Hospital · CCN 440091
Memorial Healthcare System, Inc
2525 Desales Ave, Chattanooga, TN 37404 · Hamilton County
Part of CommonSpirit Health · 431 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
152 admission types 59 outpatient services
Billed per dollar paid, all admissions
4.42×
$340.3M billed against $77.0M paid across 5,982 Medicare discharges; the national figure is 5.03×.
8.3%
of adults in Hamilton County have medical debt in collections
10.8%
uninsured in the county · state 11.1%
$73K
median household income
4.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
34.5%
obesity in the countyⓘ
12.7%
diagnosed diabetes (PLACES)
6.6%
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
591
$51,124
$12,412
4.1× st 4.7×
291
Heart failure and shock with mcc
301
$35,064
$8,318
4.2× st 4.5×
193
Simple pneumonia and pleurisy with mcc
201
$40,020
$8,652
4.6× st 4.7×
177
Respiratory infections and inflammations with mcc
153
$45,301
$10,498
4.3× st 4.2×
682
Renal failure with mcc
132
$37,427
$9,333
4.0× st 4.5×
280
Acute myocardial infarction, discharged alive with mcc
125
$49,660
$10,389
4.8× st 4.9×
378
Gastrointestinal hemorrhage with cc
118
$36,073
$6,420
5.6× st 4.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
117
$101,027
$29,744
3.4× st 4.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
115
$38,947
$6,576
5.9× st 5.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
99
$54,103
$11,960
4.5× st 5.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
98
$27,323
$6,973
3.9× st 4.7×
698
Other kidney and urinary tract diagnoses with mcc
95
$39,693
$10,403
3.8× st 4.7×
189
Pulmonary edema and respiratory failure
94
$38,194
$8,614
4.4× st 4.6×
683
Renal failure with cc
92
$23,946
$6,330
3.8× st 4.4×
481
Hip and femur procedures except major joint with cc
89
$58,674
$13,410
4.4× st 5.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
85
$25,820
$5,172
5.0× st 5.0×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
82
$63,231
$12,815
4.9× st 5.6×
309
Cardiac arrhythmia and conduction disorders with cc
74
$26,391
$5,113
5.2× st 4.4×
377
Gastrointestinal hemorrhage with mcc
73
$63,880
$11,901
5.4× st 4.9×
690
Kidney and urinary tract infections without mcc
68
$23,372
$5,241
4.5× st 4.7×
522
Hip replacement with principal diagnosis of hip fracture without mcc
64
$63,704
$13,572
4.7× st 5.5×
330
Major small and large bowel procedures with cc
58
$65,330
$16,338
4.0× st 4.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
56
$36,836
$8,379
4.4× st 4.6×
236
Coronary bypass without cardiac catheterization without mcc
54
$156,792
$26,369
5.9× st 6.2×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
54
$149,236
$40,848
3.7× st 5.9×
811
Red blood cell disorders with mcc
53
$57,246
$10,670
5.4× st 5.0×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
52
$35,546
$8,522
4.2× st 4.3×
689
Kidney and urinary tract infections with mcc
51
$41,010
$7,469
5.5× st 4.7×
552
Medical back problems without mcc
49
$30,012
$6,353
4.7× st 4.9×
308
Cardiac arrhythmia and conduction disorders with mcc
46
$42,084
$8,837
4.8× st 4.4×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
46
$106,961
$19,707
5.4× st 6.5×
394
Other digestive system diagnoses with cc
45
$26,398
$6,607
4.0× st 4.3×
312
Syncope and collapse
45
$31,578
$5,861
5.4× st 5.1×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
43
$95,453
$13,043
7.3× st 7.4×
281
Acute myocardial infarction, discharged alive with cc
42
$34,736
$5,821
6.0× st 5.7×
467
Revision of hip or knee replacement with cc
41
$88,519
$19,819
4.5× st 5.7×
393
Other digestive system diagnoses with mcc
41
$40,503
$10,672
3.8× st 4.4×
274
Percutaneous and other intracardiac procedures without mcc
41
$78,099
$20,287
3.9× st 6.5×
329
Major small and large bowel procedures with mcc
40
$104,400
$26,890
3.9× st 4.6×
812
Red blood cell disorders without mcc
39
$35,358
$6,318
5.6× st 4.5×
480
Hip and femur procedures except major joint with mcc
38
$72,948
$17,992
