What 47 hospitals in Tennessee charged and were paid for level 4 airway endoscopy (APC 5154), from 2024 Medicare claims.
Hospitals in Tennessee billed an average of $28,223 for level 4 airway endoscopy, about 9.0 times the average medicare-allowed amount of $3,125. That payment is 12% below the U.S. average of $3,568.
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 11¢ 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 |
|---|---|---|---|---|
| Vanderbilt University HospitalNashville | 370 | $28,862 | $3,064 | $2,427 |
| Centennial Medical CenterNashville | 150 | $70,947 | $3,194 | $2,536 |
| Baptist Memorial HospitalMemphis | 93 | $14,061 | $3,131 | $2,489 |
| Univ of Tn Mem HospitalKnoxville | 91 | $11,169 | $3,037 | $2,409 |
| St Thomas HospitalNashville | 84 | $37,055 | $3,165 | $2,509 |
| Fort Sanders Reg Medical CtrKnoxville | 70 | $15,263 | $3,053 | $2,426 |
| Methodist Healthcare-MemphisMemphis | 59 | $19,941 | $3,147 | $2,505 |
| Parkwest Medical CenterKnoxville | 56 | $8,859 | $3,088 | $2,461 |
| Jackson-Madison Cnty Gen HospJackson | 54 | $22,357 | $3,358 | $2,676 |
| Maury Regional HospitalColumbia | 51 | $17,144 | $3,164 | $2,521 |
| Memorial Healthcare System, INCChattanooga | 47 | $19,126 | $3,137 | $2,488 |
| Johnson City Medical CenterJohnson City | 33 | $28,346 | $3,253 | $2,592 |
| Blount Memorial HospitalMaryville | 31 | $17,714 | $3,170 | $2,508 |
| Saint Thomas Rutherford HospitalMurfreesboro | 29 | $43,789 | $3,226 | $2,571 |
| Williamson Medical CenterFranklin | 23 | $17,585 | $3,226 | $2,571 |
| Cookeville Regional Med CenterCookeville | 23 | $24,085 | $3,435 | $2,737 |
| Wellmont Bristol Regional Medical CenterBristol | 21 | $23,176 | $3,217 | $2,554 |
| St Francis HospitalMemphis | 19 | $36,200 | $2,943 | $2,300 |
| Henry County Medical CenterParis | 18 | $7,624 | $3,088 | $2,461 |
| Erlanger Medical CenterChattanooga | 16 | $23,825 | $3,202 | $2,551 |
| Franklin Woods Community HospitalJohnson City | 14 | $22,292 | $3,100 | $2,470 |
| Vanderbilt Wilson County HospitalLebanon | 11 | $14,216 | $2,782 | $2,127 |
| Saint Francis Bartlett Medical CenterBartlett | 11 | $38,617 | $2,625 | $1,982 |
| Sumner Regional Medical CenterGallatin | – | – | – | – |
| Skyline Medical CenterNashville | – | – | – | – |
| Cumberland Medical CenterCrossville | – | – | – | – |
| Baptist Memorial Hospital HuntingdonHuntingdon | – | – | – | – |
| Wellmont Holston Vly Med CtrKingsport | – | – | – | – |
| Sycamore Shoals HospitalElizabethton | – | – | – | – |
| Morristown-Hamblen HospitalMorristown | – | – | – | – |
| Roane Medical CenterHarriman | – | – | – | – |
| Methodist Med Ctr of Oak RidgeOak Ridge | – | – | – | – |
| Vanderbilt Clarksville HospitalClarksville | – | – | – | – |
| Horizon Medical CenterDickson | – | – | – | – |
| St Mary's Jefferson Memorial HospitalJefferson City | – | – | – | – |
| Southern Tennessee Medical CenterWinchester | – | – | – | – |
| Tristar Northcrest Medical CenterSpringfield | – | – | – | – |
| Dyersburg Regional Medical CenterDyersburg | – | – | – | – |
| Leconte Medical CenterSevierville | – | – | – | – |
| Physicians Regional Medical CenterKnoxville | – | – | – | – |
| Harton Regional Medical CenterTullahoma | – | – | – | – |
| Summit Medical CenterHermitage | – | – | – | – |
| Regional One HealthMemphis | – | – | – | – |
| Parkridge Medical CenterChattanooga | – | – | – | – |
| Cleveland Community HospitalCleveland | – | – | – | – |
| Hendersonville Medical CenterHendersonville | – | – | – | – |
| 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.
| Saint Francis Bartlett Medical CenterBartlett, TN | $2,625 |
|---|---|
| Vanderbilt Wilson County HospitalLebanon, TN | $2,782 |
| St Francis HospitalMemphis, TN | $2,943 |
| Univ of Tn Mem HospitalKnoxville, TN | $3,037 |
| Fort Sanders Reg Medical CtrKnoxville, TN | $3,053 |
| Cookeville Regional Med CenterCookeville, TN | $3,435 |
|---|---|
| Jackson-Madison Cnty Gen HospJackson, TN | $3,358 |
| Johnson City Medical CenterJohnson City, TN | $3,253 |
| Williamson Medical CenterFranklin, TN | $3,226 |
| Saint Thomas Rutherford HospitalMurfreesboro, TN | $3,226 |
In 2024 Medicare data, level 4 airway endoscopy (APC 5154) at 47 hospitals in Tennessee was billed at $28,223 on average, while the average medicare-allowed amount was $3,125, of which Medicare paid $2,480. 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 9.0 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.