The Bill Rate Index What the hour costs, and who keeps it
298 facilities · most recent filing each

What Tennessee pays for an agency hour.

Hospitals and nursing homes in Tennessee, each against what it pays its own staff. Every figure below was filed by the facility itself.

Hospitals, FY2025
84% median premium
across 89 hospitals · national median 85%
Nursing homes, FY2025
37% median premium
across 209 nursing homes · national median 100%

Every hospital on record

89 hospitals, most recent filing each. In FY2025 the typical one paid 84% more for an hour of contract staff than for an hour of its own, against a national median of 85%.

HospitalCityEmployed hourContract hourPremiumYear
St Thomas Dekalb HospitalSmithville$40.37$132.44FY2021
Vanderbilt Bedford County HospitalShelbyville$39.42$128.96FY2022
Sweetwater Hospital AssociationSweetwater$27.54$84.03FY2024
Ascension St Thomas River ParkMcminnville$38.94$117.62FY2022
Quillen Rehabilitation Hospital AJohnson City$32.38$94.81FY2022
Covenant Health LeconteSevierville$33.03$93.87FY2025
Cumberland Medical CenterCrossville$30.72$85.45FY2024
Parkwest Medical CenterKnoxville$32.36$89.01FY2024
Methodist Medical CenterOak Ridge$33.71$91.14FY2025
Cookeville Regional Medical CenterCookeville$33.78$89.78FY2024
Fort Sanders Regional Medical CenterKnoxville$34.19$89.89FY2025
Lafollette Medical CenterLafollette$34.56$89.59FY2025
Memorial Health Care System Inc.Chattanooga$39.64$101.14FY2024
Kindred Hospital ChattanoogaChattanooga$37.69$95.29FY2021
Southern Hills Medical CenterNashville$38.12$93.36FY2023
Maury Regional HospitalColumbia$33.93$79.82FY2023
Unity Medical CenterManchester$31.86$72.93FY2024
St. Francis Bartlett Med CtrBartlett$42.96$96.60FY2024
Bradley Medical CenterCleveland$34.55$77.21FY2025
Livingston Regional HospitalLivingston$40.40$89.77FY2024
Claiborne Medical CenterTazewell$27.04$59.89FY2024
Northcrest Medical CenterSpringfield$29.92$66.22FY2021
Indian Path Community HospitalKingsport$36.89$81.39FY2024
Johnson City Medical CenterJohnson City$37.06$81.67FY2024
West Tennessee Healthcare RehabilitaMartin$35.52$77.24FY2024
Henry County Medical CenterParis$36.79$79.86FY2023
Newport Medical CenterNewport$32.71$70.27FY2024
Unicoi County HospitalErwin$37.02$79.18FY2024
So Tenn Reg Med Ctr Of PulaskiPulaski$39.26$82.71FY2025
Franklin Woods Community HospitalJohnson City$39.68$83.01FY2024
Jefferson Memorial HospitalJefferson City$35.83$74.23FY2025
West Tennessee Healthcare RehabilitaJackson$37.88$77.01FY2025
Holston Valley Hosp & Med CtrKingsport$37.59$75.56FY2024
Parkridge Medical CenterChattanooga$37.82$75.96FY2024
Morristown-hamblen HospitalMorristown$31.37$62.30FY2024
Southern Tn Lawrenceburg HospitalLawrenceburg$40.69$78.99FY2025
Tristar Centennial Medical CenterNashville$41.14$79.18FY2025
Tennova Healthcare - North KnoxvilleKnoxville$38.21$73.30FY2025
Vanderbilt Tullahoma-harton HospitalTullahoma$43.84$83.94FY2024
Greeneville Community HospitalGreeneville$39.80$75.36FY2024
