facebook tracking Level 6 Urology and Related Services cost in Tennessee: 40 hospitals compared (APC 5376)

Level 6 Urology and Related Services in Tennessee

What 40 hospitals in Tennessee charged and were paid for level 6 urology and related services (APC 5376), from 2024 Medicare claims.

APC 5376 Outpatient 2024 Medicare data
Average charge $50,865 Hospital list price billed
Average allowed $7,480 Medicare's payment + patient's share
Medicare paid $5,924 Average per service
State rank #2 of 45 1 = lowest average payment

Hospitals in Tennessee billed an average of $50,865 for level 6 urology and related services, about 6.8 times the average medicare-allowed amount of $7,480. That payment is 16% below the U.S. average of $8,915.

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 $7,480Billed $50,865

About 15¢ was paid for every $1 hospitals in Tennessee billed for this service.

Tennessee hospitals: level 6 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
Memorial Healthcare System, INCChattanooga 116 $27,927 $7,743 $6,143
Vanderbilt University HospitalNashville 56 $54,868 $6,517 $5,170
Physicians Regional Medical CenterKnoxville 53 $43,717 $7,483 $5,939
Univ of Tn Mem HospitalKnoxville 51 $31,946 $7,500 $5,956
Centennial Medical CenterNashville 43 $68,956 $7,937 $6,324
Summit Medical CenterHermitage 30 $84,146 $7,937 $6,324
Erlanger Medical CenterChattanooga 27 $26,521 $7,702 $6,091
Stonecrest Medical CenterSmyrna 27 $72,111 $7,937 $6,324
St Francis HospitalMemphis 24 $186,348 $5,974 $4,392
Cleveland Community HospitalCleveland 24 $63,343 $7,590 $5,994
Saint Francis Bartlett Medical CenterBartlett 24 $94,347 $7,525 $5,935
Williamson Medical CenterFranklin 23 $24,388 $7,764 $6,186
Maury Regional HospitalColumbia 18 $28,832 $7,783 $6,201
Cookeville Regional Med CenterCookeville 16 $24,616 $8,449 $6,817
Methodist Med Ctr of Oak RidgeOak Ridge 15 $28,466 $7,194 $5,650
Henry County Medical CenterParis 13 $14,902 $7,597 $6,053
Baptist Memorial Hospital HuntingdonHuntingdon 11 $28,104 $5,525 $4,402
Parkwest Medical CenterKnoxville 11 $30,790 $7,597 $6,053
Hendersonville Medical CenterHendersonville 11 $54,358 $7,461 $5,848
Southern Hills Medical CtrNashville 11 $64,956 $7,362 $5,749
Jackson-Madison Cnty Gen HospJackson – – – –
Sumner Regional Medical CenterGallatin – – – –
Skyline Medical CenterNashville – – – –
Blount Memorial HospitalMaryville – – – –
Wellmont Holston Vly Med CtrKingsport – – – –
Lafollette Medical CenterLa Follette – – – –
Vanderbilt Clarksville HospitalClarksville – – – –
Baptist Memorial HospitalMemphis – – – –
Methodist Healthcare-MemphisMemphis – – – –
Greeneville Community HospitalGreeneville – – – –
Saint Thomas Rutherford HospitalMurfreesboro – – – –
St Mary's Jefferson Memorial HospitalJefferson City – – – –
Dyersburg Regional Medical CenterDyersburg – – – –
St Thomas HospitalNashville – – – –
Fort Sanders Reg Medical CtrKnoxville – – – –
Baptist Memorial Hospital Union CityUnion City – – – –
Harton Regional Medical CenterTullahoma – – – –
Regional One HealthMemphis – – – –
Indian Path Medical CenterKingsport – – – –
Franklin Woods Community HospitalJohnson City – – – –
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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

Baptist Memorial Hospital HuntingdonHuntingdon, TN$5,525
St Francis HospitalMemphis, TN$5,974
Vanderbilt University HospitalNashville, TN$6,517
Methodist Med Ctr of Oak RidgeOak Ridge, TN$7,194
Southern Hills Medical CtrNashville, TN$7,362

Highest

Cookeville Regional Med CenterCookeville, TN$8,449
Summit Medical CenterHermitage, TN$7,937
Centennial Medical CenterNashville, TN$7,937
Stonecrest Medical CenterSmyrna, TN$7,937
Maury Regional HospitalColumbia, TN$7,783

Level 6 Urology and Related Services in other states

Questions

How much does level 6 urology and related services cost in Tennessee?

In 2024 Medicare data, level 6 urology and related services (APC 5376) at 40 hospitals in Tennessee was billed at $50,865 on average, while the average medicare-allowed amount was $7,480, of which Medicare paid $5,924. 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 6.8 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.