facebook tracking Level 4 Neurostimulator and Related Procedures cost in Tennessee: 40 hospitals compared (APC 5464)

Level 4 Neurostimulator and Related Procedures in Tennessee

What 40 hospitals in Tennessee charged and were paid for level 4 neurostimulator and related procedures (APC 5464), from 2024 Medicare claims.

APC 5464 Outpatient 2024 Medicare data
Average charge $80,029 Hospital list price billed
Average allowed $17,821 Medicare's payment + patient's share
Medicare paid $16,191 Average per service
State rank #3 of 44 1 = lowest average payment

Hospitals in Tennessee billed an average of $80,029 for level 4 neurostimulator and related procedures, about 4.5 times the average medicare-allowed amount of $17,821. That payment is 11% below the U.S. average of $20,097.

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 $17,821Billed $80,029

About 22¢ was paid for every $1 hospitals in Tennessee billed for this service.

Tennessee hospitals: level 4 neurostimulator and related 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
Univ of Tn Mem HospitalKnoxville 111 $83,874 $17,705 $16,073
Vanderbilt University HospitalNashville 65 $76,472 $16,138 $14,523
Erlanger Medical CenterChattanooga 32 $38,171 $18,127 $16,495
Parkridge Medical CenterChattanooga 31 $93,923 $18,599 $16,967
Maury Regional HospitalColumbia 30 $67,694 $18,439 $16,807
Cookeville Regional Med CenterCookeville 24 $42,272 $20,017 $18,385
Centennial Medical CenterNashville 23 $92,304 $18,056 $16,424
Parkwest Medical CenterKnoxville 22 $77,227 $17,256 $15,624
Memorial Healthcare System, INCChattanooga 17 $58,597 $18,599 $16,967
Henry County Medical CenterParis 16 $47,240 $18,000 $16,368
St Thomas HospitalNashville 15 $105,143 $18,803 $17,171
Physicians Regional Medical CenterKnoxville 15 $137,257 $16,909 $15,277
Jackson-Madison Cnty Gen HospJackson 14 $46,460 $19,570 $17,938
St Francis HospitalMemphis 12 $179,875 $15,638 $14,006
Cleveland Community HospitalCleveland 11 $143,156 $18,599 $16,967
Sumner Regional Medical CenterGallatin – – – –
Skyline Medical CenterNashville – – – –
Unity Medical CenterManchester – – – –
Blount Memorial HospitalMaryville – – – –
Wellmont Bristol Regional Medical CenterBristol – – – –
Baptist Memorial Hospital HuntingdonHuntingdon – – – –
Williamson Medical CenterFranklin – – – –
Vanderbilt Clarksville HospitalClarksville – – – –
Baptist Memorial HospitalMemphis – – – –
Methodist Healthcare-MemphisMemphis – – – –
Greeneville Community HospitalGreeneville – – – –
Saint Thomas Rutherford HospitalMurfreesboro – – – –
St Mary's Jefferson Memorial HospitalJefferson City – – – –
Southern Tennessee Medical CenterWinchester – – – –
Johnson City Medical CenterJohnson City – – – –
Tristar Northcrest Medical CenterSpringfield – – – –
Athens Regional Medical CenterAthens – – – –
Dyersburg Regional Medical CenterDyersburg – – – –
Fort Sanders Reg Medical CtrKnoxville – – – –
Baptist Memorial Hospital Union CityUnion City – – – –
Summit Medical CenterHermitage – – – –
River Park HospitalMcMinnville – – – –
Franklin Woods Community HospitalJohnson City – – – –
Stonecrest Medical CenterSmyrna – – – –
Saint Francis Bartlett Medical CenterBartlett – – – –
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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

St Francis HospitalMemphis, TN$15,638
Vanderbilt University HospitalNashville, TN$16,138
Physicians Regional Medical CenterKnoxville, TN$16,909
Parkwest Medical CenterKnoxville, TN$17,256
Univ of Tn Mem HospitalKnoxville, TN$17,705

Highest

Cookeville Regional Med CenterCookeville, TN$20,017
Jackson-Madison Cnty Gen HospJackson, TN$19,570
St Thomas HospitalNashville, TN$18,803
Memorial Healthcare System, INCChattanooga, TN$18,599
Parkridge Medical CenterChattanooga, TN$18,599

Level 4 Neurostimulator and Related Procedures in other states

Questions

How much does level 4 neurostimulator and related procedures cost in Tennessee?

In 2024 Medicare data, level 4 neurostimulator and related procedures (APC 5464) at 40 hospitals in Tennessee was billed at $80,029 on average, while the average medicare-allowed amount was $17,821, of which Medicare paid $16,191. 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 4.5 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.