Highpoint Health-Sumner With Ascension Saint Thoma
555 HARTSVILLE PIKE, Gallatin, TN 37066
Highpoint Health-Sumner With Ascension Saint Thoma in Gallatin, TN has an average Medicare payment of $19,122 and a Value Score of D (47/100). Compare prices for 18 procedures. Based on CMS inpatient data.
About Highpoint Health-Sumner With Ascension Saint Thoma
On the CMS Hospital Compare scale, Highpoint Health-Sumner With Ascension Saint Thoma earns 2 stars, placing it in the lower half of U.S. acute-care hospitals on the combined safety, mortality, and experience measure set. Outcome measures are mixed: 0 mortality, 1 safety, and 1 readmission measures rate better than benchmark; 0 mortality, 1 safety, and 0 rate worse. The composite outcome score is 50/100.
On payment metrics, Highpoint Health-Sumner With Ascension Saint Thoma runs expensive: average Medicare payment across documented procedures is $19,122, in the upper bracket of U.S. hospitals. The composite value score of 47/100 puts Highpoint Health-Sumner With Ascension Saint Thoma in the middle of the value distribution: not a standout choice on cost-vs-quality grounds, but not poor either.
Highpoint Health-Sumner With Ascension Saint Thoma is investor-owned — a proprietary hospital, the minority ownership pattern in U.S. acute care. For-profit hospitals are more concentrated in some regions (Florida, Texas, Nevada) than others. The CMS payment record for Highpoint Health-Sumner With Ascension Saint Thoma lists 18 distinct DRG codes — a mid-range procedure mix, including Pulmonary Edema and Respiratory Failure, Intracranial Hemorrhage or Cerebral Infarction with MCC, Major Hip and Knee Joint Replacement. Emergency services are available, which is the norm for acute-care hospitals and a meaningful factor for any patient choosing a facility for unplanned care.
Source: CMS Provider Data Catalog — Hospital Compare quality measures, CMS Inpatient Payment data files.
Procedure Prices
| Procedure (DRG) | Total Payment |
|---|---|
Pulmonary Edema and Respiratory Failure DRG 189 · Respiratory | $15,946 |
Intracranial Hemorrhage or Cerebral Infarction with MCC DRG 065 · Neurological | $20,771 |
Major Hip and Knee Joint Replacement DRG 470 · Orthopedic | $24,162 |
Cardiac Arrhythmia and Conduction Disorders with MCC DRG 308 · Cardiac | $12,810 |
GI Hemorrhage with MCC DRG 378 · Digestive | $16,963 |
Hip and Femur Procedures Except Major Joint with MCC DRG 480 · Orthopedic | $22,242 |
Esophagitis, Gastroenteritis with MCC DRG 392 · Digestive | $12,937 |
Cellulitis with MCC DRG 603 · Infectious | $14,184 |
Septicemia or Severe Sepsis without Ventilator DRG 871 · Infectious | $16,049 |
Vaginal Delivery without Complicating Diagnoses DRG 775 · Obstetric | $5,381 |
Nutritional and Misc Metabolic Disorders with MCC DRG 641 · Metabolic | $15,836 |
Spinal Fusion (Non-Cervical) with MCC DRG 460 · Orthopedic | $48,326 |
Respiratory System Diagnosis with Ventilator Support >96 Hours DRG 208 · Respiratory | $55,802 |
Heart Failure and Shock with CC DRG 292 · Cardiac | $13,613 |
Signs and Symptoms without MCC DRG 948 · Other | $5,653 |
Heart Failure and Shock with MCC DRG 291 · Cardiac | $13,240 |
Percutaneous Cardiovascular Procedure with Drug-Eluting Stent DRG 247 · Cardiac | $21,246 |
Transient Ischemia DRG 069 · Neurological | $9,026 |
Pricing data from CMS Hospital Price Transparency. Quality ratings from CMS Hospital Compare.
How Highpoint Health-Sumner With Ascension Saint Thoma Compares
Highpoint Health-Sumner With Ascension Saint Thoma has an average Medicare payment of $19,122, 35% above the Tennessee state average of $14,163. That is 20% higher than the national hospital average of $15,878. Most of its procedures fall under Cardiac, where the typical payment is $14,557 (31% above this hospital's average). Its Value Score of D (47/100) reflects a blend of price percentile, CMS quality rating, and patient outcome measures.
Highpoint Health-Sumner With Ascension Saint Thoma Cost & Quality FAQ
Highpoint Health-Sumner With Ascension Saint Thoma has an average payment of $19,122 across 18 priced procedures. Costs vary significantly by procedure, compare individual prices in the procedure table above.
Highpoint Health-Sumner With Ascension Saint Thoma has a CMS star rating of 2 out of 5. Quality measures include mortality rates, safety incidents, and readmission rates from Medicare data.
Highpoint Health-Sumner With Ascension Saint Thoma has a Value Score of D (47/100). This score combines cost efficiency, quality ratings, and patient outcomes to help compare hospitals. Proprietary facilities like this one are acute care hospitals.
Yes, Highpoint Health-Sumner With Ascension Saint Thoma offers emergency services. The hospital is located at 555 HARTSVILLE PIKE, Gallatin, TN 37066. Phone: (615) 328-8888.
Explore Hospital Cost Data
Hospital payment data reflects Medicare inpatient claims. Value Scores combine cost efficiency, CMS star ratings, and patient outcome measures. Actual out-of-pocket costs may vary based on insurance and individual circumstances.