Level 3 Musculoskeletal Procedures in Tennessee
What 70 hospitals in Tennessee charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$22,365
Hospital list price billed
Average allowed
$2,620
Medicare's payment + patient's share
Medicare paid
$2,075
Average per service
State rank
#4 of 49
1 = lowest average payment
Hospitals in Tennessee billed an average of $22,365 for level 3 musculoskeletal procedures, about 8.5 times the average medicare-allowed amount of $2,620. That payment is 13% below the U.S. average of $2,995.
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 $2,620Billed $22,365
About 12¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 3 musculoskeletal 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 | 236 | $29,056 | $2,017 | $1,595 |
| Erlanger Medical CenterChattanooga | 131 | $16,450 | $2,685 | $2,122 |
| Jackson-Madison Cnty Gen HospJackson | 121 | $15,473 | $2,845 | $2,253 |
| Parkridge Medical CenterChattanooga | 98 | $27,821 | $2,701 | $2,139 |
| Cookeville Regional Med CenterCookeville | 97 | $14,703 | $2,969 | $2,361 |
| Blount Memorial HospitalMaryville | 93 | $18,454 | $2,740 | $2,163 |
| Physicians Regional Medical CenterKnoxville | 79 | $18,390 | $2,541 | $2,017 |
| Crockett HospitalLeoma | 76 | $20,799 | $2,718 | $2,159 |
| Williamson Medical CenterFranklin | 71 | $20,639 | $2,789 | $2,222 |
| Univ of Tn Mem HospitalKnoxville | 70 | $11,324 | $2,639 | $2,090 |
| Memorial Healthcare System, INCChattanooga | 68 | $18,357 | $2,662 | $2,101 |
| Henry County Medical CenterParis | 68 | $10,950 | $2,638 | $2,093 |
| Vanderbilt Clarksville HospitalClarksville | 63 | $34,346 | $2,932 | $2,327 |
| Parkwest Medical CenterKnoxville | 53 | $14,509 | $2,670 | $2,117 |
| Saint Francis Bartlett Medical CenterBartlett | 53 | $36,167 | $2,611 | $2,051 |
| Saint Thomas Rutherford HospitalMurfreesboro | 39 | $18,186 | $2,789 | $2,222 |
| Harton Regional Medical CenterTullahoma | 34 | $22,490 | $2,772 | $2,203 |
| Tristar Northcrest Medical CenterSpringfield | 33 | $21,698 | $2,789 | $2,222 |
| Cumberland Medical CenterCrossville | 32 | $6,123 | $2,770 | $2,206 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 32 | $9,179 | $2,381 | $1,839 |
| Maury Regional HospitalColumbia | 32 | $16,594 | $2,667 | $2,105 |
| Summit Medical CenterHermitage | 32 | $42,842 | $2,144 | $1,694 |
| Vanderbilt Wilson County HospitalLebanon | 31 | $28,808 | $2,789 | $2,216 |
| Fort Sanders Reg Medical CtrKnoxville | 30 | $13,096 | $2,669 | $2,127 |
| Baptist Memorial Hospital HuntingdonHuntingdon | 29 | $12,716 | $2,007 | $1,597 |
| St Francis HospitalMemphis | 29 | $42,269 | $2,509 | $1,949 |
| Cleveland Community HospitalCleveland | 27 | $49,298 | $2,758 | $2,198 |
| St Thomas HospitalNashville | 26 | $24,438 | $2,618 | $2,051 |
| St Mary's Jefferson Memorial HospitalJefferson City | 23 | $28,343 | $2,669 | $2,127 |
| Skyline Medical CenterNashville | 21 | $65,622 | $2,683 | $2,116 |
| Horizon Medical CenterDickson | 21 | $30,785 | $2,683 | $2,116 |
| Hendersonville Medical CenterHendersonville | 21 | $36,871 | $2,789 | $2,222 |
| Morristown-Hamblen HospitalMorristown | 19 | $5,940 | $2,566 | $2,024 |
| Baptist Memorial HospitalMemphis | 19 | $14,288 | $2,735 | $2,179 |
| Saint Thomas Highlands HospitalSparta | 19 | $17,632 | $2,772 | $2,206 |
