Level 8 Urology and Related Services in Tennessee
What 23 hospitals in Tennessee charged and were paid for level 8 urology and related services (APC 5378), from 2024 Medicare claims.
Average charge
$91,410
Hospital list price billed
Average allowed
$15,592
Medicare's payment + patient's share
Medicare paid
$13,988
Average per service
State rank
#3 of 38
1 = lowest average payment
Hospitals in Tennessee billed an average of $91,410 for level 8 urology and related services, about 5.9 times the average medicare-allowed amount of $15,592. That payment is 18% below the U.S. average of $19,057.
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 $15,592Billed $91,410
About 17¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 8 urology and related services
Every Tennessee hospital that billed Medicare for this service at least 11 times. Click a column to sort.
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 | $13,067 |
|---|---|
| Univ of Tn Mem HospitalKnoxville, TN | $15,934 |
| Erlanger Medical CenterChattanooga, TN | $16,614 |
| St Thomas HospitalNashville, TN | $17,036 |
| Summit Medical CenterHermitage, TN | $17,341 |
Highest
| Summit Medical CenterHermitage, TN | $17,341 |
|---|---|
| St Thomas HospitalNashville, TN | $17,036 |
| Erlanger Medical CenterChattanooga, TN | $16,614 |
| Univ of Tn Mem HospitalKnoxville, TN | $15,934 |
| Vanderbilt University HospitalNashville, TN | $13,067 |
Level 8 Urology and Related Services in other states
Questions
How much does level 8 urology and related services cost in Tennessee?
In 2024 Medicare data, level 8 urology and related services (APC 5378) at 23 hospitals in Tennessee was billed at $91,410 on average, while the average medicare-allowed amount was $15,592, of which Medicare paid $13,988. 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 5.9 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.