Sycamore Shoals Hospital

1501 West Elk Avenue · Elizabethton, TN 37643

🤖AI Overview

⚠️ This hospital charges 5.1x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$22.6M

Medicare Payments

$4.4M

Discharges

579

Avg Length of Stay

4.0 days

Markup Ratio

5.1x

Risk Score

1.86

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Sycamore Shoals Hospital charges an average of $39,084 per discharge, but Medicare only pays $7,627 — a markup of 5.1x. 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

5.1x

State Avg

6.0x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$39,084

State Avg

$75,510

National Avg

$69,838

Avg Length of Stay

This Hospital

4.0 days

State Avg

5.2 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

12.6%

65–74

28.1%

75–84

34.3%

85+

24.9%

Gender

62.0%

Female

38.0%

Male

Dual Eligibility

29.6%

Dual Eligible

70.4%

Non-Dual

Race & Ethnicity

White

97.4%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Anxiety

59.3%

Mood Disorders

56.5%

Arthritis

55.2%

Depression

53.1%

Ischemic Heart Disease

49.9%

Diabetes

47.8%

Heart Failure

44.6%

Chronic Kidney Disease

43.5%

COPD

36.3%

Atrial Fibrillation

33.0%

Alzheimer's/Dementia

29.4%

Tobacco Use

24.9%

Osteoporosis

18.6%

Bipolar Disorder

17.9%

Substance Use

17.5%

Stroke/TIA

16.6%

Cancer

13.7%

Asthma

12.4%

Schizophrenia/Psychosis

9.8%

Personality Disorders

4.7%

Parkinson's

3.6%

PTSD

2.8%

ADHD/Conduct Disorders

0.6%

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.