| Southern Tennessee Medical CenterWinchester | 18 | $34,157 | $2,525 | $1,962 |
| River Park HospitalMcMinnville | 17 | $26,039 | $2,772 | $2,209 |
| Wellmont Bristol Regional Medical CenterBristol | 16 | $19,583 | $2,781 | $2,216 |
| Fort Sanders Loudon Med CenterLoudon | 16 | $5,274 | $2,669 | $2,127 |
| Centennial Medical CenterNashville | 16 | $41,029 | $2,789 | $2,222 |
| Stonecrest Medical CenterSmyrna | 16 | $31,533 | $2,678 | $2,111 |
| Wellmont Holston Vly Med CtrKingsport | 15 | $21,769 | $2,452 | $1,887 |
| Athens Regional Medical CenterAthens | 14 | $28,237 | $2,675 | $2,131 |
| Sumner Regional Medical CenterGallatin | 13 | $24,189 | $2,789 | $2,222 |
| Sycamore Shoals HospitalElizabethton | 13 | $20,906 | $2,678 | $2,134 |
| Dyersburg Regional Medical CenterDyersburg | 13 | $14,655 | $2,859 | $2,278 |
| Greeneville Community HospitalGreeneville | 12 | $18,189 | $2,333 | $1,790 |
| Baptist Memorial Hospital Union CityUnion City | 11 | $10,971 | $2,715 | $2,158 |
| Southern Hills Medical CtrNashville | 11 | $57,398 | $2,789 | $2,222 |
| Henderson County Community HospitalLexington | – | – | – | – |
| Southern Tennessee Regional Health System PulaskiPulaski | – | – | – | – |
| Roane Medical CenterHarriman | – | – | – | – |
| Lafollette Medical CenterLa Follette | – | – | – | – |
| Methodist Healthcare-MemphisMemphis | – | – | – | – |
| Claiborne County HospitalTazewell | – | – | – | – |
| Milan General HospitalMilan | – | – | – | – |
| Volunteer Community HospitalMartin | – | – | – | – |
| Johnson City Medical CenterJohnson City | – | – | – | – |
| Leconte Medical CenterSevierville | – | – | – | – |
| Sweetwater Hospital AssociationSweetwater | – | – | – | – |
| Lincoln County Hlth FacilitiesFayetteville | – | – | – | – |
| Hardin County General HospitalSavannah | – | – | – | – |
| Metro Nashville General HospitalNashville | – | – | – | – |
| Baptist Memorial Hospital TiptonCovington | – | – | – | – |
| Vanderbilt Bedford HospitalShelbyville | – | – | – | – |
| Stones River Hospital and Dekalb Community HospSmithville | – | – | – | – |
| Regional One HealthMemphis | – | – | – | – |
| Tennova Healthcare - Newport Medical CenterNewport | – | – | – | – |
| Franklin Woods Community HospitalJohnson City | – | – | – | – |
| Livingston Regional HospitalLivingston | – | – | – | – |
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
| Baptist Memorial Hospital HuntingdonHuntingdon, TN | $2,007 |
|---|---|
| Vanderbilt University HospitalNashville, TN | $2,017 |
| Summit Medical CenterHermitage, TN | $2,144 |
| Greeneville Community HospitalGreeneville, TN | $2,333 |
| Methodist Med Ctr of Oak RidgeOak Ridge, TN | $2,381 |
Highest
| Cookeville Regional Med CenterCookeville, TN | $2,969 |
|---|---|
| Vanderbilt Clarksville HospitalClarksville, TN | $2,932 |
| Dyersburg Regional Medical CenterDyersburg, TN | $2,859 |
| Jackson-Madison Cnty Gen HospJackson, TN | $2,845 |
| Vanderbilt Wilson County HospitalLebanon, TN | $2,789 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Tennessee?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 70 hospitals in Tennessee was billed at $22,365 on average, while the average medicare-allowed amount was $2,620, of which Medicare paid $2,075. 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 8.5 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.