facebook tracking Implantation of Drug Infusion Device cost in Tennessee: 15 hospitals compared (APC 5471)

Implantation of Drug Infusion Device in Tennessee

What 15 hospitals in Tennessee charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.

APC 5471 Outpatient 2024 Medicare data
Average charge $79,891 Hospital list price billed
Average allowed $11,624 Medicare's payment + patient's share
Medicare paid $9,992 Average per service
State rank #1 of 32 1 = lowest average payment

Hospitals in Tennessee billed an average of $79,891 for implantation of drug infusion device, about 6.9 times the average medicare-allowed amount of $11,624. That payment is 29% below the U.S. average of $16,462.

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 $11,624Billed $79,891

About 15¢ was paid for every $1 hospitals in Tennessee billed for this service.

Tennessee hospitals: implantation of drug infusion device

Every Tennessee hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Vanderbilt University HospitalNashville 11 $79,891 $11,624 $9,992
Jackson-Madison Cnty Gen HospJackson – – – –
Univ of Tn Mem HospitalKnoxville – – – –
Wellmont Holston Vly Med CtrKingsport – – – –
Methodist Med Ctr of Oak RidgeOak Ridge – – – –
Baptist Memorial HospitalMemphis – – – –
Methodist Healthcare-MemphisMemphis – – – –
Volunteer Community HospitalMartin – – – –
Johnson City Medical CenterJohnson City – – – –
St Thomas HospitalNashville – – – –
Erlanger Medical CenterChattanooga – – – –
Fort Sanders Reg Medical CtrKnoxville – – – –
Summit Medical CenterHermitage – – – –
Centennial Medical CenterNashville – – – –
St Francis HospitalMemphis – – – –
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Implantation of Drug Infusion Device in other states

Questions

How much does implantation of drug infusion device cost in Tennessee?

In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 15 hospitals in Tennessee was billed at $79,891 on average, while the average medicare-allowed amount was $11,624, of which Medicare paid $9,992. 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 6.9 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.