Level 4 Musculoskeletal Procedures in Tennessee
What 65 hospitals in Tennessee charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$40,557
Hospital list price billed
Average allowed
$5,874
Medicare's payment + patient's share
Medicare paid
$4,651
Average per service
State rank
#4 of 49
1 = lowest average payment
Hospitals in Tennessee billed an average of $40,557 for level 4 musculoskeletal procedures, about 6.9 times the average medicare-allowed amount of $5,874. That payment is 12% below the U.S. average of $6,708.
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 $5,874Billed $40,557
About 14¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 4 musculoskeletal 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 |
|---|---|---|---|---|
| Jackson-Madison Cnty Gen HospJackson | 276 | $33,146 | $6,268 | $4,961 |
| Erlanger Medical CenterChattanooga | 274 | $26,794 | $5,902 | $4,657 |
| Vanderbilt University HospitalNashville | 263 | $48,202 | $4,636 | $3,681 |
| Cookeville Regional Med CenterCookeville | 222 | $21,834 | $6,562 | $5,228 |
| The Center for Spinal SurgeryNashville | 195 | $33,262 | $5,945 | $4,690 |
| Memorial Healthcare System, INCChattanooga | 144 | $38,859 | $6,029 | $4,790 |
| Williamson Medical CenterFranklin | 135 | $28,265 | $6,043 | $4,790 |
| Parkwest Medical CenterKnoxville | 135 | $25,460 | $5,737 | $4,537 |
| Univ of Tn Mem HospitalKnoxville | 132 | $23,987 | $5,702 | $4,499 |
| Blount Memorial HospitalMaryville | 127 | $32,911 | $6,055 | $4,791 |
| Baptist Memorial HospitalMemphis | 122 | $31,953 | $5,954 | $4,728 |
| Saint Thomas Rutherford HospitalMurfreesboro | 107 | $39,910 | $6,164 | $4,911 |
| Physicians Regional Medical CenterKnoxville | 91 | $42,775 | $5,797 | $4,594 |
| Parkridge Medical CenterChattanooga | 88 | $46,198 | $5,719 | $4,476 |
| Fort Sanders Reg Medical CtrKnoxville | 69 | $16,144 | $5,636 | $4,437 |
| Maury Regional HospitalColumbia | 63 | $36,124 | $5,968 | $4,734 |
| St Thomas HospitalNashville | 62 | $51,219 | $6,164 | $4,910 |
| St Francis HospitalMemphis | 62 | $88,739 | $5,656 | $4,424 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 61 | $20,868 | $5,803 | $4,624 |
| Wellmont Bristol Regional Medical CenterBristol | 56 | $47,256 | $6,060 | $4,811 |
| Johnson City Medical CenterJohnson City | 56 | $54,324 | $5,951 | $4,682 |
| Centennial Medical CenterNashville | 51 | $81,328 | $5,971 | $4,718 |
| Vanderbilt Clarksville HospitalClarksville | 49 | $60,948 | $6,456 | $5,122 |
| Methodist Healthcare-MemphisMemphis | 49 | $54,502 | $5,925 | $4,699 |
| Stonecrest Medical CenterSmyrna | 48 | $58,488 | $6,061 | $4,803 |
| Henry County Medical CenterParis | 45 | $24,004 | $5,691 | $4,488 |
| Cleveland Community HospitalCleveland | 45 | $116,889 | $5,989 | $4,748 |
| Cumberland Medical CenterCrossville | 42 | $19,617 | $6,319 | $5,033 |
| Crockett HospitalLeoma | 41 | $54,975 | $5,791 | $4,571 |
| Summit Medical CenterHermitage | 40 | $77,068 | $5,691 | $4,513 |
| St Mary's Jefferson Memorial HospitalJefferson City | 33 | $45,592 | $5,628 | $4,424 |
| Saint Francis Bartlett Medical CenterBartlett | 33 | $77,011 | $5,475 | $4,246 |
| Wellmont Holston Vly Med CtrKingsport | 31 | $52,821 | $5,988 | $4,733 |
