facebook tracking Level 2 Pacemaker and Similar Procedures cost in Tennessee: 48 hospitals compared (APC 5222)

Level 2 Pacemaker and Similar Procedures in Tennessee

What 48 hospitals in Tennessee charged and were paid for level 2 pacemaker and similar procedures (APC 5222), from 2024 Medicare claims.

APC 5222 Outpatient 2024 Medicare data
Average charge $41,050 Hospital list price billed
Average allowed $7,099 Medicare's payment + patient's share
Medicare paid $5,638 Average per service
State rank #4 of 48 1 = lowest average payment

Hospitals in Tennessee billed an average of $41,050 for level 2 pacemaker and similar procedures, about 5.8 times the average medicare-allowed amount of $7,099. That payment is 12% below the U.S. average of $8,088.

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 $7,099Billed $41,050

About 17¢ was paid for every $1 hospitals in Tennessee billed for this service.

Tennessee hospitals: level 2 pacemaker 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
Memorial Healthcare System, INCChattanooga 92 $29,303 $7,085 $5,610
Vanderbilt University HospitalNashville 84 $40,015 $6,980 $5,538
Methodist Healthcare-MemphisMemphis 69 $47,002 $7,158 $5,701
Baptist Memorial HospitalMemphis 64 $37,630 $7,172 $5,702
St Thomas HospitalNashville 63 $48,302 $7,227 $5,739
Univ of Tn Mem HospitalKnoxville 61 $30,335 $6,732 $5,308
Parkridge Medical CenterChattanooga 41 $56,549 $7,240 $5,768
Erlanger Medical CenterChattanooga 38 $17,764 $7,111 $5,635
Saint Thomas Rutherford HospitalMurfreesboro 30 $45,845 $7,320 $5,820
Centennial Medical CenterNashville 30 $75,788 $7,319 $5,830
Cookeville Regional Med CenterCookeville 28 $19,147 $7,793 $6,209
Parkwest Medical CenterKnoxville 26 $31,370 $7,007 $5,577
Wellmont Holston Vly Med CtrKingsport 25 $66,696 $7,298 $5,815
Physicians Regional Medical CenterKnoxville 25 $94,167 $7,006 $5,582
Johnson City Medical CenterJohnson City 23 $68,095 $7,125 $5,619
Baptist Memorial Hospital Union CityUnion City 20 $34,913 $7,125 $5,677
Jackson-Madison Cnty Gen HospJackson 17 $26,376 $7,619 $6,048
Baptist Memorial Hospital HuntingdonHuntingdon 14 $36,457 $4,304 $3,429
Blount Memorial HospitalMaryville 13 $24,751 $7,381 $5,865
Fort Sanders Reg Medical CtrKnoxville 13 $29,100 $7,007 $5,572
Williamson Medical CenterFranklin 12 $32,703 $7,319 $5,832
Vanderbilt Bedford HospitalShelbyville 12 $18,900 $7,276 $5,797
Methodist Med Ctr of Oak RidgeOak Ridge 11 $29,041 $6,980 $5,558
Maury Regional HospitalColumbia 11 $23,959 $7,178 $5,710
Skyline Medical CenterNashville – – – –
Henderson County Community HospitalLexington – – – –
Cumberland Medical CenterCrossville – – – –
Wellmont Bristol Regional Medical CenterBristol – – – –
Morristown-Hamblen HospitalMorristown – – – –
Roane Medical CenterHarriman – – – –
Vanderbilt Clarksville HospitalClarksville – – – –
Horizon Medical CenterDickson – – – –
Greeneville Community HospitalGreeneville – – – –
St Mary's Jefferson Memorial HospitalJefferson City – – – –
Southern Tennessee Medical CenterWinchester – – – –
Tristar Northcrest Medical CenterSpringfield – – – –
Athens Regional Medical CenterAthens – – – –
Dyersburg Regional Medical CenterDyersburg – – – –
Leconte Medical CenterSevierville – – – –
Harton Regional Medical CenterTullahoma – – – –
Summit Medical CenterHermitage – – – –
St Francis HospitalMemphis – – – –
Cleveland Community HospitalCleveland – – – –
Vanderbilt Wilson County HospitalLebanon – – – –
Hendersonville Medical CenterHendersonville – – – –
Southern Hills Medical CtrNashville – – – –
Stonecrest Medical CenterSmyrna – – – –
Saint Francis Bartlett Medical CenterBartlett – – – –
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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

Highest

Cookeville Regional Med CenterCookeville, TN$7,793
Jackson-Madison Cnty Gen HospJackson, TN$7,619
Blount Memorial HospitalMaryville, TN$7,381
Saint Thomas Rutherford HospitalMurfreesboro, TN$7,320
Centennial Medical CenterNashville, TN$7,319

Level 2 Pacemaker and Similar Procedures in other states

Questions

How much does level 2 pacemaker and similar procedures cost in Tennessee?

In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 48 hospitals in Tennessee was billed at $41,050 on average, while the average medicare-allowed amount was $7,099, of which Medicare paid $5,638. 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 5.8 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.