Level 3 Electrophysiologic Procedures in Tennessee
What 18 hospitals in Tennessee charged and were paid for level 3 electrophysiologic procedures (APC 5213), from 2024 Medicare claims.
Average charge
$176,836
Hospital list price billed
Average allowed
$19,845
Medicare's payment + patient's share
Medicare paid
$18,212
Average per service
State rank
#5 of 46
1 = lowest average payment
Hospitals in Tennessee billed an average of $176,836 for level 3 electrophysiologic procedures, about 8.9 times the average medicare-allowed amount of $19,845. That payment is 13% below the U.S. average of $22,751.
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 $19,845Billed $176,836
About 11¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 3 electrophysiologic 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 |
|---|---|---|---|---|
| St Thomas HospitalNashville | 673 | $159,685 | $20,317 | $18,683 |
| Vanderbilt University HospitalNashville | 505 | $122,896 | $19,548 | $17,915 |
| Centennial Medical CenterNashville | 417 | $382,030 | $20,103 | $18,469 |
| Baptist Memorial HospitalMemphis | 265 | $145,912 | $19,425 | $17,792 |
| Univ of Tn Mem HospitalKnoxville | 202 | $105,255 | $19,396 | $17,762 |
| Methodist Healthcare-MemphisMemphis | 176 | $176,696 | $19,663 | $18,023 |
| Memorial Healthcare System, INCChattanooga | 147 | $121,406 | $19,560 | $17,927 |
| Physicians Regional Medical CenterKnoxville | 90 | $232,773 | $18,957 | $17,325 |
| Erlanger Medical CenterChattanooga | 73 | $60,167 | $19,539 | $17,907 |
| Wellmont Holston Vly Med CtrKingsport | 67 | $180,714 | $20,353 | $18,719 |
| Cookeville Regional Med CenterCookeville | 58 | $53,036 | $21,103 | $19,485 |
| Saint Thomas Rutherford HospitalMurfreesboro | 42 | $126,488 | $20,015 | $18,383 |
| Parkwest Medical CenterKnoxville | 42 | $86,342 | $19,540 | $17,908 |
| Johnson City Medical CenterJohnson City | 35 | $131,288 | $20,582 | $18,943 |
| Parkridge Medical CenterChattanooga | 34 | $295,346 | $19,645 | $18,013 |
| Jackson-Madison Cnty Gen HospJackson | 27 | $103,319 | $20,524 | $18,892 |
| St Francis HospitalMemphis | 13 | $170,088 | $17,207 | $15,523 |
| Fort Sanders Reg Medical CtrKnoxville | – | – | – | – |
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 | $17,207 |
|---|---|
| Physicians Regional Medical CenterKnoxville, TN | $18,957 |
| Univ of Tn Mem HospitalKnoxville, TN | $19,396 |
| Baptist Memorial HospitalMemphis, TN | $19,425 |
| Erlanger Medical CenterChattanooga, TN | $19,539 |
Highest
| Cookeville Regional Med CenterCookeville, TN | $21,103 |
|---|---|
| Johnson City Medical CenterJohnson City, TN | $20,582 |
| Jackson-Madison Cnty Gen HospJackson, TN | $20,524 |
| Wellmont Holston Vly Med CtrKingsport, TN | $20,353 |
| St Thomas HospitalNashville, TN | $20,317 |
Level 3 Electrophysiologic Procedures in other states
Questions
How much does level 3 electrophysiologic procedures cost in Tennessee?
In 2024 Medicare data, level 3 electrophysiologic procedures (APC 5213) at 18 hospitals in Tennessee was billed at $176,836 on average, while the average medicare-allowed amount was $19,845, of which Medicare paid $18,212. 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 8.9 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.