facebook tracking Level 4 Endovascular Procedures cost in Tennessee: 44 hospitals compared (APC 5194)

Level 4 Endovascular Procedures in Tennessee

What 44 hospitals in Tennessee charged and were paid for level 4 endovascular procedures (APC 5194), from 2024 Medicare claims.

APC 5194 Outpatient 2024 Medicare data
Average charge $115,335 Hospital list price billed
Average allowed $14,142 Medicare's payment + patient's share
Medicare paid $12,578 Average per service
State rank #4 of 48 1 = lowest average payment

Hospitals in Tennessee billed an average of $115,335 for level 4 endovascular procedures, about 8.2 times the average medicare-allowed amount of $14,142. That payment is 13% below the U.S. average of $16,197.

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 $14,142Billed $115,335

About 12¢ was paid for every $1 hospitals in Tennessee billed for this service.

Tennessee hospitals: level 4 endovascular 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
Baptist Memorial HospitalMemphis 111 $110,795 $13,341 $11,823
Johnson City Medical CenterJohnson City 88 $113,519 $12,958 $11,567
Methodist Healthcare-MemphisMemphis 86 $125,404 $14,069 $12,492
Memorial Healthcare System, INCChattanooga 82 $84,098 $13,946 $12,334
Vanderbilt University HospitalNashville 62 $89,971 $14,412 $12,779
St Thomas HospitalNashville 59 $113,707 $13,290 $11,851
Cookeville Regional Med CenterCookeville 53 $48,308 $16,052 $14,419
Jackson-Madison Cnty Gen HospJackson 52 $58,922 $15,694 $14,052
Univ of Tn Mem HospitalKnoxville 47 $57,836 $13,856 $12,258
Physicians Regional Medical CenterKnoxville 43 $170,818 $14,099 $12,505
Wellmont Bristol Regional Medical CenterBristol 38 $135,186 $14,640 $13,047
Centennial Medical CenterNashville 35 $222,059 $14,648 $13,058
Erlanger Medical CenterChattanooga 34 $55,225 $14,964 $13,326
Saint Thomas Rutherford HospitalMurfreesboro 30 $136,324 $13,195 $11,726
Horizon Medical CenterDickson 22 $152,692 $15,079 $13,447
Parkwest Medical CenterKnoxville 22 $71,031 $14,435 $12,803
Hendersonville Medical CenterHendersonville 19 $392,988 $15,079 $13,447
St Mary's Jefferson Memorial HospitalJefferson City 17 $193,098 $14,435 $12,787
Parkridge Medical CenterChattanooga 16 $233,718 $14,296 $12,664
Saint Francis Bartlett Medical CenterBartlett 15 $118,328 $12,815 $11,401
Vanderbilt Clarksville HospitalClarksville 14 $102,839 $12,729 $11,330
Harton Regional Medical CenterTullahoma 14 $93,662 $14,990 $13,358
Methodist Med Ctr of Oak RidgeOak Ridge 13 $31,683 $14,435 $12,803
St Francis HospitalMemphis 12 $159,477 $14,787 $13,155
Wellmont Holston Vly Med CtrKingsport 11 $152,347 $15,035 $13,403
Sumner Regional Medical CenterGallatin – – – –
Skyline Medical CenterNashville – – – –
Cumberland Medical CenterCrossville – – – –
Blount Memorial HospitalMaryville – – – –
Baptist Memorial Hospital HuntingdonHuntingdon – – – –
Williamson Medical CenterFranklin – – – –
Lafollette Medical CenterLa Follette – – – –
Greeneville Community HospitalGreeneville – – – –
Southern Tennessee Medical CenterWinchester – – – –
Tristar Northcrest Medical CenterSpringfield – – – –
Athens Regional Medical CenterAthens – – – –
Maury Regional HospitalColumbia – – – –
Metro Nashville General HospitalNashville – – – –
Fort Sanders Reg Medical CtrKnoxville – – – –
Summit Medical CenterHermitage – – – –
Regional One HealthMemphis – – – –
Cleveland Community HospitalCleveland – – – –
Vanderbilt Wilson County HospitalLebanon – – – –
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

Vanderbilt Clarksville HospitalClarksville, TN$12,729
Saint Francis Bartlett Medical CenterBartlett, TN$12,815
Johnson City Medical CenterJohnson City, TN$12,958
Saint Thomas Rutherford HospitalMurfreesboro, TN$13,195
St Thomas HospitalNashville, TN$13,290

Highest

Cookeville Regional Med CenterCookeville, TN$16,052
Jackson-Madison Cnty Gen HospJackson, TN$15,694
Horizon Medical CenterDickson, TN$15,079
Hendersonville Medical CenterHendersonville, TN$15,079
Wellmont Holston Vly Med CtrKingsport, TN$15,035

Level 4 Endovascular Procedures in other states

Questions

How much does level 4 endovascular procedures cost in Tennessee?

In 2024 Medicare data, level 4 endovascular procedures (APC 5194) at 44 hospitals in Tennessee was billed at $115,335 on average, while the average medicare-allowed amount was $14,142, of which Medicare paid $12,578. 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 8.2 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.