7× st 4.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
14
$68,809
$7,523
9.1× st 6.2×
811
Red blood cell disorders with mcc
14
$78,274
$9,886
7.9× st 5.0×
917
Poisoning and toxic effects of drugs with mcc
13
$92,992
$11,180
8.3× st 4.3×
176
Pulmonary embolism without mcc
13
$45,331
$6,025
7.5× st 4.6×
194
Simple pneumonia and pleurisy with cc
13
$48,056
$6,024
8.0× st 4.6×
948
Signs and symptoms without mcc
13
$41,693
$5,691
7.3× st 4.1×
304
Hypertension with mcc
12
$53,007
$7,723
6.9× st 4.6×
552
Medical back problems without mcc
12
$47,771
$6,516
7.3× st 4.9×
329
Major small and large bowel procedures with mcc
12
$216,132
$29,572
7.3× st 4.6×
480
Hip and femur procedures except major joint with mcc
11
$168,514
$19,086
8.8× st 5.1×
870
Septicemia or severe sepsis with mv >96 hours
11
$317,743
$44,065
7.2× 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
296
$28,727
$2,474
11.6×
5191
Level 1 Endovascular Procedures
91
$42,604
$2,923
14.6×
5361
Level 1 Laparoscopy and Related Services
80
$40,822
$5,155
7.9×
5115
Level 5 Musculoskeletal Procedures
77
$90,597
$11,419
7.9×
5113
Level 3 Musculoskeletal Procedures
63
$34,346
$2,932
11.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
51
$15,799
$1,487
10.6×
5114
Level 4 Musculoskeletal Procedures
49
$60,948
$6,456
9.4×
5116
Level 6 Musculoskeletal Procedures
49
$134,056
$17,058
7.9×
5302
Level 2 Upper GI Procedures
48
$22,312
$1,687
13.2×
5183
Level 3 Vascular Procedures
47
$28,010
$2,874
9.7×
5193
Level 3 Endovascular Procedures
46
$77,827
$9,908
7.9×
5374
Level 4 Urology and Related Services
44
$30,044
$3,198
9.4×
5375
Level 5 Urology and Related Services
37
$32,700
$4,644
7.0×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
36
$41,599
$3,114
13.4×
5431
Level 1 Nerve Procedures
35
$13,930
$1,771
7.9×
5182
Level 2 Vascular Procedures
22
$11,937
$1,416
8.4×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
19
$26,212
$2,507
10.5×
5362
Level 2 Laparoscopy and Related Services
19
$57,292
$9,437
6.1×
5223
Level 3 Pacemaker and Similar Procedures
18
$107,162
$9,788
10.9×
5373
Level 3 Urology and Related Services
17
$23,941
$1,813
13.2×
5112
Level 2 Musculoskeletal Procedures
17
$19,671
$1,474
13.3×
5184
Level 4 Vascular Procedures
15
$61,058
$5,041
12.1×
5192
Level 2 Endovascular Procedures
14
$69,677
$5,243
13.3×
5194
Level 4 Endovascular Procedures
14
$102,839
$12,729
8.1×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
12
$31,790
$3,497
9.1×
5331
Complex GI Procedures
—
—
—
—
5881
Ancillary Outpatient Services When Patient Dies
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Not read: not the CMS template: header ['module__2SJHmMQqaR6VY-Sm7Uu9uv'] (blocked).
04 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 065
info
inp_charge_10x_payment
average charge $75,378 is 10.4× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $64,932 is 10.9× the total payment
MS-DRG 321
info
inp_charge_10x_payment
average charge $240,661 is 12.1× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $161,747 is 12.9× the total payment
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- 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)
- 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 · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- · fetched 2026-08-26 · blocked
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 · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.