What 25 hospitals in Tennessee charged and were paid for level 6 gynecologic procedures (APC 5416), from 2024 Medicare claims.
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.
About 18¢ was paid for every $1 hospitals in Tennessee billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| 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 |
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.
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.