4.1× st 5.1×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
36
$52,294
$7,500
7.0× st 6.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
36
$29,371
$5,424
5.4× st 4.6×
092
Other disorders of nervous system with cc
36
$38,099
$6,523
5.8× st 4.3×
603
Cellulitis without mcc
35
$24,672
$5,705
4.3× st 3.9×
091
Other disorders of nervous system with mcc
35
$39,129
$11,384
3.4× st 4.0×
660
Kidney and ureter procedures for non-neoplasm with cc
34
$38,097
$8,577
4.4× st 4.0×
699
Other kidney and urinary tract diagnoses with cc
33
$28,333
$6,629
4.3× st 4.3×
252
Other vascular procedures with mcc
33
$89,668
$21,894
4.1× st 4.6×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
33
$209,415
$38,257
5.5× st 5.9×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
32
$69,241
$15,503
4.5× st 5.3×
389
Gastrointestinal obstruction with cc
32
$19,296
$5,572
3.5× st 4.4×
175
Pulmonary embolism with mcc or acute cor pulmonale
31
$38,508
$9,253
4.2× st 4.6×
270
Other major cardiovascular procedures with mcc
31
$153,972
$33,910
4.5× st 5.7×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
30
$96,451
$15,502
6.2× st 4.4×
305
Hypertension without mcc
30
$31,045
$5,164
6.0× st 5.0×
178
Respiratory infections and inflammations with cc
28
$29,730
$6,197
4.8× st 3.7×
388
Gastrointestinal obstruction with mcc
28
$33,474
$9,326
3.6× st 4.4×
314
Other circulatory system diagnoses with mcc
27
$48,794
$12,866
3.8× st 3.9×
659
Kidney and ureter procedures for non-neoplasm with mcc
26
$59,237
$17,207
3.4× st 4.0×
602
Cellulitis with mcc
25
$29,325
$9,788
3.0× st 3.7×
673
Other kidney and urinary tract procedures with mcc
25
$89,974
$29,041
3.1× st 3.2×
432
Cirrhosis and alcoholic hepatitis with mcc
25
$52,443
$12,902
4.1× st 4.0×
854
Infectious and parasitic diseases with o.r. procedures with cc
25
$45,315
$16,395
2.8× st 4.1×
166
Other respiratory system o.r. procedures with mcc
24
$126,037
$26,389
4.8× st 3.8×
194
Simple pneumonia and pleurisy with cc
24
$31,189
$5,501
5.7× st 4.6×
643
Endocrine disorders with mcc
24
$48,161
$10,911
4.4× st 4.6×
208
Respiratory system diagnosis with ventilator support <=96 hours
24
$94,691
$18,381
5.2× st 5.2×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
24
$274,949
$51,588
5.3× st 5.6×
638
Diabetes with cc
24
$29,422
$6,320
4.7× st 4.5×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
23
$174,915
$38,233
4.6× st 4.3×
057
Degenerative nervous system disorders without mcc
23
$35,221
$8,064
4.4× st 4.2×
180
Respiratory neoplasms with mcc
22
$56,573
$11,988
4.7× st 5.1×
846
Chemotherapy without acute leukemia as secondary diagnosis with mcc
22
$52,382
$15,955
3.3× st 3.0×
269
Aortic and heart assist procedures except pulsation balloon without mcc
22
$91,000
$27,998
3.3× st 5.6×
521
Hip replacement with principal diagnosis of hip fracture with mcc
22
$82,729
$17,768
4.7× st 4.8×
039
Extracranial procedures without cc/mcc
21
$40,130
$7,296
5.5× st 5.3×
884
Organic disturbances and intellectual disability
21
$48,784
$11,770
4.1× st 3.6×
070
Other cerebrovascular disorders with mcc
21
$42,559
$10,650
4.0× st 3.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
21
$20,785
$3,799
5.5× st 4.5×
242
Permanent cardiac pacemaker implant with mcc
21
$97,684
$21,916
4.5× st 5.5×
331
Major small and large bowel procedures without cc/mcc
21
$53,386
$10,971
4.9× st 4.7×
163
Major chest procedures with mcc
21
$109,305
$29,490
3.7× st 3.7×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
20
$37,796
$6,940
5.4× st 4.5×
196
Interstitial lung disease with mcc
20
$46,954
$14,920
3.1× st 4.0×
101
Seizures without mcc
20
$33,622
$6,093
5.5× st 5.0×
637
Diabetes with mcc
20
$46,572
$9,782
4.8× st 4.1×
644
Endocrine disorders with cc
19
$28,833
$6,994
4.1× st 3.9×
483
Major joint or limb reattachment procedures of upper extremities
19
$79,282
$15,967
5.0× st 4.9×
919
Complications of treatment with mcc
19
$46,008
$11,822
3.9× st 5.3×
920
Complications of treatment with cc
19
$31,847
$6,654
4.8× st 4.1×
870