Tennova Healthcare ClarksvilleClarksville$37.55$70.07FY2024
Summit Medical CenterHermitage$39.72$73.04FY2025
Metro Nashville General HospitalNashville$43.32$79.57FY2024
Ssh - Tri-cities Inc.Bristol$38.69$71.06FY2025
Athens Regional Medical CenterAthens$37.29$68.43FY2025
Sumner Regional Medical CenterGallatin$43.46$79.68FY2024
Patricia Neal Rehabilitation HospitaKnoxville$41.20$75.49FY2024
Southern Tennessee Medical CenterWinchester$42.96$78.60FY2025
Saint Thomas Rehabilitation HospitalNashville$43.82$79.19FY2024
Encompass Health Rehabilitation HospFranklin$39.94$71.65FY2024
Dyersburg Regional Medical CenterDyersburg$35.21$62.12FY2024
Hardin Medical CenterSavannah$35.71$62.51FY2023
Horizon Medical CenterDickson$36.14$61.92FY2021
Ssh West TennesseeJackson$44.92$76.88FY2025
Sycamore Shoals HospitalElizabethton$38.49$65.74FY2024
Jackson-madison County General HospJackson$35.07$59.64FY2024
Fort Loudoun Medical CenterLenoir City$32.85$55.14FY2025
Tristar Stonecrest Medical CenterSmyrna$39.73$65.99FY2024
Baptist Mem Hospital Tipton CountyCovington$37.40$61.73FY2025
Skyline Medical CenterNashville$38.79$63.39FY2024
Ssh West TennesseeJackson$46.96$76.68FY2023
Methodist H/c Memphis Hospt.Memphis$43.39$69.02FY2025
Williamson HealthFranklin$43.96$69.60FY2024
Encompass Health Rehabilitation HospChattanooga$39.69$62.73FY2024
Ssh -nashvilleNashville$44.87$70.22FY2024
Ssh -north KnoxvillePowell$41.64$64.63FY2025
Ssh -memphis IncMemphis$45.76$68.36FY2025
Vanderbilt Wilson County HospitalLebanon$48.22$71.86FY2024
Vanderbilt University Medical CenterNashville$56.37$80.10FY2024
The Center For Spinal SurgeryNashville$43.76$62.10FY2025
Roane County Medical CenterHarriman$32.48$45.75FY2024
Blount Memorial HospitalMaryville$50.81$70.87FY2025
St. Francis HospitalMemphis$43.34$59.73FY2024
Bristol Regional Medical CenterBristol$37.39$51.39FY2024
Baptist Mem Hospital MemphisMemphis$39.43$53.24FY2025
Saint Thomas Rutherford HospitalMurfreesboro$41.75$56.24FY2024
Saint Thomas West HospitalNashville$43.35$56.43FY2024
Baptist Mem Hospital Union CityUnion City$34.87$45.25FY2025
Knoxville Rehabilitation HospitalKnoxville$37.12$47.82FY2022
West Tn Healthcare Volunteer HospitaMartin$39.58$50.82FY2024
Vanderbilt Stallworth RehabilitationNashville$40.09$47.04FY2024
Lincoln Medical CenterFayetteville$34.33$38.85FY2024
Regional One HealthMemphis$35.26$39.87FY2024
Encompass Health Rehabilitation HospMemphis$46.19$49.43FY2025
Erlanger Medical CenterChattanooga$50.80$49.18FY2024
Henderson County Community HospitalLexington$41.35$38.15FY2023
University Of Tennessee Medical CentKnoxville$46.23$41.92FY2025
Tristar Hendersonville Medical CenteHendersonville$39.42$32.53FY2024
Hawkins County Memorial HospitalRogersville$32.66$26.11FY2021

Every nursing home on record

209 nursing homes, most recent filing each. In FY2025 the typical one paid 37% more for an hour of contract staff than for an hour of its own, against a national median of 100%.

