Level 3 Upper GI Procedures in Tennessee
What 32 hospitals in Tennessee charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.
Average charge
$19,128
Hospital list price billed
Average allowed
$3,195
Medicare's payment + patient's share
Medicare paid
$2,536
Average per service
State rank
#3 of 48
1 = lowest average payment
Hospitals in Tennessee billed an average of $19,128 for level 3 upper gi procedures, about 6.0 times the average medicare-allowed amount of $3,195. That payment is 12% below the U.S. average of $3,633.
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 $3,195Billed $19,128
About 17¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 3 upper gi 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 |
|---|---|---|---|---|
| Fort Sanders Reg Medical CtrKnoxville | 51 | $9,329 | $3,158 | $2,516 |
| Baptist Memorial HospitalMemphis | 41 | $13,541 | $3,169 | $2,511 |
| Methodist Healthcare-MemphisMemphis | 39 | $23,000 | $3,160 | $2,497 |
| Vanderbilt University HospitalNashville | 37 | $26,500 | $3,203 | $2,552 |
| Erlanger Medical CenterChattanooga | 33 | $14,491 | $3,199 | $2,530 |
| Centennial Medical CenterNashville | 32 | $38,311 | $3,217 | $2,543 |
| Univ of Tn Mem HospitalKnoxville | 31 | $14,225 | $3,158 | $2,522 |
| Memorial Healthcare System, INCChattanooga | 24 | $20,115 | $3,155 | $2,492 |
| Physicians Regional Medical CenterKnoxville | 23 | $22,384 | $3,159 | $2,508 |
| St Thomas HospitalNashville | 21 | $33,603 | $3,300 | $2,628 |
| Jackson-Madison Cnty Gen HospJackson | 17 | $20,140 | $3,434 | $2,736 |
| Maury Regional HospitalColumbia | 17 | $13,643 | $3,236 | $2,567 |
| Parkwest Medical CenterKnoxville | 13 | $6,585 | $3,159 | $2,502 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 12 | $5,173 | $3,158 | $2,516 |
| Skyline Medical CenterNashville | – | – | – | – |
| Unity Medical CenterManchester | – | – | – | – |
| Blount Memorial HospitalMaryville | – | – | – | – |
| Morristown-Hamblen HospitalMorristown | – | – | – | – |
| Vanderbilt Clarksville HospitalClarksville | – | – | – | – |
| Greeneville Community HospitalGreeneville | – | – | – | – |
| Saint Thomas Rutherford HospitalMurfreesboro | – | – | – | – |
| St Mary's Jefferson Memorial HospitalJefferson City | – | – | – | – |
| Cookeville Regional Med CenterCookeville | – | – | – | – |
| Johnson City Medical CenterJohnson City | – | – | – | – |
| Sweetwater Hospital AssociationSweetwater | – | – | – | – |
| Fort Sanders Loudon Med CenterLoudon | – | – | – | – |
| Regional One HealthMemphis | – | – | – | – |
| St Francis HospitalMemphis | – | – | – | – |
| Cleveland Community HospitalCleveland | – | – | – | – |
| Vanderbilt Wilson County HospitalLebanon | – | – | – | – |
| Hendersonville Medical CenterHendersonville | – | – | – | – |
| Stonecrest Medical CenterSmyrna | – | – | – | – |
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
| Memorial Healthcare System, INCChattanooga, TN | $3,155 |
|---|---|
| Univ of Tn Mem HospitalKnoxville, TN | $3,158 |
| Methodist Med Ctr of Oak RidgeOak Ridge, TN | $3,158 |
| Fort Sanders Reg Medical CtrKnoxville, TN | $3,158 |
| Physicians Regional Medical CenterKnoxville, TN | $3,159 |
Highest
| Jackson-Madison Cnty Gen HospJackson, TN | $3,434 |
|---|---|
| St Thomas HospitalNashville, TN | $3,300 |
| Maury Regional HospitalColumbia, TN | $3,236 |
| Centennial Medical CenterNashville, TN | $3,217 |
| Vanderbilt University HospitalNashville, TN | $3,203 |
Level 3 Upper GI Procedures in other states
Questions
How much does level 3 upper gi procedures cost in Tennessee?
In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 32 hospitals in Tennessee was billed at $19,128 on average, while the average medicare-allowed amount was $3,195, of which Medicare paid $2,536. 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 6.0 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.