Septicemia or severe sepsis with mv >96 hours
19
$243,708
$49,730
4.9× st 4.6×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
19
$102,753
$28,367
3.6× st 4.3×
243
Permanent cardiac pacemaker implant with cc
19
$81,645
$14,325
5.7× st 5.7×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
19
$216,991
$43,294
5.0× st 5.8×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
19
$35,357
$12,647
2.8× st 3.7×
071
Other cerebrovascular disorders with cc
19
$34,357
$6,759
5.1× st 3.9×
439
Disorders of pancreas except malignancy with cc
18
$27,979
$6,067
4.6× st 4.4×
390
Gastrointestinal obstruction without cc/mcc
18
$17,076
$5,178
3.3× st 4.1×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
18
$306,538
$52,002
5.9× st 5.7×
035
Carotid artery stent procedures with cc
18
$55,348
$14,661
3.8× st 4.2×
100
Seizures with mcc
18
$54,620
$12,494
4.4× st 4.9×
418
Laparoscopic cholecystectomy without c.d.e. with cc
18
$49,323
$10,568
4.7× st 5.2×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
17
$59,269
$11,781
5.0× st 3.4×
356
Other digestive system o.r. procedures with mcc
17
$100,164
$26,451
3.8× st 4.2×
271
Other major cardiovascular procedures with cc
17
$130,950
$22,432
5.8× st 5.0×
025
Craniotomy and endovascular intracranial procedures with mcc
17
$145,967
$32,316
4.5× st 4.8×
038
Extracranial procedures with cc
17
$49,371
$12,097
4.1× st 5.3×
813
Coagulation disorders
17
$51,261
$10,496
4.9× st 5.3×
551
Medical back problems with mcc
17
$42,368
$10,173
4.2× st 4.7×
435
Malignancy of hepatobiliary system or pancreas with mcc
17
$48,229
$11,784
4.1× st 4.8×
713
Transurethral prostatectomy with cc/mcc
16
$39,645
$9,343
4.2× st 4.2×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
16
$62,332
$15,246
4.1× st 5.1×
304
Hypertension with mcc
16
$31,858
$7,893
4.0× st 4.6×
056
Degenerative nervous system disorders with mcc
16
$50,590
$12,054
4.2× st 3.6×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
16
$25,717
$6,276
4.1× st 3.7×
454
Combined anterior and posterior spinal fusion with cc
15
$126,528
$52,373
2.4× st 5.1×
164
Major chest procedures with cc
15
$64,724
$17,763
3.6× st 4.8×
433
Cirrhosis and alcoholic hepatitis with cc
15
$28,392
$6,895
4.1× st 3.6×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
14
$41,098
$7,780
5.3× st 6.4×
565
Other musculoskeletal system and connective tissue diagnoses with cc
14
$28,286
$6,641
4.3× st 4.3×
036
Carotid artery stent procedures without cc/mcc
14
$32,749
$12,929
2.5× st 4.9×
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
14
$77,403
$11,623
6.7× st 5.6×
074
Cranial and peripheral nerve disorders without mcc
14
$33,653
$7,138
4.7× st 4.5×
069
Transient ischemia without thrombolytic
14
$33,003
$5,175
6.4× st 6.3×
834
Acute leukemia with mcc
14
$178,300
$35,504
5.0× st 6.5×
455
Combined anterior and posterior spinal fusion without cc/mcc
14
$94,626
$35,668
2.7× st 4.9×
445
Disorders of the biliary tract with cc
13
$41,151
$7,118
5.8× st 5.1×
564
Other musculoskeletal system and connective tissue diagnoses with mcc
13
$44,892
$10,291
4.4× st 4.4×
862
Postoperative and post-traumatic infections with mcc
13
$49,996
$11,913
4.2× st 4.4×
840
Lymphoma and non-acute leukemia with mcc
13
$102,015
$21,506
4.7× st 6.1×
300
Peripheral vascular disorders with cc
13
$25,684
$6,568
3.9× st 3.7×
948
Signs and symptoms without mcc
13
$24,288
$4,909
4.9× st 4.1×
468
Revision of hip or knee replacement without cc/mcc
13
$81,502
$16,931
4.8× st 5.4×
501
Soft tissue procedures with cc
13
$40,671
$10,524
3.9× st 4.3×
190
Chronic obstructive pulmonary disease with mcc
12
$41,052
$7,950
5.2× st 4.5×
374
Digestive malignancy with mcc
12
$65,662
$11,784
5.6× st 4.2×
837
Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy a
12
$196,359
$61,914
3.2× st 2.7×
186
Pleural effusion with mcc
12
$46,176
$10,021
4.6× st 4.8×
536
Fractures of hip and pelvis without mcc
12
$23,959
$5,126
4.7× st 3.9×
658
Kidney and ureter procedures for neoplasm without cc/mcc
12
$49,743
$12,543
4.0× st 4.7×
472
