Level 5 Urology and Related Services in Tennessee
What 54 hospitals in Tennessee charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$26,248
Hospital list price billed
Average allowed
$4,142
Medicare's payment + patient's share
Medicare paid
$3,287
Average per service
State rank
#2 of 49
1 = lowest average payment
Hospitals in Tennessee billed an average of $26,248 for level 5 urology and related services, about 6.3 times the average medicare-allowed amount of $4,142. That payment is 16% below the U.S. average of $4,934.
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 $4,142Billed $26,248
About 16¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 5 urology and related services
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 |
|---|---|---|---|---|
| Vanderbilt University HospitalNashville | 409 | $36,095 | $3,006 | $2,390 |
| Memorial Healthcare System, INCChattanooga | 263 | $19,270 | $4,370 | $3,473 |
| Erlanger Medical CenterChattanooga | 240 | $19,903 | $4,334 | $3,435 |
| Univ of Tn Mem HospitalKnoxville | 230 | $13,940 | $4,182 | $3,314 |
| Maury Regional HospitalColumbia | 178 | $22,524 | $4,346 | $3,452 |
| Physicians Regional Medical CenterKnoxville | 153 | $23,240 | $4,194 | $3,326 |
| Jackson-Madison Cnty Gen HospJackson | 129 | $19,232 | $4,583 | $3,638 |
| Williamson Medical CenterFranklin | 125 | $21,591 | $4,401 | $3,495 |
| Franklin Woods Community HospitalJohnson City | 102 | $23,341 | $4,149 | $3,271 |
| Saint Thomas Rutherford HospitalMurfreesboro | 101 | $30,986 | $4,433 | $3,523 |
| Parkwest Medical CenterKnoxville | 100 | $11,761 | $4,267 | $3,400 |
| Cleveland Community HospitalCleveland | 100 | $54,488 | $4,375 | $3,478 |
| Cookeville Regional Med CenterCookeville | 97 | $16,538 | $4,746 | $3,781 |
| Henry County Medical CenterParis | 97 | $11,514 | $4,236 | $3,372 |
| St Thomas HospitalNashville | 90 | $26,747 | $4,458 | $3,552 |
| Baptist Memorial Hospital HuntingdonHuntingdon | 79 | $13,193 | $2,161 | $1,720 |
| Sumner Regional Medical CenterGallatin | 78 | $29,614 | $4,372 | $3,465 |
| Summit Medical CenterHermitage | 67 | $50,959 | $4,369 | $3,463 |
| Indian Path Medical CenterKingsport | 65 | $25,162 | $4,188 | $3,314 |
| Tristar Northcrest Medical CenterSpringfield | 61 | $30,669 | $4,353 | $3,446 |
| Blount Memorial HospitalMaryville | 50 | $25,264 | $4,424 | $3,510 |
| Greeneville Community HospitalGreeneville | 50 | $28,796 | $4,203 | $3,326 |
| Centennial Medical CenterNashville | 50 | $48,488 | $4,383 | $3,477 |
| Fort Sanders Reg Medical CtrKnoxville | 45 | $14,190 | $4,267 | $3,396 |
| Saint Francis Bartlett Medical CenterBartlett | 42 | $36,147 | $3,957 | $3,068 |
| Hendersonville Medical CenterHendersonville | 39 | $43,825 | $4,211 | $3,305 |
| Methodist Healthcare-MemphisMemphis | 38 | $21,627 | $4,355 | $3,470 |
| Vanderbilt Wilson County HospitalLebanon | 38 | $42,080 | $4,458 | $3,552 |
| Vanderbilt Clarksville HospitalClarksville | 37 | $32,700 | $4,644 | $3,679 |
| St Mary's Jefferson Memorial HospitalJefferson City | 35 | $21,706 | $4,267 | $3,398 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 34 | $9,743 | $4,267 | $3,400 |
| Stonecrest Medical CenterSmyrna | 34 | $47,026 | $4,145 | $3,238 |
| St Francis HospitalMemphis | 33 | $50,357 | $4,161 | $3,261 |
| Skyline Medical CenterNashville | 32 | $77,708 | $4,458 | $3,552 |
| Dyersburg Regional Medical CenterDyersburg | 30 | $16,110 | $4,570 | $3,641 |
| Wellmont Bristol Regional Medical CenterBristol | 28 | $26,922 | $4,445 | $3,542 |
| Harton Regional Medical CenterTullahoma | 27 | $33,151 | $4,301 | $3,400 |
| Cumberland Medical CenterCrossville | 26 | $8,222 | $4,570 | $3,641 |
| Morristown-Hamblen HospitalMorristown | 22 | $7,352 | $4,267 | $3,398 |
| Southern Hills Medical CtrNashville | 18 | $45,790 | $4,458 | $3,552 |
| Lafollette Medical CenterLa Follette | 16 | $25,604 | $4,570 | $3,641 |
| River Park HospitalMcMinnville | 15 | $34,439 | $4,432 | $3,531 |
| Southern Tennessee Medical CenterWinchester | 14 | $49,724 | $4,424 | $3,525 |
| Horizon Medical CenterDickson | 13 | $39,164 | $4,458 | $3,552 |
| Baptist Memorial HospitalMemphis | 12 | $18,140 | $4,363 | $3,476 |
| Baptist Memorial Hospital Union CityUnion City | 12 | $11,228 | $4,340 | $3,458 |
| Regional One HealthMemphis | 12 | $19,040 | $4,337 | $3,455 |
| Wellmont Holston Vly Med CtrKingsport | – | – | – | – |
| Johnson City Medical CenterJohnson City | – | – | – | – |
| Athens Regional Medical CenterAthens | – | – | – | – |
| Leconte Medical CenterSevierville | – | – | – | – |
| Metro Nashville General HospitalNashville | – | – | – | – |
| Parkridge Medical CenterChattanooga | – | – | – | – |
| Crockett HospitalLeoma | – | – | – | – |
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 | $2,161 |
|---|---|
| Vanderbilt University HospitalNashville, TN | $3,006 |
| Saint Francis Bartlett Medical CenterBartlett, TN | $3,957 |
| Stonecrest Medical CenterSmyrna, TN | $4,145 |
| Franklin Woods Community HospitalJohnson City, TN | $4,149 |
Highest
| Cookeville Regional Med CenterCookeville, TN | $4,746 |
|---|---|
| Vanderbilt Clarksville HospitalClarksville, TN | $4,644 |
| Jackson-Madison Cnty Gen HospJackson, TN | $4,583 |
| Cumberland Medical CenterCrossville, TN | $4,570 |
| Lafollette Medical CenterLa Follette, TN | $4,570 |
Level 5 Urology and Related Services in other states
Questions
How much does level 5 urology and related services cost in Tennessee?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 54 hospitals in Tennessee was billed at $26,248 on average, while the average medicare-allowed amount was $4,142, of which Medicare paid $3,287. 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 6.3 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.