Nursing homeCityEmployed hourContract hourPremiumYear
Humphreys County Nursing HomeWaverly$18.38$85.44FY2021
Nhc Healthcare KnoxvilleKnoxville$28.51$131.88FY2024
Jefferson Park At White PineWhite Pine$18.24$73.87FY2024
The Bay At HighlandsMemphis$20.31$81.30FY2023
Lcc Of ElizabethtonElizabethton$22.83$91.09FY2024
Meadowbrook Health And RehabiltationPulaski$28.57$111.37FY2024
Lcc Of SpartaSparta$22.53$87.47FY2024
Christian Care Ctr Of Unicoi CountyErwin$26.27$100.35FY2024
Nhc Healthcare SumnerGallatin$28.58$105.40FY2024
Jefferson County Nursing HomeDandridge$19.75$72.72FY2024
Christian Care Center Of BolivarBolivar$27.57$92.74FY2024
Wood VillageSweetwater$21.33$70.68FY2024
Lcc Of GreenevilleGreeneville$23.80$76.62FY2024
Horizon Health And RehabManchester$27.39$87.74FY2024
Nhc Healthcare SpringfieldSpringfield$27.05$85.37FY2024
Hermitage Health CenterElizabethton$24.02$75.28FY2024
Oneida Nursing & Rehab CenterOneida$20.21$62.22FY2024
7004 Signature Healthcare Of FentresJamestown$26.65$81.63FY2023
Lcc Of CrossvilleCrossville$25.07$76.05FY2024
Life Care Center Of BrucetonBruceton$23.54$71.36FY2024
Lcc Of TullahomaTullahoma$25.89$78.09FY2024
Viviant Healthcare Of BristolBristol$22.16$65.02FY2022
Nhc Healthcare SmithvilleSmithville$17.52$51.23FY2023
Lcc Of Morgan CountyWartburg$23.45$68.45FY2024
Donalson Care CenterFayetteville$25.98$75.13FY2024
7005 Signature Healthcare Of GreenevGreeneville$28.18$81.32FY2024
Lcc Of Hickory WoodsAntioch$28.02$79.66FY2024
Lynchburg Nursing CenterLynchburg$25.34$71.54FY2024
Lcc Of Rhea CountyDayton$23.39$65.54FY2024
Tn State Veterans Home-humboldtHumboldt$24.78$69.00FY2024
Ridgeview Terrace Of Life CareRutlegde$23.45$65.26FY2024
The Heritage At BrentwoodBrentwood$26.03$72.26FY2024
Lcc Of Jefferson CityJefferson City$24.40$67.53FY2024
The Trezevant Episcopal HomeMemphis$21.83$60.33FY2024
Ivy Hall Nursing HomeElizabethton$28.73$78.93FY2024
Abundant Christian Living CommunityJohnson City$32.25$88.01FY2024
Lcc Of Columbia (tn)Columbia$24.72$66.92FY2024
7016 The Bridge At South PittsburgSouth Pittsburg$29.08$78.53FY2024
Nhc Healthcare OakwoodLewisburg$24.11$65.10FY2024
Kdm Inc Dba Durham Hensley H&rChuckey$27.42$73.47FY2024
Lcc Of Blount CountyLouisville$26.70$70.59FY2024
Paris Health Care Nursing And RehabiParis$21.70$57.15FY2022
Tsvh - ClevelandCleveland$26.28$69.00FY2024
Lcc Of CentervilleCenterville$24.37$63.95FY2024
Lcc Of OoltewahOoltewah$26.50$69.41FY2024
Lcc Of GrayGray$24.93$65.18FY2024
Covington Care Nursing And RehabilitCovington$30.65$80.00FY2024
Trenton Health And RehabilitationTrenton$25.20$65.39FY2024
Lcc Of ClevelandCleveland$25.40$65.39FY2024
7020 Standing Stone Care & RehabilitMonterey$28.54$72.46FY2024
Nhc Healthcare Columbia (tn)Columbia$22.68$57.37FY2023
Lcc Of Old Hickory VillageOld Hickory$28.36$71.47FY2024
Ocoee Copper Basin Health And RehabiDucktown$24.14$60.58FY2025
Center On Aging And HealthErwin$19.92$49.93FY2024
