What 71 hospitals in Tennessee charged and were paid for level 2 vascular procedures (APC 5182), from 2024 Medicare claims.
APC 5182Outpatient2024 Medicare data
Average charge$8,706Hospital list price billed
Average allowed$1,340Medicare's payment + patient's share
Medicare paid$1,062Average per service
State rank#6 of 491 = lowest average payment
Hospitals in Tennessee billed an average of $8,706 for level 2 vascular procedures, about 6.5 times the average medicare-allowed amount of $1,340. That payment is 12% below the U.S. average of $1,520.
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 $1,340Billed $8,706
About 15¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 2 vascular procedures
Every Tennessee hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
How much does level 2 vascular procedures cost in Tennessee?
In 2024 Medicare data, level 2 vascular procedures (APC 5182) at 71 hospitals in Tennessee was billed at $8,706 on average, while the average medicare-allowed amount was $1,340, of which Medicare paid $1,062. 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 6.5 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.
