Level 6 Musculoskeletal Procedures in Tennessee
What 52 hospitals in Tennessee charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$88,632
Hospital list price billed
Average allowed
$15,325
Medicare's payment + patient's share
Medicare paid
$13,704
Average per service
State rank
#4 of 49
1 = lowest average payment
Hospitals in Tennessee billed an average of $88,632 for level 6 musculoskeletal procedures, about 5.8 times the average medicare-allowed amount of $15,325. That payment is 12% below the U.S. average of $17,392.
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 $15,325Billed $88,632
About 17¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 6 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 |
|---|---|---|---|---|
| The Center for Spinal SurgeryNashville | 235 | $83,403 | $15,610 | $13,977 |
| Parkwest Medical CenterKnoxville | 189 | $76,484 | $14,980 | $13,346 |
| Baptist Memorial HospitalMemphis | 166 | $53,295 | $15,695 | $14,063 |
| Williamson Medical CenterFranklin | 123 | $58,629 | $15,920 | $14,296 |
| Maury Regional HospitalColumbia | 116 | $67,901 | $15,606 | $13,972 |
| St Thomas HospitalNashville | 91 | $91,570 | $15,866 | $14,233 |
| Vanderbilt University HospitalNashville | 90 | $99,982 | $8,954 | $7,569 |
| Centennial Medical CenterNashville | 85 | $106,601 | $15,854 | $14,222 |
| Memorial Healthcare System, INCChattanooga | 82 | $73,434 | $15,681 | $14,049 |
| Jackson-Madison Cnty Gen HospJackson | 81 | $68,354 | $16,677 | $15,045 |
| Fort Sanders Reg Medical CtrKnoxville | 61 | $93,511 | $15,130 | $13,498 |
| Wellmont Bristol Regional Medical CenterBristol | 52 | $158,959 | $15,977 | $14,345 |
| Saint Francis Bartlett Medical CenterBartlett | 50 | $191,840 | $14,589 | $12,950 |
| Vanderbilt Clarksville HospitalClarksville | 49 | $134,056 | $17,058 | $15,426 |
| Stonecrest Medical CenterSmyrna | 49 | $131,593 | $15,533 | $13,901 |
| Blount Memorial HospitalMaryville | 47 | $65,659 | $16,157 | $14,525 |
| Summit Medical CenterHermitage | 47 | $122,920 | $14,389 | $12,792 |
| Univ of Tn Mem HospitalKnoxville | 44 | $63,796 | $15,028 | $13,396 |
| Cookeville Regional Med CenterCookeville | 40 | $55,959 | $17,058 | $15,426 |
| Erlanger Medical CenterChattanooga | 38 | $56,524 | $15,526 | $13,894 |
| Physicians Regional Medical CenterKnoxville | 37 | $85,142 | $14,638 | $13,006 |
| Hendersonville Medical CenterHendersonville | 37 | $109,348 | $16,023 | $14,391 |
| Saint Thomas Rutherford HospitalMurfreesboro | 36 | $91,763 | $15,624 | $13,992 |
| Methodist Med Ctr of Oak RidgeOak Ridge | 34 | $59,472 | $14,936 | $13,304 |
| Wellmont Holston Vly Med CtrKingsport | 33 | $106,798 | $15,543 | $13,911 |
| Parkridge Medical CenterChattanooga | 31 | $106,211 | $15,850 | $14,218 |
| Henry County Medical CenterParis | 28 | $41,055 | $15,339 | $13,707 |
| Methodist Healthcare-MemphisMemphis | 27 | $115,566 | $15,658 | $14,018 |
| Crockett HospitalLeoma | 20 | $107,574 | $15,180 | $13,548 |
| St Francis HospitalMemphis | 19 | $177,096 | $15,713 | $14,081 |
| Cleveland Community HospitalCleveland | 18 | $264,959 | $15,850 | $14,218 |
| St Mary's Jefferson Memorial HospitalJefferson City | 16 | $89,941 | $13,636 | $12,004 |
| Cumberland Medical CenterCrossville | 13 | $61,619 | $16,426 | $14,794 |
| Sumner Regional Medical CenterGallatin | – | – | – | – |
| Skyline Medical CenterNashville | – | – | – | – |
| Baptist Memorial Hospital HuntingdonHuntingdon | – | – | – | – |
| Sycamore Shoals HospitalElizabethton | – | – | – | – |
| Morristown-Hamblen HospitalMorristown | – | – | – | – |
| Horizon Medical CenterDickson | – | – | – | – |
| Greeneville Community HospitalGreeneville | – | – | – | – |
| Southern Tennessee Medical CenterWinchester | – | – | – | – |
| Johnson City Medical CenterJohnson City | – | – | – | – |
| Tristar Northcrest Medical CenterSpringfield | – | – | – | – |
| Athens Regional Medical CenterAthens | – | – | – | – |
| Fort Sanders Loudon Med CenterLoudon | – | – | – | – |
| Baptist Memorial Hospital Union CityUnion City | – | – | – | – |
| Vanderbilt Bedford HospitalShelbyville | – | – | – | – |
| Harton Regional Medical CenterTullahoma | – | – | – | – |
| River Park HospitalMcMinnville | – | – | – | – |
| Livingston Regional HospitalLivingston | – | – | – | – |
| Vanderbilt Wilson County HospitalLebanon | – | – | – | – |
| Southern Hills Medical CtrNashville | – | – | – | – |
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 | $8,954 |
|---|---|
| St Mary's Jefferson Memorial HospitalJefferson City, TN | $13,636 |
| Summit Medical CenterHermitage, TN | $14,389 |
| Saint Francis Bartlett Medical CenterBartlett, TN | $14,589 |
| Physicians Regional Medical CenterKnoxville, TN | $14,638 |
Highest
| Vanderbilt Clarksville HospitalClarksville, TN | $17,058 |
|---|---|
| Cookeville Regional Med CenterCookeville, TN | $17,058 |
| Jackson-Madison Cnty Gen HospJackson, TN | $16,677 |
| Cumberland Medical CenterCrossville, TN | $16,426 |
| Blount Memorial HospitalMaryville, TN | $16,157 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Tennessee?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 52 hospitals in Tennessee was billed at $88,632 on average, while the average medicare-allowed amount was $15,325, of which Medicare paid $13,704. 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 5.8 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.