Hillview Health CenterElizabethton$24.51$61.35FY2024
Life Care Center Of MorristownMorristown$24.93$62.10FY2024
Tn State Veterans Home-clarksvilleClarksville$25.62$63.66FY2024
Nhc Healthcare Ft. SandersKnoxville$27.38$68.01FY2024
The Health Center At Richland PlaceNashville$19.49$48.37FY2023
7001 Signature Healthcare Of ClevelaCleveland$27.89$69.01FY2023
Lcc Of East RidgeEast Ridge$26.01$63.61FY2024
May Cravath Wharton Nursing HomePleasant Hill$32.38$78.52FY2024
Luke Inc.Collierville$22.11$53.56FY2024
Camden Health & Rehab CenterCamden$25.15$60.81FY2024
Pine Meadows Health & Rehab CenterBolivar$25.58$61.41FY2024
Huntingdon Health & Rehab CenterHuntingdon$24.59$58.98FY2024
Ripley Health & Rehab CenterRipley$25.70$60.00FY2024
Jefferson City Hlth & Rehab CenterJefferson City$23.74$55.41FY2024
Celina Health And Rehabilitation CenCelina$25.20$58.29FY2024
Gallaway HealthcareGallaway$25.36$58.54FY2024
Woodbury Health And Rehabilitation CWoodbury$26.23$60.50FY2024
Tn State Veterans Home-murfreesboroMurfreesboro$25.73$59.27FY2024
Christian Care Center Of MilanMedina$29.14$66.60FY2024
Magnolia Healthcare And RehabColumbia$21.60$49.12FY2024
Forest Cove Nursing And RehabJackson$21.69$49.14FY2022
Greystone Health Care CenterBlountville$25.49$57.48FY2024
Erwin Healthcare CenterErwin$25.48$57.21FY2023
Whites Creek Operating Group LlcWhites Creek$28.88$64.79FY2024
Island Home Park Health And RehabKnoxville$24.09$53.93FY2024
Good Samaritan Society - FairfieldCrossville$27.82$61.58FY2024
Lcc Of Red BankChattanooga$26.28$57.97FY2024
Elk River H & Nsg Cntr Of WinchesterWinchester$24.57$54.07FY2024
Crestview Health Care And RehabilitaBrownsville$22.27$48.84FY2022
Nhc Healthcare LewisburgLewisburg$21.36$46.82FY2021
The Heritage CenterMorristown$25.38$55.61FY2024
7021 Westmoreland Care & RehabilitatWestmoreland$29.77$65.06FY2024
Ave Maria HomeMemphis$22.94$49.86FY2024
Ahava Healthcare Of ClarksvilleClarksville$20.04$43.37FY2024
Country Side Post-acute And RehabLawrenceburg$22.92$49.52FY2024
Majestic Operations LlcMemphis$24.03$51.74FY2024
Elk River Hlth & Nsg Ctr ArdmoreArdmore$28.01$60.26FY2024
Mckendree VillageHermitage$25.19$53.93FY2022
Reelfoot ManorTiptonville$23.15$49.38FY2024
Hancock Manor Nursing HomeSneedville$19.03$40.57FY2024
Shannondale Health CareKnoxville$28.58$60.72FY2024
Sevierville Health And RehabilitatioSevierville$27.70$58.84FY2024
Lcc Of AthensAthens$23.83$50.60FY2024
Nhc Healthcare DicksonDickson$21.93$46.43FY2023
Beverly Park Place Health & RehabKnoxville$23.46$49.50FY2024
Viviant Healthcare Of MurfreesboroMurfreesboro$30.89$65.07FY2022
West Hills Nursing And RehabKnoxville$24.88$51.84FY2024
Rainbow Rehabilitation And HealthcarBartlett$27.94$58.15FY2024
7030 Madison Rehabilitation And NursMadison$28.66$59.47FY2022
Monroe Health & RehabMadisonville$24.07$49.59FY2023
Waynesboro Health And RehabilitationWaynesboro$22.44$46.01FY2023
Life Care Center Of HixsonHixson$27.08$55.18FY2024
