facebook tracking Level 2 Electrophysiologic Procedures cost in Tennessee: 18 hospitals compared (APC 5212)

Level 2 Electrophysiologic Procedures in Tennessee

What 18 hospitals in Tennessee charged and were paid for level 2 electrophysiologic procedures (APC 5212), from 2024 Medicare claims.

APC 5212 Outpatient 2024 Medicare data
Average charge $57,459 Hospital list price billed
Average allowed $6,212 Medicare's payment + patient's share
Medicare paid $4,928 Average per service
State rank #3 of 41 1 = lowest average payment

Hospitals in Tennessee billed an average of $57,459 for level 2 electrophysiologic procedures, about 9.2 times the average medicare-allowed amount of $6,212. That payment is 13% below the U.S. average of $7,114.

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 $6,212Billed $57,459

About 11¢ was paid for every $1 hospitals in Tennessee billed for this service.

Tennessee hospitals: level 2 electrophysiologic 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
Centennial Medical CenterNashville 21 $102,858 $6,434 $5,126
Baptist Memorial HospitalMemphis 18 $25,607 $6,013 $4,734
St Thomas HospitalNashville 18 $57,591 $6,434 $5,126
Univ of Tn Mem HospitalKnoxville 17 $27,040 $5,887 $4,636
Vanderbilt University HospitalNashville 16 $65,880 $6,241 $4,973
Jackson-Madison Cnty Gen HospJackson – – – –
Skyline Medical CenterNashville – – – –
Wellmont Holston Vly Med CtrKingsport – – – –
Methodist Healthcare-MemphisMemphis – – – –
Saint Thomas Rutherford HospitalMurfreesboro – – – –
Cookeville Regional Med CenterCookeville – – – –
Johnson City Medical CenterJohnson City – – – –
Memorial Healthcare System, INCChattanooga – – – –
Erlanger Medical CenterChattanooga – – – –
Physicians Regional Medical CenterKnoxville – – – –
Fort Sanders Reg Medical CtrKnoxville – – – –
Parkridge Medical CenterChattanooga – – – –
Parkwest Medical CenterKnoxville – – – –
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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

Univ of Tn Mem HospitalKnoxville, TN$5,887
Baptist Memorial HospitalMemphis, TN$6,013
Vanderbilt University HospitalNashville, TN$6,241
St Thomas HospitalNashville, TN$6,434
Centennial Medical CenterNashville, TN$6,434

Highest

St Thomas HospitalNashville, TN$6,434
Centennial Medical CenterNashville, TN$6,434
Vanderbilt University HospitalNashville, TN$6,241
Baptist Memorial HospitalMemphis, TN$6,013
Univ of Tn Mem HospitalKnoxville, TN$5,887

Level 2 Electrophysiologic Procedures in other states

Questions

How much does level 2 electrophysiologic procedures cost in Tennessee?

In 2024 Medicare data, level 2 electrophysiologic procedures (APC 5212) at 18 hospitals in Tennessee was billed at $57,459 on average, while the average medicare-allowed amount was $6,212, of which Medicare paid $4,928. 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 9.2 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.