| Harton Regional Medical CenterTullahoma | 30 | $36,274 | $6,127 | $4,882 |
| Morristown-Hamblen HospitalMorristown | 27 | $25,361 | $5,900 | $4,701 |
| Vanderbilt Wilson County HospitalLebanon | 27 | $44,399 | $5,982 | $4,729 |
| Hendersonville Medical CenterHendersonville | 27 | $81,939 | $6,164 | $4,911 |
| Baptist Memorial Hospital HuntingdonHuntingdon | 26 | $28,116 | $3,585 | $2,857 |
| Vanderbilt Bedford HospitalShelbyville | 25 | $45,066 | $6,127 | $4,882 |
| Southern Tennessee Medical CenterWinchester | 23 | $57,096 | $6,116 | $4,873 |
| Athens Regional Medical CenterAthens | 22 | $101,726 | $5,912 | $4,710 |
| Sumner Regional Medical CenterGallatin | 19 | $69,257 | $5,905 | $4,652 |
| Skyline Medical CenterNashville | 19 | $102,628 | $5,905 | $4,652 |
| Southern Hills Medical CtrNashville | 18 | $81,605 | $5,618 | $4,365 |
| Regional One HealthMemphis | 16 | $42,909 | $4,857 | $3,870 |
| Greeneville Community HospitalGreeneville | 15 | $47,336 | $5,905 | $4,698 |
| Sycamore Shoals HospitalElizabethton | 13 | $41,254 | $5,919 | $4,716 |
| Tristar Northcrest Medical CenterSpringfield | 13 | $51,291 | $5,786 | $4,533 |
| Horizon Medical CenterDickson | 12 | $65,446 | $6,164 | $4,908 |
| Baptist Memorial Hospital Union CityUnion City | 11 | $19,484 | $6,000 | $4,781 |
| River Park HospitalMcMinnville | 11 | $42,954 | $6,127 | $4,882 |
| Southern Tennessee Regional Health System PulaskiPulaski | – | – | – | – |
| Roane Medical CenterHarriman | – | – | – | – |
| Claiborne County HospitalTazewell | – | – | – | – |
| Volunteer Community HospitalMartin | – | – | – | – |
| Dyersburg Regional Medical CenterDyersburg | – | – | – | – |
| Leconte Medical CenterSevierville | – | – | – | – |
| Sweetwater Hospital AssociationSweetwater | – | – | – | – |
| Lincoln County Hlth FacilitiesFayetteville | – | – | – | – |
| Hardin County General HospitalSavannah | – | – | – | – |
| Fort Sanders Loudon Med CenterLoudon | – | – | – | – |
| Stones River Hospital and Dekalb Community HospSmithville | – | – | – | – |
| Tennova Healthcare - Newport Medical CenterNewport | – | – | – | – |
| Livingston Regional HospitalLivingston | – | – | – | – |
| Saint Thomas Highlands HospitalSparta | – | – | – | – |
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
| Baptist Memorial Hospital HuntingdonHuntingdon, TN | $3,585 |
|---|---|
| Vanderbilt University HospitalNashville, TN | $4,636 |
| Regional One HealthMemphis, TN | $4,857 |
| Saint Francis Bartlett Medical CenterBartlett, TN | $5,475 |
| Southern Hills Medical CtrNashville, TN | $5,618 |
Highest
| Cookeville Regional Med CenterCookeville, TN | $6,562 |
|---|---|
| Vanderbilt Clarksville HospitalClarksville, TN | $6,456 |
| Cumberland Medical CenterCrossville, TN | $6,319 |
| Jackson-Madison Cnty Gen HospJackson, TN | $6,268 |
| Horizon Medical CenterDickson, TN | $6,164 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Tennessee?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 65 hospitals in Tennessee was billed at $40,557 on average, while the average medicare-allowed amount was $5,874, of which Medicare paid $4,651. 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 6.9 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.