facebook tracking Level 2 Abdominal/Peritoneal/Biliary and Related Procedures cost in Tennessee: 10 hospitals compared (APC 5342)

Level 2 Abdominal/Peritoneal/Biliary and Related Procedures in Tennessee

What 10 hospitals in Tennessee charged and were paid for level 2 abdominal/peritoneal/biliary and related procedures (APC 5342), from 2024 Medicare claims.

APC 5342 Outpatient 2024 Medicare data
Average charge – Hospital list price billed
Average allowed – Medicare's payment + patient's share
Medicare paid – Average per service
Volume – Medicare services

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.

Tennessee hospitals: level 2 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
Jackson-Madison Cnty Gen HospJackson – – – –
Skyline Medical CenterNashville – – – –
Williamson Medical CenterFranklin – – – –
Methodist Med Ctr of Oak RidgeOak Ridge – – – –
Vanderbilt Clarksville HospitalClarksville – – – –
Vanderbilt University HospitalNashville – – – –
St Thomas HospitalNashville – – – –
Memorial Healthcare System, INCChattanooga – – – –
Harton Regional Medical CenterTullahoma – – – –
Southern Hills Medical CtrNashville – – – –
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Level 2 Abdominal/Peritoneal/Biliary and Related Procedures in other states

Questions

How much does level 2 abdominal/peritoneal/biliary and related procedures cost in Tennessee?

In 2024 Medicare data, level 2 abdominal/peritoneal/biliary and related procedures (APC 5342) at 10 hospitals in Tennessee was billed at – on average, while the average medicare-allowed amount was –. 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. 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.