Life Care Centers Of CollegedaleCollegedale$26.17$52.55FY2024
The Bay At DyersburgDyersburg$20.78$41.60FY2024
Dickson Healthcare And RehabDickson$23.12$45.98FY2024
Wellpark At ShannondaleKnoxville$28.39$56.05FY2024
Spring Meadows Health Care CenterClarksville$23.68$46.38FY2024
Lexington ManorLexington$28.56$55.89FY2024
Emerald Spring Hill Inc. Dba The ReSpring Hill$27.24$53.29FY2024
West Meade PlaceNashville$33.01$64.50FY2024
Green Hills Center For Rehab & HealiNashville$25.14$48.65FY2024
The Health Center At Adams PlaceMurfreesboro$24.53$47.42FY2024
West Tennessee Transitional CareJackson$30.73$59.28FY2024
Spring Gate Health & Rehab CenterMemphis$30.46$58.21FY2024
The Village At Germantown IncGermantown$28.87$54.63FY2024
Nhc Healthcare AthensAthens$27.64$51.80FY2024
Claiborne & Hughes Nursing And RehabFranklin$26.99$50.50FY2024
Laurelwood Healthcare CenterJackson$23.17$43.31FY2024
Adamsville Operating Group LlcAdamsville$20.78$38.80FY2024
Four Oaks Health CenterJonesborough$26.10$48.54FY2024
Memphis Jewish HomeCordova$27.81$51.72FY2024
Henderson Health And Rehab CenterHenderson$24.18$44.75FY2024
Nhc Healthcare FranklinFranklin$23.26$42.35FY2021
Waverly Health Care And RehabilitatiWaverly$29.28$53.28FY2024
Nhc Healthcare ChattanoogaChattanooga$22.38$40.60FY2023
Lebanon Center For Rehab & HealingLebanon$28.19$51.11FY2024
Franklin Operating Group LlcFranklin$24.74$44.50FY2024
Henry County Health And RehabilitatiParis$23.79$42.79FY2024
Nhc Healthcare McminnvilleMcminnville$21.74$39.10FY2021
Nhc Healthcare PulaskiPulaski$21.79$39.00FY2023
Trevecca Center For Rehab & HealingNashville$28.03$49.66FY2024
7019 Spring City Care & RehabilitatiSpring City$27.02$47.46FY2024
Decatur Operating Group LlcDecatur$22.93$40.12FY2024
Elk River Hlth & Nsg Of FayettevilleFayetteville$26.32$45.92FY2024
Bright Glade Health And RehabilitatiMemphis$34.22$59.51FY2024
Nhc Healthcare MilanMilan$25.43$44.01FY2024
The Health Center At Standifer PlaceChattanooga$27.83$48.16FY2024
Nhc Healthcare TullahomaTullahoma$27.12$46.66FY2024
7008 Signature Healthcare Of MemphisMemphis$30.26$52.06FY2024
Manchester Center For Rehab & HealinManchester$26.31$45.19FY2024
Nashville Center For RehabilitationNashville$28.41$48.76FY2024
7017 The Bridge At RockwoodRockwood$30.22$51.63FY2024
Graceland Rehab And Nursing CenterMemphis$31.50$53.27FY2024
Creekside Center For RehabMadison$28.05$47.41FY2024
Union City Nursing And RehabilitatioUnion City$22.25$37.43FY2022
Hillcrest Healthcare CenterAshland City$25.88$43.31FY2024
Knollwood ManorLafayette$23.42$38.78FY2023
Alexian Village Of TennesseeSignal Mountian$31.45$51.93FY2024
7015 The Bridge At RidgelyRidgely$28.17$46.29FY2024
Bethany Center For Rehab And HealingNashville$28.24$46.29FY2024
7028 Signature Healthcare Of PutnamCookeville$28.88$47.18FY2024
Cumberland VillageLa Follette$24.59$40.14FY2023
Millington Nursing CenterMillington$28.58$46.48FY2024
Quality Center For Rehab And HealingLebanon$24.99$40.34FY2024
