Level 2 ICD and Similar Procedures in Tennessee
What 34 hospitals in Tennessee charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Average charge
$162,623
Hospital list price billed
Average allowed
$27,292
Medicare's payment + patient's share
Medicare paid
$25,658
Average per service
State rank
#4 of 47
1 = lowest average payment
Hospitals in Tennessee billed an average of $162,623 for level 2 icd and similar procedures, about 6.0 times the average medicare-allowed amount of $27,292. That payment is 12% below the U.S. average of $31,009.
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 $27,292Billed $162,623
About 17¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 2 icd and similar 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 | 98 | $138,033 | $26,629 | $24,997 |
| Baptist Memorial HospitalMemphis | 93 | $132,981 | $27,271 | $25,639 |
| Memorial Healthcare System, INCChattanooga | 77 | $104,675 | $27,614 | $25,982 |
| St Thomas HospitalNashville | 75 | $212,113 | $28,262 | $26,627 |
| Methodist Healthcare-MemphisMemphis | 55 | $172,223 | $25,924 | $24,273 |
| Univ of Tn Mem HospitalKnoxville | 42 | $106,375 | $25,260 | $23,625 |
| Physicians Regional Medical CenterKnoxville | 37 | $373,940 | $27,054 | $25,422 |
| Centennial Medical CenterNashville | 37 | $171,628 | $26,971 | $25,339 |
| Wellmont Holston Vly Med CtrKingsport | 35 | $266,193 | $28,181 | $26,549 |
| Johnson City Medical CenterJohnson City | 34 | $258,460 | $28,498 | $26,866 |
| Jackson-Madison Cnty Gen HospJackson | 27 | $97,100 | $28,593 | $26,966 |
| Cookeville Regional Med CenterCookeville | 26 | $40,145 | $30,088 | $28,456 |
| Erlanger Medical CenterChattanooga | 21 | $59,752 | $28,046 | $26,414 |
| Parkridge Medical CenterChattanooga | 13 | $192,471 | $27,956 | $26,324 |
| Parkwest Medical CenterKnoxville | 12 | $116,109 | $22,825 | $21,185 |
| Skyline Medical CenterNashville | – | – | – | – |
| Blount Memorial HospitalMaryville | – | – | – | – |
| Wellmont Bristol Regional Medical CenterBristol | – | – | – | – |
| Baptist Memorial Hospital HuntingdonHuntingdon | – | – | – | – |
| Morristown-Hamblen HospitalMorristown | – | – | – | – |
| Methodist Med Ctr of Oak RidgeOak Ridge | – | – | – | – |
| Vanderbilt Clarksville HospitalClarksville | – | – | – | – |
| Saint Thomas Rutherford HospitalMurfreesboro | – | – | – | – |
| Southern Tennessee Medical CenterWinchester | – | – | – | – |
| Maury Regional HospitalColumbia | – | – | – | – |
| Fort Sanders Reg Medical CtrKnoxville | – | – | – | – |
| Vanderbilt Bedford HospitalShelbyville | – | – | – | – |
| Summit Medical CenterHermitage | – | – | – | – |
| Regional One HealthMemphis | – | – | – | – |
| St Francis HospitalMemphis | – | – | – | – |
| Cleveland Community HospitalCleveland | – | – | – | – |
| Hendersonville Medical CenterHendersonville | – | – | – | – |
| Stonecrest Medical CenterSmyrna | – | – | – | – |
| Saint Francis Bartlett Medical CenterBartlett | – | – | – | – |
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
| Parkwest Medical CenterKnoxville, TN | $22,825 |
|---|---|
| Univ of Tn Mem HospitalKnoxville, TN | $25,260 |
| Methodist Healthcare-MemphisMemphis, TN | $25,924 |
| Vanderbilt University HospitalNashville, TN | $26,629 |
| Centennial Medical CenterNashville, TN | $26,971 |
Highest
| Cookeville Regional Med CenterCookeville, TN | $30,088 |
|---|---|
| Jackson-Madison Cnty Gen HospJackson, TN | $28,593 |
| Johnson City Medical CenterJohnson City, TN | $28,498 |
| St Thomas HospitalNashville, TN | $28,262 |
| Wellmont Holston Vly Med CtrKingsport, TN | $28,181 |
Level 2 ICD and Similar Procedures in other states
Questions
How much does level 2 icd and similar procedures cost in Tennessee?
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 34 hospitals in Tennessee was billed at $162,623 on average, while the average medicare-allowed amount was $27,292, of which Medicare paid $25,658. 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 6.0 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.