The Centers for Medicare and Medicaid Services (CMS) require hospitals to post a listing of their “standard charges” on their websites. The University of Tennessee Medical Center (UT Medical Center) has therefore posted our hospital “standard charge” listing through the link (below) on our website.
The amounts on the “standard charge” listing are the gross charges for a medical service or procedure. They are not the amounts you will be expected to pay. Patients’ actual costs are determined by the price agreements between UT Medical Center and insurance companies along with the patients’ health plan benefits. For uninsured patients, UT Medical Center discounts charges to comply with state and federal requirements.
The actual cost of care may vary based on the procedure and the health status of the individual patient. Additionally, the prices shown only apply to hospital charges and do not include physician charges and other charges beyond the actual hospital charges.
Hospitals must also make public their “standard charges” for each diagnosis-related group (DRG). Prospective payment rates based on DRGs are the basis of UT Medical Center’s inpatient reimbursement by most governmental and commercial payers. DRGs are linked to payment rates established by governmental payers’ fee schedules or in contractual agreements between commercial payers and UT Medical Center.
The link below provides a listing of DRG descriptions along with their average charges and does not reflect what UT Medical Center is actually paid or the amount the patient will be expected to pay.
The information provided in the above links is for informational purposes only. Financial counselors at the medical center currently provide patients with estimates upon request of what they should expect to pay prior to services. If you would like an estimate of your charges for an upcoming procedure, please contact our financial counselors at 865-305-9016 or by email at PatAccessFinancialCounselors@utmck.edu.
Through our mission to serve through healing, education and discovery, UT Medical Center strives to provide outstanding care throughout the East Tennessee region.