Chattanooga Health And Rehab CenterChattanooga$29.76$47.89FY2022
Clarksville Nursing And RehabilitatiClarksville$30.75$49.38FY2024
Vanco Manor Nursing & RehabilitationGoodlettsville$32.41$51.68FY2024
Maplewood Healthcare CenterJackson$23.10$36.73FY2024
Viviant Healthcare Of ShelbyvilleShelbyville$28.38$44.98FY2022
Nhc Healthcare SequatchieDunlap$22.31$34.29FY2021
7003 Signature Healthcare Of ErinErin$29.12$44.50FY2024
Stone River Post AcuteMurfreesboro$29.14$44.44FY2023
7010 Signature Healthcare At ClarksvClarksville$29.19$44.45FY2024
7009 The Bridge At MonteagleMonteagle$28.99$44.11FY2024
HeartlandNashville$30.72$46.42FY2024
Hartsville Convalescent CenterHartsville$25.38$38.00FY2024
Nhc Healthcare LawrenceburgLawrenceburg$23.78$35.61FY2024
Willow Ridge CenterMaynardville$29.99$44.54FY2023
Shannondale Of Maryville Health CareMaryville$30.69$45.33FY2024
Cordova Operating Group LlcCordova$27.92$41.20FY2024
Gallatin Center For Rehab & HealingGallatin$29.80$43.86FY2024
Good Samaritan Health & RehabAntioch$31.39$45.07FY2022
Stones River Advanced Care CenterMurfreesboro$25.57$36.12FY2024
Nhc Healthcare Oak RidgeOak Ridge$26.03$36.70FY2024
Kirby Pines ManorMemphis$20.41$28.46FY2024
Applingwood Healthcare CenterCordova$30.87$43.00FY2023
Northbrooke Healthcare And Rehab CenJackson$30.65$42.42FY2024
Nhc Place At Cool SpringsFranklin$28.83$39.88FY2024
Cumberland Manor Nursing CenterNashville$29.81$40.93FY2025
7031 Signature Healthcare Of PrimacyMemphis$30.35$40.39FY2023
Holston Rehabilitation & Care CenterKingsport$25.99$34.43FY2024
Lewis County Nursing And RehabilitatHohenwald$31.34$41.16FY2023
Woodcrest At BlakefordNashville$36.97$47.88FY2024
Bethesda Health Care CenterCookeville$28.05$36.19FY2024
First Creek Healthcare Inc.Knoxville$27.51$35.25FY2024
Mt Juliet Health Care CenterMt Juliet$34.87$44.62FY2024
Allenbrooke Nursing & Rehab Ctr LlcMemphis$30.19$38.55FY2023
Nhc Healthcare MurfreesboroMurfreesboro$28.70$36.08FY2024
Nhc-maury Regional TccColumbia$26.89$32.94FY2024
Nhc Healthcare HendersonvilleHendersonville$25.29$30.18FY2023
Quince Nursing & Rehab Center LlcMemphis$29.22$34.53FY2023
Humboldt Healthcare And Rehab CenterHumboldt$31.45$37.15FY2024
Ocoee Transitional Care Center LlcMaryville$31.71$36.18FY2024
Parkway Health & Rehab CenterMemphis$29.18$33.06FY2024
Nhc Healthcare FarragutKnoxville$26.62$29.31FY2024
Nhc Healthcare ScottLawrenceburg$27.20$28.89FY2024
Holston Health & Rehabilitation CenKnoxville$28.84$29.50FY2024
7024 The Bridge At HighlandPortland$33.61$33.51FY2024
Smoky Mountain Healthcare Inc.Maryville$29.04$28.96FY2024
Lakeshore The MeadowsNashville$29.28$27.93FY2024
Townsqure Care Mgt Of PuryearPuryear$20.17$18.99FY2023
Ahc Of NashvilleNashville$32.53$29.58FY2024
Tn State Veterans Home-knoxvilleKnoxville$26.62$23.94FY2024
Wellmont Wexford HouseKingsport$28.53$24.00FY2024
Lyonsview Health And RehabKnoxville$62.38$38.64FY2025

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