Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Tennessee
What 66 hospitals in Tennessee charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$23,651
Hospital list price billed
Average allowed
$2,900
Medicare's payment + patient's share
Medicare paid
$2,299
Average per service
State rank
#5 of 49
1 = lowest average payment
Hospitals in Tennessee billed an average of $23,651 for level 1 abdominal/peritoneal/biliary and related procedures, about 8.2 times the average medicare-allowed amount of $2,900. That payment is 13% below the U.S. average of $3,323.
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 $2,900Billed $23,651
About 12¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 1 abdominal/peritoneal/biliary and related procedures
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 | 139 | $29,280 | $2,815 | $2,234 |
| Memorial Healthcare System, INCChattanooga | 114 | $18,076 | $2,928 | $2,326 |
| Baptist Memorial HospitalMemphis | 102 | $19,850 | $2,918 | $2,318 |
| Jackson-Madison Cnty Gen HospJackson | 98 | $13,585 | $3,103 | $2,464 |
| Parkwest Medical CenterKnoxville | 90 | $7,809 | $2,803 | $2,221 |
| Univ of Tn Mem HospitalKnoxville | 82 | $11,597 | $2,806 | $2,223 |
| Methodist Healthcare-MemphisMemphis | 77 | $27,482 | $2,851 | $2,255 |
| St Thomas HospitalNashville | 52 | $30,422 | $2,981 | $2,361 |
| Cumberland Medical CenterCrossville | 45 | $5,290 | $3,050 | $2,427 |
| Cookeville Regional Med CenterCookeville | 45 | $14,389 | $3,174 | $2,529 |
| Erlanger Medical CenterChattanooga | 45 | $17,630 | $2,926 | $2,324 |
| Vanderbilt Clarksville HospitalClarksville | 36 | $41,599 | $3,114 | $2,469 |
| Williamson Medical CenterFranklin | 34 | $30,976 | $2,981 | $2,374 |
| Wellmont Bristol Regional Medical CenterBristol | 33 | $37,572 | $2,829 | $2,222 |
| Physicians Regional Medical CenterKnoxville | 32 | $25,054 | $2,853 | $2,271 |
| Saint Thomas Rutherford HospitalMurfreesboro | 29 | $30,009 | $2,981 | $2,373 |
| St Francis HospitalMemphis | 27 | $59,179 | $2,578 | $1,977 |
| Franklin Woods Community HospitalJohnson City | 27 | $37,020 | $2,864 | $2,261 |
| Cleveland Community HospitalCleveland | 27 | $52,514 | $2,862 | $2,255 |
| Maury Regional HospitalColumbia | 25 | $26,474 | $2,864 | $2,282 |
| Fort Sanders Reg Medical CtrKnoxville | 25 | $8,205 | $2,853 | $2,273 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 24 | $8,548 | $2,781 | $2,201 |
| Centennial Medical CenterNashville | 24 | $42,376 | $2,981 | $2,375 |
| Blount Memorial HospitalMaryville | 23 | $22,157 | $2,913 | $2,302 |
| Henry County Medical CenterParis | 20 | $14,169 | $2,853 | $2,264 |
| Indian Path Medical CenterKingsport | 18 | $39,036 | $2,870 | $2,287 |
| Saint Francis Bartlett Medical CenterBartlett | 18 | $51,460 | $2,355 | $1,761 |
| Morristown-Hamblen HospitalMorristown | 16 | $7,682 | $2,841 | $2,261 |
| Wellmont Holston Vly Med CtrKingsport | 13 | $50,942 | $2,810 | $2,196 |
| St Mary's Jefferson Memorial HospitalJefferson City | 13 | $22,154 | $2,853 | $2,269 |
| Johnson City Medical CenterJohnson City | 13 | $22,223 | $3,006 | $2,395 |
| Baptist Memorial Hospital Union CityUnion City | 13 | $9,796 | $2,763 | $2,173 |
| Hendersonville Medical CenterHendersonville | 13 | $54,342 | $2,981 | $2,375 |
| Sumner Regional Medical CenterGallatin | 12 | $34,774 | $2,981 | $2,375 |
| Hardin County General HospitalSavannah | 12 | $13,470 | $2,853 | $2,264 |
| Summit Medical CenterHermitage | 12 | $41,011 | $2,981 | $2,375 |
| Skyline Medical CenterNashville | – | – | – | – |
| Unity Medical CenterManchester | – | – | – | – |
| Baptist Memorial Hospital HuntingdonHuntingdon | – | – | – | – |
| Sycamore Shoals HospitalElizabethton | – | – | – | – |
| Roane Medical CenterHarriman | – | – | – | – |
| Lafollette Medical CenterLa Follette | – | – | – | – |
| Horizon Medical CenterDickson | – | – | – | – |
| Greeneville Community HospitalGreeneville | – | – | – | – |
| Claiborne County HospitalTazewell | – | – | – | – |
| Southern Tennessee Medical CenterWinchester | – | – | – | – |
| Volunteer Community HospitalMartin | – | – | – | – |
| Tristar Northcrest Medical CenterSpringfield | – | – | – | – |
| Athens Regional Medical CenterAthens | – | – | – | – |
| Dyersburg Regional Medical CenterDyersburg | – | – | – | – |
| Leconte Medical CenterSevierville | – | – | – | – |
| Sweetwater Hospital AssociationSweetwater | – | – | – | – |
| Lincoln County Hlth FacilitiesFayetteville | – | – | – | – |
| Fort Sanders Loudon Med CenterLoudon | – | – | – | – |
| Vanderbilt Bedford HospitalShelbyville | – | – | – | – |
| Harton Regional Medical CenterTullahoma | – | – | – | – |
| River Park HospitalMcMinnville | – | – | – | – |
| Regional One HealthMemphis | – | – | – | – |
| Tennova Healthcare - Newport Medical CenterNewport | – | – | – | – |
| Parkridge Medical CenterChattanooga | – | – | – | – |
| Crockett HospitalLeoma | – | – | – | – |
| Livingston Regional HospitalLivingston | – | – | – | – |
| Saint Thomas Highlands HospitalSparta | – | – | – | – |
| Vanderbilt Wilson County HospitalLebanon | – | – | – | – |
| Southern Hills Medical CtrNashville | – | – | – | – |
| Stonecrest Medical CenterSmyrna | – | – | – | – |
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
| Saint Francis Bartlett Medical CenterBartlett, TN | $2,355 |
|---|---|
| St Francis HospitalMemphis, TN | $2,578 |
| Baptist Memorial Hospital Union CityUnion City, TN | $2,763 |
| Methodist Med Ctr of Oak RidgeOak Ridge, TN | $2,781 |
| Parkwest Medical CenterKnoxville, TN | $2,803 |
Highest
| Cookeville Regional Med CenterCookeville, TN | $3,174 |
|---|---|
| Vanderbilt Clarksville HospitalClarksville, TN | $3,114 |
| Jackson-Madison Cnty Gen HospJackson, TN | $3,103 |
| Cumberland Medical CenterCrossville, TN | $3,050 |
| Johnson City Medical CenterJohnson City, TN | $3,006 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states
Questions
How much does level 1 abdominal/peritoneal/biliary and related procedures cost in Tennessee?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 66 hospitals in Tennessee was billed at $23,651 on average, while the average medicare-allowed amount was $2,900, of which Medicare paid $2,299. 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 8.2 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.