B

Saint Thomas Highlands Hospital

401 Sewell Dr · Sparta, TN 38583

🤖AI Overview

This hospital markup of 2.0x is near the national average. Patients without insurance may still face significantly higher bills.

Total Charges
$3.7M
Medicare Payments
$1.8M
Discharges
175
Avg Length of Stay
2.9 days
Markup Ratio
2.0x
Risk Score
1.72

Fairness Grade: B

Good — charges 2–3x what Medicare pays

Saint Thomas Highlands Hospital charges an average of $21,337 per discharge, but Medicare only pays $10,523 — a markup of 2.0x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio
This Hospital
2.0x
State Avg
6.0x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$21,337
State Avg
$75,510
National Avg
$69,838
Avg Length of Stay
This Hospital
2.9 days
State Avg
5.2 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
14.1%
65–74
26.8%
75–84
36.9%
85+
22.1%

Gender

59.7%
Female
40.3%
Male

Dual Eligibility

32.2%
Dual Eligible
67.8%
Non-Dual

Race & Ethnicity

White
96.6%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
71.1%
Mood Disorders
50.3%
COPD
48.3%
Ischemic Heart Disease
46.3%
Anxiety
46.3%
Chronic Kidney Disease
45.6%
Depression
45.6%
Diabetes
43.6%
Alzheimer's/Dementia
38.9%
Heart Failure
36.9%
Atrial Fibrillation
34.2%
Tobacco Use
28.9%
Osteoporosis
17.4%
Stroke/TIA
14.1%
Schizophrenia/Psychosis
14.1%
Substance Use
13.4%
Cancer
12.8%
Asthma
12.8%
Bipolar Disorder
12.8%
Personality Disorders
4.7%
Parkinson's
2.0%
PTSD
2.0%
ADHD/Conduct Disorders
0.7%
Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.