Sumner Regional Medical Center

555 Hartsville Pike · Gallatin, TN 37066

🤖AI Overview

⚠️ This hospital charges 8.2x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$125.2M

Medicare Payments

$15.4M

Discharges

1,777

Avg Length of Stay

4.2 days

Markup Ratio

8.2x

Risk Score

2.11

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Sumner Regional Medical Center charges an average of $70,479 per discharge, but Medicare only pays $8,641 — a markup of 8.2x. 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

8.2x

State Avg

6.0x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$70,479

State Avg

$75,510

National Avg

$69,838

Avg Length of Stay

This Hospital

4.2 days

State Avg

5.2 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

11.2%

65–74

35.6%

75–84

31.4%

85+

21.9%

Gender

55.8%

Female

44.2%

Male

Dual Eligibility

21.4%

Dual Eligible

78.6%

Non-Dual

Race & Ethnicity

White

91.8%

Black

5.6%

Other

1.6%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

62.6%

Ischemic Heart Disease

54.1%

Chronic Kidney Disease

48.0%

Mood Disorders

45.6%

Diabetes

45.2%

Anxiety

45.2%

Depression

42.6%

Heart Failure

42.2%

COPD

39.3%

Atrial Fibrillation

34.7%

Alzheimer's/Dementia

26.6%

Tobacco Use

21.9%

Cancer

21.6%

Substance Use

19.0%

Stroke/TIA

18.3%

Osteoporosis

16.8%

Asthma

11.5%

Bipolar Disorder

8.4%

Schizophrenia/Psychosis

6.8%

Parkinson's

4.5%

PTSD

2.1%

Personality Disorders

1.4%

ADHD/Conduct Disorders

0.8%

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.