facebook tracking Level 2 Urology and Related Services cost in Tennessee: 41 hospitals compared (APC 5372)

Level 2 Urology and Related Services in Tennessee

What 41 hospitals in Tennessee charged and were paid for level 2 urology and related services (APC 5372), from 2024 Medicare claims.

APC 5372 Outpatient 2024 Medicare data
Average charge $8,326 Hospital list price billed
Average allowed $537 Medicare's payment + patient's share
Medicare paid $423 Average per service
State rank #8 of 49 1 = lowest average payment

Hospitals in Tennessee billed an average of $8,326 for level 2 urology and related services, about 15.5 times the average medicare-allowed amount of $537. That payment is 16% below the U.S. average of $638.

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 $537Billed $8,326

About 6¢ was paid for every $1 hospitals in Tennessee billed for this service.

Tennessee hospitals: level 2 urology and related services

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 1,907 $8,675 $532 $419
Regional One HealthMemphis 90 $2,281 $570 $454
Indian Path Medical CenterKingsport 55 $3,266 $559 $443
St Thomas HospitalNashville 29 $11,260 $589 $466
Horizon Medical CenterDickson 22 $13,305 $567 $448
Memorial Healthcare System, INCChattanooga 22 $9,183 $582 $461
St Francis HospitalMemphis 17 $9,193 $524 $373
Vanderbilt Wilson County HospitalLebanon 16 $9,376 $589 $469
Univ of Tn Mem HospitalKnoxville 14 $5,867 $563 $449
Erlanger Medical CenterChattanooga 13 $6,104 $584 $465
Methodist Healthcare-MemphisMemphis 11 $6,117 $574 $440
Jackson-Madison Cnty Gen HospJackson – – – –
Sumner Regional Medical CenterGallatin – – – –
Skyline Medical CenterNashville – – – –
Unity Medical CenterManchester – – – –
Cumberland Medical CenterCrossville – – – –
Wayne Medical CenterWaynesboro – – – –
Blount Memorial HospitalMaryville – – – –
Wellmont Bristol Regional Medical CenterBristol – – – –
Williamson Medical CenterFranklin – – – –
Morristown-Hamblen HospitalMorristown – – – –
Methodist Med Ctr of Oak RidgeOak Ridge – – – –
Baptist Memorial HospitalMemphis – – – –
Saint Thomas Rutherford HospitalMurfreesboro – – – –
Cookeville Regional Med CenterCookeville – – – –
Johnson City Medical CenterJohnson City – – – –
Maury Regional HospitalColumbia – – – –
Lincoln County Hlth FacilitiesFayetteville – – – –
Metro Nashville General HospitalNashville – – – –
Fort Sanders Reg Medical CtrKnoxville – – – –
Baptist Memorial Hospital Union CityUnion City – – – –
Harton Regional Medical CenterTullahoma – – – –
Summit Medical CenterHermitage – – – –
Parkridge Medical CenterChattanooga – – – –
Centennial Medical CenterNashville – – – –
Parkwest Medical CenterKnoxville – – – –
Franklin Woods Community HospitalJohnson City – – – –
Cleveland Community HospitalCleveland – – – –
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

St Francis HospitalMemphis, TN$524
Vanderbilt University HospitalNashville, TN$532
Indian Path Medical CenterKingsport, TN$559
Univ of Tn Mem HospitalKnoxville, TN$563
Horizon Medical CenterDickson, TN$567

Highest

Level 2 Urology and Related Services in other states

Questions

How much does level 2 urology and related services cost in Tennessee?

In 2024 Medicare data, level 2 urology and related services (APC 5372) at 41 hospitals in Tennessee was billed at $8,326 on average, while the average medicare-allowed amount was $537, of which Medicare paid $423. 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 15.5 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.