Complex GI Procedures in Tennessee
What 38 hospitals in Tennessee charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$30,354
Hospital list price billed
Average allowed
$4,762
Medicare's payment + patient's share
Medicare paid
$3,788
Average per service
State rank
#10 of 48
1 = lowest average payment
Hospitals in Tennessee billed an average of $30,354 for complex gi procedures, about 6.4 times the average medicare-allowed amount of $4,762. That payment is 11% below the U.S. average of $5,364.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $4,762Billed $30,354
About 16¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: complex gi procedures
Every Tennessee hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Tennessee
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Vanderbilt University HospitalNashville, TN | $4,539 |
|---|---|
| Univ of Tn Mem HospitalKnoxville, TN | $4,613 |
| Saint Thomas Rutherford HospitalMurfreesboro, TN | $4,637 |
| Fort Sanders Reg Medical CtrKnoxville, TN | $4,700 |
| Baptist Memorial HospitalMemphis, TN | $4,807 |
Highest
| Cookeville Regional Med CenterCookeville, TN | $5,228 |
|---|---|
| St Thomas HospitalNashville, TN | $4,910 |
| Centennial Medical CenterNashville, TN | $4,910 |
| Erlanger Medical CenterChattanooga, TN | $4,873 |
| Memorial Healthcare System, INCChattanooga, TN | $4,857 |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in Tennessee?
In 2024 Medicare data, complex gi procedures (APC 5331) at 38 hospitals in Tennessee was billed at $30,354 on average, while the average medicare-allowed amount was $4,762, of which Medicare paid $3,788. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Tennessee, average charges were 6.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.