facebook tracking Level 3 Pacemaker and Similar Procedures cost in Tennessee: 47 hospitals compared (APC 5223)

Level 3 Pacemaker and Similar Procedures in Tennessee

What 47 hospitals in Tennessee charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.

APC 5223 Outpatient 2024 Medicare data
Average charge $60,567 Hospital list price billed
Average allowed $8,976 Medicare's payment + patient's share
Medicare paid $7,352 Average per service
State rank #5 of 49 1 = lowest average payment

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.

Paid $8,976Billed $60,567

About 15¢ was paid for every $1 hospitals in Tennessee billed for this service.

Tennessee hospitals: level 3 pacemaker and similar 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 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 – – – –
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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

Highest

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

Level 3 Pacemaker and Similar Procedures in other states

Questions

How much does level 3 pacemaker and similar procedures cost in Tennessee?

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.

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 6.7 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.