Level 2 Upper GI Procedures in Tennessee
What 70 hospitals in Tennessee charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$11,305
Hospital list price billed
Average allowed
$1,593
Medicare's payment + patient's share
Medicare paid
$1,268
Average per service
State rank
#5 of 49
1 = lowest average payment
Hospitals in Tennessee billed an average of $11,305 for level 2 upper gi procedures, about 7.1 times the average medicare-allowed amount of $1,593. That payment is 12% below the U.S. average of $1,815.
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 $1,593Billed $11,305
About 14¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 2 upper gi 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 | 704 | $12,917 | $1,548 | $1,232 |
| Fort Sanders Reg Medical CtrKnoxville | 345 | $5,245 | $1,566 | $1,244 |
| Memorial Healthcare System, INCChattanooga | 336 | $11,331 | $1,606 | $1,279 |
| Centennial Medical CenterNashville | 322 | $16,158 | $1,623 | $1,290 |
| Cookeville Regional Med CenterCookeville | 240 | $7,602 | $1,739 | $1,395 |
| Maury Regional HospitalColumbia | 207 | $7,027 | $1,581 | $1,248 |
| Baptist Memorial HospitalMemphis | 206 | $9,298 | $1,593 | $1,270 |
| Erlanger Medical CenterChattanooga | 182 | $10,066 | $1,597 | $1,271 |
| Univ of Tn Mem HospitalKnoxville | 180 | $8,132 | $1,545 | $1,225 |
| Physicians Regional Medical CenterKnoxville | 140 | $16,848 | $1,569 | $1,252 |
| St Thomas HospitalNashville | 106 | $12,386 | $1,602 | $1,268 |
| Methodist Healthcare-MemphisMemphis | 104 | $11,512 | $1,582 | $1,255 |
| Henry County Medical CenterParis | 91 | $5,859 | $1,555 | $1,246 |
| Hendersonville Medical CenterHendersonville | 90 | $17,080 | $1,612 | $1,282 |
| Saint Thomas Rutherford HospitalMurfreesboro | 88 | $10,640 | $1,639 | $1,306 |
| Milan General HospitalMilan | 84 | $7,401 | $1,554 | $1,242 |
| Blount Memorial HospitalMaryville | 83 | $10,302 | $1,636 | $1,307 |
| Jackson-Madison Cnty Gen HospJackson | 71 | $9,975 | $1,668 | $1,323 |
| Horizon Medical CenterDickson | 71 | $21,349 | $1,620 | $1,298 |
| Vanderbilt Wilson County HospitalLebanon | 63 | $16,302 | $1,561 | $1,240 |
| Parkwest Medical CenterKnoxville | 53 | $4,304 | $1,569 | $1,255 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 52 | $4,693 | $1,533 | $1,224 |
| Stonecrest Medical CenterSmyrna | 52 | $24,227 | $1,589 | $1,261 |
| Vanderbilt Clarksville HospitalClarksville | 48 | $22,312 | $1,687 | $1,340 |
| Cumberland Medical CenterCrossville | 46 | $4,937 | $1,652 | $1,311 |
| Williamson Medical CenterFranklin | 44 | $8,606 | $1,621 | $1,291 |
| Morristown-Hamblen HospitalMorristown | 42 | $5,027 | $1,569 | $1,258 |
| Johnson City Medical CenterJohnson City | 39 | $17,805 | $1,632 | $1,300 |
| Sumner Regional Medical CenterGallatin | 38 | $12,100 | $1,598 | $1,278 |
| Cleveland Community HospitalCleveland | 34 | $27,762 | $1,584 | $1,256 |
| Greeneville Community HospitalGreeneville | 26 | $10,679 | $1,570 | $1,257 |
| Leconte Medical CenterSevierville | 26 | $5,287 | $1,569 | $1,247 |
| Southern Hills Medical CtrNashville | 22 | $32,623 | $1,639 | $1,328 |
| Athens Regional Medical CenterAthens | 21 | $14,178 | $1,513 | $1,196 |
| Fort Sanders Loudon Med CenterLoudon | 20 | $4,770 | $1,569 | $1,262 |
| Sweetwater Hospital AssociationSweetwater | 17 | $3,617 | $1,569 | $1,250 |
| Southern Tennessee Medical CenterWinchester | 15 | $12,331 | $1,562 | $1,250 |
| Parkridge Medical CenterChattanooga | 15 | $20,275 | $1,622 | $1,292 |
| Sycamore Shoals HospitalElizabethton | 12 | $14,948 | $1,574 | $1,274 |
| Roane Medical CenterHarriman | 12 | $5,067 | $1,295 | $990 |
| Tristar Northcrest Medical CenterSpringfield | 11 | $20,606 | $1,520 | $1,202 |
| Skyline Medical CenterNashville | – | – | – | – |
| Unity Medical CenterManchester | – | – | – | – |
| Henderson County Community HospitalLexington | – | – | – | – |
| Wayne Medical CenterWaynesboro | – | – | – | – |
| Wellmont Bristol Regional Medical CenterBristol | – | – | – | – |
| Baptist Memorial Hospital HuntingdonHuntingdon | – | – | – | – |
| Wellmont Holston Vly Med CtrKingsport | – | – | – | – |
| Southern Tennessee Regional Health System PulaskiPulaski | – | – | – | – |
| Lafollette Medical CenterLa Follette | – | – | – | – |
| St Mary's Jefferson Memorial HospitalJefferson City | – | – | – | – |
| Claiborne County HospitalTazewell | – | – | – | – |
| Volunteer Community HospitalMartin | – | – | – | – |
| Dyersburg Regional Medical CenterDyersburg | – | – | – | – |
| Lincoln County Hlth FacilitiesFayetteville | – | – | – | – |
| Hardin County General HospitalSavannah | – | – | – | – |
| Baptist Memorial Hospital Union CityUnion City | – | – | – | – |
| Baptist Memorial Hospital TiptonCovington | – | – | – | – |
| Harton Regional Medical CenterTullahoma | – | – | – | – |
| Stones River Hospital and Dekalb Community HospSmithville | – | – | – | – |
| Summit Medical CenterHermitage | – | – | – | – |
| River Park HospitalMcMinnville | – | – | – | – |
| Regional One HealthMemphis | – | – | – | – |
| Tennova Healthcare - Newport Medical CenterNewport | – | – | – | – |
| Crockett HospitalLeoma | – | – | – | – |
| St Francis HospitalMemphis | – | – | – | – |
| Franklin Woods Community HospitalJohnson City | – | – | – | – |
| Livingston Regional HospitalLivingston | – | – | – | – |
| Saint Thomas Highlands HospitalSparta | – | – | – | – |
| 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
| Roane Medical CenterHarriman, TN | $1,295 |
|---|---|
| Athens Regional Medical CenterAthens, TN | $1,513 |
| Tristar Northcrest Medical CenterSpringfield, TN | $1,520 |
| Methodist Med Ctr of Oak RidgeOak Ridge, TN | $1,533 |
| Univ of Tn Mem HospitalKnoxville, TN | $1,545 |
Highest
| Cookeville Regional Med CenterCookeville, TN | $1,739 |
|---|---|
| Vanderbilt Clarksville HospitalClarksville, TN | $1,687 |
| Jackson-Madison Cnty Gen HospJackson, TN | $1,668 |
| Cumberland Medical CenterCrossville, TN | $1,652 |
| Saint Thomas Rutherford HospitalMurfreesboro, TN | $1,639 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in Tennessee?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 70 hospitals in Tennessee was billed at $11,305 on average, while the average medicare-allowed amount was $1,593, of which Medicare paid $1,268. 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 7.1 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.