Does Highpoint Health-Sumner With Ascension Saint Thoma Take Medicare?
Yes — Highpoint Health-Sumner With Ascension Saint Thoma in Gallatin, Tennessee is a Medicare-participating hospital. It appears in CMS Inpatient Payment files with documented payment data across 18 inpatient procedure types, averaging $19,122 per Medicare stay. It also operates an emergency department, so Medicare emergency coverage applies.
This page answers a common question about U.S. hospital cost and quality data: Does Highpoint Health-Sumner With Ascension Saint Thoma Take Medicare?. The answer draws on CMS Inpatient Payment files, CMS Hospital Compare quality measures, and the LakeQuality value rubric that combines both. Each underlying source is linked directly so the reasoning can be verified. Why this matters: U.S. hospital costs and quality vary by an order of magnitude between facilities for the same procedure, and the variation is not random — it correlates with hospital type, ownership, regional payment adjustments, and case mix. Understanding how to read the public CMS data is the difference between a defensible hospital choice and a coin flip.
The detailed answer below covers what the underlying data shows, the limitations of that data (the Medicare numbers do not directly tell you what commercial insurance pays, or what you will pay out of pocket), and how to translate the public numbers into the questions a patient or family actually has when comparing hospitals.
Medicare at a Glance: Highpoint Health-Sumner With Ascension Saint Thoma
- Medicare-participating
- Yes
- Emergency department
- Yes
- Hospital type
- Acute Care Hospitals
- Ownership
- Proprietary
- Procedure types reported
- 18
- Avg Medicare payment
- $19,122/stay
Source: CMS Inpatient Payment files and Hospital Compare. Participation status is inferred from CMS payment reporting — confirm benefits with your specific Medicare or Medicare Advantage plan.
What Medicare Covers at Highpoint Health-Sumner With Ascension Saint Thoma
Highpoint Health-Sumner With Ascension Saint Thoma appears in the CMS Inpatient Payment files, which only include hospitals enrolled in Medicare. That enrollment is what lets Medicare Part A pay for covered inpatient stays here. Across the 18 procedure types it reports, Medicare pays an average of $19,122 per stay, about $4,959 above the Tennessee average of $14,163.
Those figures are what Medicare pays the hospital — not what you pay. Under Original Medicare, inpatient (Part A) costs are driven by the annual deductible and benefit-period coinsurance, not by the hospital's billed amount. Because Highpoint Health-Sumner With Ascension Saint Thoma runs an emergency department, Medicare emergency coverage applies, and the No Surprises Act caps balance billing for out-of-network emergency care.
If you have Medicare Advantage (Part C) rather than Original Medicare, coverage at Highpoint Health-Sumner With Ascension Saint Thoma depends on whether the hospital is in your plan's network — call the number on your plan card to confirm before a scheduled procedure. A Medigap supplement can absorb much of the Part A deductible and coinsurance for Original Medicare enrollees.
Key Data
| Metric | Value |
|---|---|
| CMS Quality Rating | 2/5 |
| Outcome Score | 50/100 |
| Value Grade | D |
| Avg Payment | $19,122 |
| Mortality Better / Worse | 0 / 0 |
| Safety Better / Worse | 1 / 1 |
Frequently Asked Questions
Yes. Highpoint Health-Sumner With Ascension Saint Thoma is a Medicare-participating hospital — it reports payment data to the CMS Inpatient Payment files, which means Medicare covers eligible inpatient and outpatient services there. The data on this page reflects average Medicare payments for inpatient stays; your actual out-of-pocket cost depends on your specific Medicare plan, any supplemental (Medigap) coverage, and the procedure.
Yes. Highpoint Health-Sumner With Ascension Saint Thoma operates an emergency department. Under Medicare, emergency care is covered at participating hospitals, and the No Surprises Act limits balance billing for out-of-network emergency services.
Highpoint Health-Sumner With Ascension Saint Thoma averages $19,122 per Medicare inpatient stay across the 18 procedure types it reports — above the Tennessee average of $14,163 and above the national average of $15,878. This is what Medicare pays, not your copay — Part A inpatient costs are governed by the annual deductible and benefit-period rules.
Highpoint Health-Sumner With Ascension Saint Thoma has a CMS quality rating of 2/5 and an Outcome Score of 50/100. Mortality outcomes are at the national average.
Highpoint Health-Sumner With Ascension Saint Thoma's average procedure payment of $19,122 is $4,959 above the Tennessee state average of $14,163, and $3,244 above the national average of $15,878.
More about Highpoint Health-Sumner With Ascension Saint Thoma
Yes — Highpoint Health-Sumner With Ascension Saint Thoma in Gallatin, Tennessee is a Medicare-participating hospital. It appears in CMS Inpatient Payment files with documented payment data across 18 inpatient procedure types, averaging $19,122 per Medicare stay. It also operates an emergency department, so Medicare emergency coverage applies.
Source: CMS Hospital Price Transparency, 2026.