Level 4 Pacemaker and Similar Procedures in Tennessee
What 33 hospitals in Tennessee charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$96,650
Hospital list price billed
Average allowed
$16,458
Medicare's payment + patient's share
Medicare paid
$14,823
Average per service
State rank
#4 of 47
1 = lowest average payment
Hospitals in Tennessee billed an average of $96,650 for level 4 pacemaker and similar procedures, about 5.9 times the average medicare-allowed amount of $16,458. That payment is 12% below the U.S. average of $18,685.
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 $16,458Billed $96,650
About 17¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 4 pacemaker and similar 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 | 122 | $81,126 | $16,405 | $14,773 |
| Jackson-Madison Cnty Gen HospJackson | 85 | $57,914 | $17,173 | $15,530 |
| St Thomas HospitalNashville | 50 | $109,978 | $16,752 | $15,119 |
| Vanderbilt University HospitalNashville | 43 | $98,294 | $16,107 | $14,475 |
| Johnson City Medical CenterJohnson City | 34 | $130,307 | $16,443 | $14,811 |
| Erlanger Medical CenterChattanooga | 30 | $46,175 | $16,124 | $14,492 |
| Methodist Healthcare-MemphisMemphis | 28 | $139,081 | $15,871 | $14,231 |
| Memorial Healthcare System, INCChattanooga | 24 | $76,898 | $16,571 | $14,939 |
| Physicians Regional Medical CenterKnoxville | 21 | $280,333 | $15,351 | $13,719 |
| Univ of Tn Mem HospitalKnoxville | 20 | $58,714 | $16,037 | $14,405 |
| Centennial Medical CenterNashville | 17 | $116,689 | $16,752 | $15,107 |
| Parkridge Medical CenterChattanooga | 14 | $150,725 | $16,571 | $14,939 |
| Parkwest Medical CenterKnoxville | 11 | $88,362 | $16,037 | $14,405 |
| Blount Memorial HospitalMaryville | – | – | – | – |
| Wellmont Bristol Regional Medical CenterBristol | – | – | – | – |
| Baptist Memorial Hospital HuntingdonHuntingdon | – | – | – | – |
| Wellmont Holston Vly Med CtrKingsport | – | – | – | – |
| Morristown-Hamblen HospitalMorristown | – | – | – | – |
| Roane Medical CenterHarriman | – | – | – | – |
| Methodist Med Ctr of Oak RidgeOak Ridge | – | – | – | – |
| Vanderbilt Clarksville HospitalClarksville | – | – | – | – |
| Horizon Medical CenterDickson | – | – | – | – |
| Saint Thomas Rutherford HospitalMurfreesboro | – | – | – | – |
| Southern Tennessee Medical CenterWinchester | – | – | – | – |
| Cookeville Regional Med CenterCookeville | – | – | – | – |
| Maury Regional HospitalColumbia | – | – | – | – |
| Fort Sanders Reg Medical CtrKnoxville | – | – | – | – |
| Baptist Memorial Hospital Union CityUnion City | – | – | – | – |
| Summit Medical CenterHermitage | – | – | – | – |
| St Francis HospitalMemphis | – | – | – | – |
| Cleveland Community HospitalCleveland | – | – | – | – |
| Vanderbilt Wilson County HospitalLebanon | – | – | – | – |
| Hendersonville Medical CenterHendersonville | – | – | – | – |
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
| Physicians Regional Medical CenterKnoxville, TN | $15,351 |
|---|---|
| Methodist Healthcare-MemphisMemphis, TN | $15,871 |
| Univ of Tn Mem HospitalKnoxville, TN | $16,037 |
| Parkwest Medical CenterKnoxville, TN | $16,037 |
| Vanderbilt University HospitalNashville, TN | $16,107 |
Highest
| Jackson-Madison Cnty Gen HospJackson, TN | $17,173 |
|---|---|
| Centennial Medical CenterNashville, TN | $16,752 |
| St Thomas HospitalNashville, TN | $16,752 |
| Memorial Healthcare System, INCChattanooga, TN | $16,571 |
| Parkridge Medical CenterChattanooga, TN | $16,571 |
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in Tennessee?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 33 hospitals in Tennessee was billed at $96,650 on average, while the average medicare-allowed amount was $16,458, of which Medicare paid $14,823. 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 5.9 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.