facebook tracking Level 6 Gynecologic Procedures cost in Tennessee: 25 hospitals compared (APC 5416)

Level 6 Gynecologic Procedures in Tennessee

What 25 hospitals in Tennessee charged and were paid for level 6 gynecologic procedures (APC 5416), from 2024 Medicare claims.

APC 5416 Outpatient 2024 Medicare data
Average charge $36,420 Hospital list price billed
Average allowed $6,379 Medicare's payment + patient's share
Medicare paid $5,071 Average per service
State rank #3 of 41 1 = lowest average payment

Hospitals in Tennessee billed an average of $36,420 for level 6 gynecologic procedures, about 5.7 times the average medicare-allowed amount of $6,379. That payment is 13% below the U.S. average of $7,292.

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 $6,379Billed $36,420

About 18¢ was paid for every $1 hospitals in Tennessee billed for this service.

Tennessee hospitals: level 6 gynecologic 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 36 $32,951 $6,243 $4,945
Methodist Healthcare-MemphisMemphis 35 $41,413 $6,367 $5,073
Cookeville Regional Med CenterCookeville 26 $22,415 $6,932 $5,521
Vanderbilt University HospitalNashville 22 $62,933 $6,120 $4,836
Centennial Medical CenterNashville 19 $55,992 $6,510 $5,181
Univ of Tn Mem HospitalKnoxville 18 $22,700 $5,886 $4,689
Erlanger Medical CenterChattanooga 16 $27,838 $6,461 $5,147
Parkwest Medical CenterKnoxville 15 $6,738 $6,232 $4,957
Williamson Medical CenterFranklin 14 $30,335 $6,510 $5,187
Johnson City Medical CenterJohnson City 11 $61,319 $6,565 $5,219
Jackson-Madison Cnty Gen HospJackson – – – –
Greeneville Community HospitalGreeneville – – – –
Saint Thomas Rutherford HospitalMurfreesboro – – – –
Southern Tennessee Medical CenterWinchester – – – –
Maury Regional HospitalColumbia – – – –
St Thomas HospitalNashville – – – –
Memorial Healthcare System, INCChattanooga – – – –
Physicians Regional Medical CenterKnoxville – – – –
Fort Sanders Reg Medical CtrKnoxville – – – –
Baptist Memorial Hospital Union CityUnion City – – – –
Summit Medical CenterHermitage – – – –
Parkridge Medical CenterChattanooga – – – –
St Francis HospitalMemphis – – – –
Franklin Woods Community HospitalJohnson City – – – –
Cleveland Community HospitalCleveland – – – –
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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

Univ of Tn Mem HospitalKnoxville, TN$5,886
Vanderbilt University HospitalNashville, TN$6,120
Parkwest Medical CenterKnoxville, TN$6,232
Baptist Memorial HospitalMemphis, TN$6,243
Methodist Healthcare-MemphisMemphis, TN$6,367

Highest

Cookeville Regional Med CenterCookeville, TN$6,932
Johnson City Medical CenterJohnson City, TN$6,565
Centennial Medical CenterNashville, TN$6,510
Williamson Medical CenterFranklin, TN$6,510
Erlanger Medical CenterChattanooga, TN$6,461

Level 6 Gynecologic Procedures in other states

Questions

How much does level 6 gynecologic procedures cost in Tennessee?

In 2024 Medicare data, level 6 gynecologic procedures (APC 5416) at 25 hospitals in Tennessee was billed at $36,420 on average, while the average medicare-allowed amount was $6,379, of which Medicare paid $5,071. 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 5.7 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.