Cervical spinal fusion with cc
12
$93,340
$21,672
4.3× st 4.4×
283
Acute myocardial infarction, expired with mcc
12
$51,008
$12,664
4.0× st 5.4×
054
Nervous system neoplasms with mcc
12
$35,552
$9,447
3.8× st 5.2×
299
Peripheral vascular disorders with mcc
11
$40,031
$9,424
4.2× st 4.2×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
11
$35,184
$4,505
7.8× st 5.9×
371
Major gastrointestinal disorders and peritoneal infections with mcc
11
$27,831
$11,405
2.4× st 3.9×
205
Other respiratory system diagnoses with mcc
11
$38,395
$11,501
3.3× st 3.7×
235
Coronary bypass without cardiac catheterization with mcc
11
$229,001
$39,433
5.8× st 5.7×
282
Acute myocardial infarction, discharged alive without cc/mcc
11
$37,482
$5,815
6.4× st 6.0×
657
Kidney and ureter procedures for neoplasm with cc
11
$59,346
$11,507
5.2× st 5.0×
372
Major gastrointestinal disorders and peritoneal infections with cc
11
$26,382
$6,790
3.9× st 3.7×
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
1,054
$21,669
$2,285
9.5×
5191
Level 1 Endovascular Procedures
414
$25,285
$2,738
9.2×
5373
Level 3 Urology and Related Services
355
$10,759
$1,673
6.4×
5302
Level 2 Upper GI Procedures
336
$11,331
$1,606
7.1×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
293
$9,013
$1,375
6.6×
5374
Level 4 Urology and Related Services
272
$16,768
$2,919
5.7×
5115
Level 5 Musculoskeletal Procedures
272
$49,183
$10,854
4.5×
5375
Level 5 Urology and Related Services
263
$19,270
$4,370
4.4×
5361
Level 1 Laparoscopy and Related Services
255
$27,867
$4,795
5.8×
5155
Level 5 Airway Endoscopy
245
$73,259
$5,776
12.7×
5193
Level 3 Endovascular Procedures
201
$61,468
$9,183
6.7×
5183
Level 3 Vascular Procedures
185
$14,639
$2,693
5.4×
5223
Level 3 Pacemaker and Similar Procedures
164
$39,608
$9,096
4.4×
5192
Level 2 Endovascular Procedures
159
$26,280
$4,847
5.4×
5213
Level 3 Electrophysiologic Procedures
147
$121,406
$19,560
6.2×
5114
Level 4 Musculoskeletal Procedures
144
$38,859
$6,029
6.4×
5362
Level 2 Laparoscopy and Related Services
131
$45,847
$8,770
5.2×
5376
Level 6 Urology and Related Services
116
$27,927
$7,743
3.6×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
114
$18,076
$2,928
6.2×
5222
Level 2 Pacemaker and Similar Procedures
92
$29,303
$7,085
4.1×
5165
Level 5 ENT Procedures
83
$27,291
$4,799
5.7×
5194
Level 4 Endovascular Procedures
82
$84,098
$13,946
6.0×
5116
Level 6 Musculoskeletal Procedures
82
$73,434
$15,681
4.7×
5232
Level 2 ICD and Similar Procedures
77
$104,675
$27,614
3.8×
5431
Level 1 Nerve Procedures
75
$14,360
$1,628
8.8×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
70
$18,017
$2,359
7.6×
5113
Level 3 Musculoskeletal Procedures
68
$18,357
$2,662
6.9×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
64
$28,653
$5,488
5.2×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
58
$20,295
$3,248
6.2×
5184
Level 4 Vascular Procedures
54
$30,231
$4,510
6.7×
5491
Level 1 Intraocular Procedures
51
$10,260
$1,986
5.2×
5182
Level 2 Vascular Procedures
49
$9,030
$1,351
6.7×
5154
Level 4 Airway Endoscopy
47
$19,126
$3,137
6.1×
5153
Level 3 Airway Endoscopy
40
$7,365
$1,360
5.4×
5112
Level 2 Musculoskeletal Procedures
39
$9,744
$1,370
7.1×
5164
Level 4 ENT Procedures
29
$16,037
$2,744
5.8×
5303
Level 3 Upper GI Procedures
24
$20,115
$3,155
6.4×
5224
Level 4 Pacemaker and Similar Procedures
24
$76,898
$16,571
4.6×
5372
Level 2 Urology and Related Services
22
$9,183
$582
15.8×
5414
Level 4 Gynecologic Procedures
22
$15,924
$2,568
6.2×
5465
Level 5 Neurostimulator and Related Procedures
17
$94,498
$26,388
3.6×
5464
Level 4 Neurostimulator and Related Procedures
17
$58,597
$18,599
3.2×
5231
Level 1 ICD and Similar Procedures
14
$49,599
$20,039
2.5×
5163
Level 3 ENT Procedures
14
$9,241
$1,300
7.1×
5331
Complex GI Procedures
11
$27,498
$4,857
5.7×
5627
Level 7 Radiation Therapy
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
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)
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.