Sumner Regional Medical Center

Gallatin, Tennessee 37066

CCN: 440003 Acute Care Hospitals Emergency Services
2/5
CMS Star Rating
Below Average
36
DRG Categories
1,138
Total Discharges
$60,084
Avg Charges
$9,052
Avg Payment
$7,228
Avg Medicare
6.64x
Charge-to-Payment

Quality Ratings — CMS Hospital Compare

Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness

Mortality
Same as Average
Safety of Care
Same as Average
Readmissions
Above Average
Patient Experience
Reported
Tennessee Average Rating
3.02 / 5 This hospital is below average
4 five-star hospitals of rated in Tennessee
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Proprietary

Compared to Tennessee Average

How this hospital compares to the average of 77 hospitals in Tennessee

Average Charges
$60,084 -25%
State avg: $80,398
Average Payment
$9,052 -45%
State avg: $16,608
Charge-to-Payment Ratio
6.64x Above avg
State avg: 4.82x

Top 20 DRGs by Volume

Most common diagnosis groups at this hospital, sorted by number of discharges

DRG Description Discharges Avg Charges Avg Payment Markup
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC 242 $90,306 $13,151 6.87x
291 HEART FAILURE AND SHOCK WITH MCC 107 $66,397 $8,727 7.61x
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC 45 $78,362 $11,440 6.85x
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC 43 $45,473 $5,733 7.93x
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC 39 $45,886 $7,341 6.25x
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC 37 $76,140 $8,763 8.69x
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC 34 $57,157 $12,360 4.62x
312 SYNCOPE AND COLLAPSE 34 $42,441 $6,155 6.9x
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC 32 $57,375 $7,823 7.33x
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC 29 $57,953 $8,371 6.92x
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC 28 $32,297 $5,819 5.55x
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC 27 $39,006 $5,703 6.84x
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC 26 $34,330 $5,639 6.09x
682 RENAL FAILURE WITH MCC 26 $56,113 $9,681 5.8x
313 CHEST PAIN 25 $36,776 $5,307 6.93x
189 PULMONARY EDEMA AND RESPIRATORY FAILURE 24 $64,352 $8,381 7.68x
683 RENAL FAILURE WITH CC 24 $38,205 $6,115 6.25x
378 GASTROINTESTINAL HEMORRHAGE WITH CC 22 $46,505 $8,730 5.33x
305 HYPERTENSION WITHOUT MCC 21 $32,997 $5,429 6.08x
552 MEDICAL BACK PROBLEMS WITHOUT MCC 21 $55,020 $7,022 7.84x

Showing top 20 of 36 DRG categories at this hospital.

About This Data

Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.

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