Hospital · CCN 440068

Starr Regional Medical Center Athens

1114 W Madison Ave, Athens, TN 37371
Part of Lifepoint Health · 172 beds · 5
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

10 admission types 31 outpatient services

Billed per dollar paid, all admissions

6.25×

$14.2M billed against $2.3M paid across 193 Medicare discharges; the national figure is 5.03×.

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

$88,007

$15,015

5.9× st 4.7×

193

Simple pneumonia and pleurisy with mcc

$56,675

$10,881

5.2× st 4.7×

177

Respiratory infections and inflammations with mcc

$76,999

$13,111

5.9× st 4.2×

683

Renal failure with cc

$50,321

$7,819

6.4× st 4.4×

872

Septicemia or severe sepsis without mv >96 hours without mcc

$60,350

$8,933

6.8× st 4.7×

291

Heart failure and shock with mcc

$51,418

$10,556

4.9× st 4.5×

481

Hip and femur procedures except major joint with cc

$141,784

$16,901

8.4× st 5.5×

641

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

$55,905

$7,170

7.8× st 4.6×

689

Kidney and urinary tract infections with mcc

$66,631

$9,898

6.7× st 4.7×

190

Chronic obstructive pulmonary disease with mcc

$75,232

$9,511

7.9× st 4.5×

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

$53,558

$2,262

23.7×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$11,937

$1,322

9.0×

5374

Level 4 Urology and Related Services

$29,848

$2,881

10.4×

5361

Level 1 Laparoscopy and Related Services

$51,755

$4,685

11.0×

5114

Level 4 Musculoskeletal Procedures

$101,726

$5,912

17.2×

5115

Level 5 Musculoskeletal Procedures

$168,506

$10,424

16.2×

5302

Level 2 Upper GI Procedures

$14,178

$1,513

9.4×

5373

Level 3 Urology and Related Services

$23,166

$1,683

13.8×

5183

Level 3 Vascular Procedures

$30,000

$2,479

12.1×

5113

Level 3 Musculoskeletal Procedures

$28,237

$2,675

10.6×

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5313

Level 3 Lower GI Procedures

—

5375

Level 5 Urology and Related Services

—

5414

Level 4 Gynecologic Procedures

—

5431

Level 1 Nerve Procedures

—

5462

Level 2 Neurostimulator and Related Procedures

—

5464

Level 4 Neurostimulator and Related Procedures

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5222

Level 2 Pacemaker and Similar Procedures

—

5194

Level 4 Endovascular Procedures

—

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

—

5112

Level 2 Musculoskeletal Procedures

—

5116

Level 6 Musculoskeletal Procedures

—

5153

Level 3 Airway Endoscopy

—

5164

Level 4 ENT Procedures

—

5165

Level 5 ENT Procedures

—

5182

Level 2 Vascular Procedures

—

5191

Level 1 Endovascular Procedures

—

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

—

5193

Level 3 Endovascular Procedures

—

5192

Level 2 Endovascular Procedures

—

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.