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Most expensive hospitals in Tennessee
Riverview Regional Medical Center in Carthage has the highest list prices in Tennessee: on average 11.7x what Medicare pays for the same services. The median across 9 ranked Tennessee hospitals is 2.1x.
Data as of 2026-11-11 · How this is calculated
Highest prices compared to Medicare
| # | Hospital | City | Prices vs Medicare | Grade |
|---|---|---|---|---|
| 1 | Riverview Regional Medical Center | Carthage | 11.7x | F |
| 2 | Saint Francis Bartlett Medical Center | Bartlett | 5.5x | D |
| 3 | Encompass Health Rehabilitation Hospital of Kingsport | Kingsport | 4.9x | C |
| 4 | Ascension Saint Thomas Dekalb | Smithville | 2.1x | B |
| 5 | Ascension Saint Thomas Stones River | Woodbury | 2.1x | B |
| 6 | Saint Thomas Highlands Hospital | Sparta | 2.0x | A |
| 7 | Saint Thomas Hickman Hospital | Centerville | 1.8x | A |
| 8 | Saint Thomas River Park Hospital | Mcminnville | 1.8x | A |
| 9 | Saint Thomas Rutherford Hospital | Murfreesboro | 1.5x | A |
What this means for your bill
List prices are a starting point, not what insurers pay. But uninsured patients and people paying a deductible are often billed from them. A high multiple is a strong reason to ask for an itemized bill and question the charges.
Check my bill freeHow this is calculated
For each hospital we compare the gross charges in its federally required price transparency file with what Medicare pays hospitals for the same billing code (the outpatient OPPS rate), then average across procedures. Codes Medicare doesn’t pay that way, such as lab tests and inpatient surgery, are left out. Hospitals need at least 5 priced procedures to be ranked. Full method and grading scale.