Level 5 Musculoskeletal Procedures in Tennessee
What 60 hospitals in Tennessee charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$65,831
Hospital list price billed
Average allowed
$10,865
Medicare's payment + patient's share
Medicare paid
$9,252
Average per service
State rank
#4 of 49
1 = lowest average payment
Hospitals in Tennessee billed an average of $65,831 for level 5 musculoskeletal procedures, about 6.1 times the average medicare-allowed amount of $10,865. That payment is 12% below the U.S. average of $12,402.
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 $10,865Billed $65,831
About 17¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 5 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 |
|---|---|---|---|---|
| St Thomas HospitalNashville | 620 | $69,735 | $11,185 | $9,553 |
| Centennial Medical CenterNashville | 558 | $94,773 | $11,158 | $9,525 |
| Parkwest Medical CenterKnoxville | 525 | $38,704 | $10,668 | $9,035 |
| Williamson Medical CenterFranklin | 515 | $58,072 | $11,312 | $9,680 |
| Jackson-Madison Cnty Gen HospJackson | 423 | $56,014 | $11,604 | $9,972 |
| Erlanger Medical CenterChattanooga | 359 | $35,080 | $11,031 | $9,399 |
| Maury Regional HospitalColumbia | 338 | $52,737 | $10,856 | $9,217 |
| Vanderbilt University HospitalNashville | 316 | $56,154 | $6,948 | $5,757 |
| Methodist Healthcare-MemphisMemphis | 303 | $63,742 | $11,029 | $9,397 |
| Memorial Healthcare System, INCChattanooga | 272 | $49,183 | $10,854 | $9,221 |
| Saint Thomas Rutherford HospitalMurfreesboro | 268 | $62,911 | $11,187 | $9,554 |
| Cookeville Regional Med CenterCookeville | 260 | $43,364 | $12,020 | $10,388 |
| Stonecrest Medical CenterSmyrna | 256 | $97,251 | $11,136 | $9,504 |
| Summit Medical CenterHermitage | 252 | $100,433 | $10,298 | $8,753 |
| Baptist Memorial HospitalMemphis | 233 | $42,550 | $10,934 | $9,301 |
| The Center for Spinal SurgeryNashville | 224 | $57,660 | $11,067 | $9,430 |
| Physicians Regional Medical CenterKnoxville | 222 | $62,854 | $10,641 | $9,009 |
| Parkridge Medical CenterChattanooga | 212 | $75,697 | $10,977 | $9,344 |
| Fort Sanders Reg Medical CtrKnoxville | 207 | $39,837 | $10,493 | $8,861 |
| Henry County Medical CenterParis | 171 | $33,598 | $10,681 | $9,049 |
| Univ of Tn Mem HospitalKnoxville | 161 | $42,953 | $10,394 | $8,761 |
| Blount Memorial HospitalMaryville | 147 | $49,409 | $11,220 | $9,588 |
| Wellmont Holston Vly Med CtrKingsport | 136 | $89,460 | $11,156 | $9,522 |
| Wellmont Bristol Regional Medical CenterBristol | 134 | $76,864 | $11,005 | $9,369 |
| St Francis HospitalMemphis | 124 | $130,310 | $10,495 | $8,863 |
| Hendersonville Medical CenterHendersonville | 117 | $83,588 | $11,326 | $9,694 |
| Cleveland Community HospitalCleveland | 95 | $183,569 | $11,203 | $9,571 |
| Vanderbilt Clarksville HospitalClarksville | 77 | $90,597 | $11,419 | $9,787 |
| Saint Francis Bartlett Medical CenterBartlett | 69 | $120,141 | $10,557 | $8,925 |
| St Mary's Jefferson Memorial HospitalJefferson City | 62 | $65,348 | $10,843 | $9,211 |
| Cumberland Medical CenterCrossville | 55 | $33,488 | $11,429 | $9,797 |
| Johnson City Medical CenterJohnson City | 55 | $84,286 | $11,248 | $9,611 |
| Crockett HospitalLeoma | 51 | $127,415 | $10,981 | $9,349 |
| Morristown-Hamblen HospitalMorristown | 48 | $42,096 | $9,883 | $8,238 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 48 | $41,869 | $10,843 | $9,208 |
| Sycamore Shoals HospitalElizabethton | 42 | $71,625 | $10,437 | $8,805 |
| Skyline Medical CenterNashville | 38 | $130,222 | $11,071 | $9,433 |
| Southern Hills Medical CtrNashville | 36 | $109,785 | $11,326 | $9,689 |
| Southern Tennessee Medical CenterWinchester | 25 | $98,602 | $11,239 | $9,607 |
| Greeneville Community HospitalGreeneville | 24 | $81,412 | $10,851 | $9,219 |
| Vanderbilt Wilson County HospitalLebanon | 22 | $67,465 | $10,905 | $9,273 |
| Athens Regional Medical CenterAthens | 21 | $168,506 | $10,424 | $8,792 |
| River Park HospitalMcMinnville | 20 | $82,304 | $9,815 | $8,183 |
| Horizon Medical CenterDickson | 18 | $85,916 | $11,326 | $9,694 |
| Tristar Northcrest Medical CenterSpringfield | 18 | $99,554 | $10,787 | $9,155 |
| Baptist Memorial Hospital HuntingdonHuntingdon | 13 | $37,811 | $10,342 | $8,768 |
| Regional One HealthMemphis | 11 | $58,753 | $11,011 | $9,357 |
| Sumner Regional Medical CenterGallatin | – | – | – | – |
| Southern Tennessee Regional Health System PulaskiPulaski | – | – | – | – |
| Roane Medical CenterHarriman | – | – | – | – |
| Claiborne County HospitalTazewell | – | – | – | – |
| Leconte Medical CenterSevierville | – | – | – | – |
| Lincoln County Hlth FacilitiesFayetteville | – | – | – | – |
| Hardin County General HospitalSavannah | – | – | – | – |
| Fort Sanders Loudon Med CenterLoudon | – | – | – | – |
| Baptist Memorial Hospital Union CityUnion City | – | – | – | – |
| Vanderbilt Bedford HospitalShelbyville | – | – | – | – |
| Harton Regional Medical CenterTullahoma | – | – | – | – |
| 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
| Vanderbilt University HospitalNashville, TN | $6,948 |
|---|---|
| River Park HospitalMcMinnville, TN | $9,815 |
| Morristown-Hamblen HospitalMorristown, TN | $9,883 |
| Summit Medical CenterHermitage, TN | $10,298 |
| Baptist Memorial Hospital HuntingdonHuntingdon, TN | $10,342 |
Highest
| Cookeville Regional Med CenterCookeville, TN | $12,020 |
|---|---|
| Jackson-Madison Cnty Gen HospJackson, TN | $11,604 |
| Cumberland Medical CenterCrossville, TN | $11,429 |
| Vanderbilt Clarksville HospitalClarksville, TN | $11,419 |
| Southern Hills Medical CtrNashville, TN | $11,326 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Tennessee?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 60 hospitals in Tennessee was billed at $65,831 on average, while the average medicare-allowed amount was $10,865, of which Medicare paid $9,252. 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 6.1 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.