What 47 hospitals in Tennessee charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Hospitals in Tennessee billed an average of $60,567 for level 3 pacemaker and similar procedures, about 6.7 times the average medicare-allowed amount of $8,976. That payment is 12% below the U.S. average of $10,202.
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.
About 15¢ was paid for every $1 hospitals in Tennessee billed for this service.
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 | 245 | $56,332 | $9,164 | $7,531 |
| Baptist Memorial HospitalMemphis | 183 | $63,072 | $8,936 | $7,302 |
| Memorial Healthcare System, INCChattanooga | 164 | $39,608 | $9,096 | $7,464 |
| Physicians Regional Medical CenterKnoxville | 133 | $136,630 | $8,695 | $7,063 |
| Jackson-Madison Cnty Gen HospJackson | 129 | $29,854 | $9,323 | $7,691 |
| Vanderbilt University HospitalNashville | 126 | $58,577 | $8,789 | $7,161 |
| Methodist Healthcare-MemphisMemphis | 103 | $113,252 | $8,909 | $7,266 |
| Centennial Medical CenterNashville | 97 | $70,640 | $9,195 | $7,561 |
| Univ of Tn Mem HospitalKnoxville | 95 | $34,974 | $8,656 | $7,024 |
| Johnson City Medical CenterJohnson City | 84 | $62,261 | $9,113 | $7,480 |
| Cookeville Regional Med CenterCookeville | 73 | $17,047 | $9,788 | $8,156 |
| Wellmont Holston Vly Med CtrKingsport | 63 | $66,787 | $9,169 | $7,527 |
| Parkwest Medical CenterKnoxville | 58 | $40,794 | $8,803 | $7,170 |
| Saint Thomas Rutherford HospitalMurfreesboro | 46 | $54,649 | $9,195 | $7,562 |
| Parkridge Medical CenterChattanooga | 44 | $73,942 | $8,965 | $7,333 |
| Maury Regional HospitalColumbia | 38 | $33,795 | $9,018 | $7,376 |
| Erlanger Medical CenterChattanooga | 34 | $23,122 | $9,125 | $7,493 |
| Vanderbilt Bedford HospitalShelbyville | 34 | $43,712 | $9,141 | $7,509 |
| Baptist Memorial Hospital HuntingdonHuntingdon | 29 | $55,428 | $4,979 | $4,011 |
| Fort Sanders Reg Medical CtrKnoxville | 24 | $37,282 | $8,504 | $6,872 |
| Wellmont Bristol Regional Medical CenterBristol | 19 | $70,017 | $9,169 | $7,524 |
| Blount Memorial HospitalMaryville | 18 | $40,767 | $9,272 | $7,640 |
| Vanderbilt Clarksville HospitalClarksville | 18 | $107,162 | $9,788 | $8,147 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 17 | $35,434 | $8,803 | $7,171 |
| Hendersonville Medical CenterHendersonville | 17 | $88,073 | $9,195 | $7,563 |
| Saint Francis Bartlett Medical CenterBartlett | 14 | $119,702 | $7,963 | $6,306 |
| Morristown-Hamblen HospitalMorristown | 13 | $33,970 | $8,604 | $7,001 |
| Sumner Regional Medical CenterGallatin | – | – | – | – |
| Skyline Medical CenterNashville | – | – | – | – |
| Cumberland Medical CenterCrossville | – | – | – | – |
| Williamson Medical CenterFranklin | – | – | – | – |
| Roane Medical CenterHarriman | – | – | – | – |
| Horizon Medical CenterDickson | – | – | – | – |
| Greeneville Community HospitalGreeneville | – | – | – | – |
| Southern Tennessee Medical CenterWinchester | – | – | – | – |
| Dyersburg Regional Medical CenterDyersburg | – | – | – | – |
| Hardin County General HospitalSavannah | – | – | – | – |
| Baptist Memorial Hospital Union CityUnion City | – | – | – | – |
| Henry County Medical CenterParis | – | – | – | – |
| Harton Regional Medical CenterTullahoma | – | – | – | – |
| Summit Medical CenterHermitage | – | – | – | – |
| Regional One HealthMemphis | – | – | – | – |
| St Francis HospitalMemphis | – | – | – | – |
| Cleveland Community HospitalCleveland | – | – | – | – |
| Vanderbilt Wilson County HospitalLebanon | – | – | – | – |
| Southern Hills Medical CtrNashville | – | – | – | – |
| Stonecrest Medical CenterSmyrna | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Baptist Memorial Hospital HuntingdonHuntingdon, TN | $4,979 |
|---|---|
| Saint Francis Bartlett Medical CenterBartlett, TN | $7,963 |
| Fort Sanders Reg Medical CtrKnoxville, TN | $8,504 |
| Morristown-Hamblen HospitalMorristown, TN | $8,604 |
| Univ of Tn Mem HospitalKnoxville, TN | $8,656 |
| Vanderbilt Clarksville HospitalClarksville, TN | $9,788 |
|---|---|
| Cookeville Regional Med CenterCookeville, TN | $9,788 |
| Jackson-Madison Cnty Gen HospJackson, TN | $9,323 |
| Blount Memorial HospitalMaryville, TN | $9,272 |
| Centennial Medical CenterNashville, TN | $9,195 |
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 47 hospitals in Tennessee was billed at $60,567 on average, while the average medicare-allowed amount was $8,976, of which Medicare paid $7,352. Your own cost depends on your insurance, deductible and the hospital.
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 6.7 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.