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The Price of Medicare Procedures in Tennessee



This table shows the 100 most frequently charged procedures/diagnosis in Tennessee to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Tennessee 723 $20047 $4912 $15135
Acute Myocardial Infarction Discharged Alive With Complications
 Tennessee 1194 $24612 $7079 $17533
Acute Myocardial Infarction Discharged Alive With Major Complications
 Tennessee 2048 $36619 $10935 $25684
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Tennessee 374 $15130 $3993 $11137
Atherosclerosis No Major Complications
 Tennessee 643 $13654 $3520 $10134
Back And Neck Proc Exc Spinal Fusion No Complications
 Tennessee 934 $23018 $6260 $16758
Bronchitis And Asthma No Complications
 Tennessee 315 $12805 $3645 $9160
Bronchitis And Asthma With Complications
 Tennessee 765 $17395 $5186 $12209
Cardiac Arrhythmia And Conduction Disorders No Complications
 Tennessee 2687 $12407 $3513 $8894
Cardiac Arrhythmia And Conduction Disorders With Complications
 Tennessee 2520 $17020 $5041 $11979
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Tennessee 1540 $25814 $7544 $18270
Cellulitis No Major Complications
 Tennessee 3441 $16279 $5032 $11247
Cellulitis With Major Complications
 Tennessee 380 $30436 $8885 $21551
Cervical Spinal Fusion No Complications
 Tennessee 910 $44120 $13164 $30956
Chest Pain
 Tennessee 2888 $14776 $3353 $11423
Chronic Obstructive Pulmonary Disease No Complications
 Tennessee 4096 $14972 $4309 $10663
Chronic Obstructive Pulmonary Disease With Complications
 Tennessee 4679 $19593 $5660 $13933
Chronic Obstructive Pulmonary Disease With Major Complications
 Tennessee 5003 $23923 $7037 $16886
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Tennessee 3864 $28176 $6835 $21341
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Tennessee 707 $45552 $13151 $32401
Cranial And Peripheral Nerve Disorders No Major Complications
 Tennessee 545 $25831 $5849 $19982
Degenerative Nervous System Disorders No Major Complications
 Tennessee 496 $21528 $5762 $15766
Diabetes With Complications
 Tennessee 1310 $17403 $5111 $12292
Disorders Of Pancreas Except Malignancy With Complications
 Tennessee 559 $21586 $6376 $15210
Dysequilibrium
 Tennessee 216 $15760 $4093 $11667
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Tennessee 6152 $16359 $4325 $12034
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Tennessee 1076 $26619 $7338 $19281
Extracranial Procedures No Complications
 Tennessee 986 $24047 $6271 $17776
Fractures Of Hip And Pelvis No Major Complications
 Tennessee 617 $13268 $4148 $9120
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Tennessee 396 $14381 $4305 $10076
Gi Hemorrhage No Complications
 Tennessee 692 $15688 $4468 $11220
Gi Hemorrhage With Complications
 Tennessee 3513 $20711 $6053 $14658
Gi Hemorrhage With Major Complications
 Tennessee 1295 $35913 $10628 $25285
Gi Obstruction No Complications
 Tennessee 658 $14715 $4048 $10667
Gi Obstruction With Complications
 Tennessee 1156 $20036 $5647 $14389
Heart Failure And Shock No Complications
 Tennessee 2429 $14398 $4108 $10290
Heart Failure And Shock With Complications
 Tennessee 5991 $19150 $6090 $13060
Heart Failure And Shock With Major Complications
 Tennessee 5092 $29962 $8869 $21093
Hip And Femur Procedures Except Major Joint No Complications
 Tennessee 733 $32948 $9125 $23823
Hip And Femur Procedures Except Major Joint With Complications
 Tennessee 2096 $42601 $11072 $31529
Hip And Femur Procedures Except Major Joint With Major Complications
 Tennessee 563 $58433 $17667 $40766
Hypertension No Major Complications
 Tennessee 730 $14253 $3839 $10414
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Tennessee 874 $108829 $34408 $74421
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Tennessee 1422 $19590 $5007 $14583
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Tennessee 2938 $25624 $6993 $18631
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Tennessee 1919 $39631 $11487 $28144
Kidney And Urinary Tract Infections No Major Complications
 Tennessee 6313 $15485 $4583 $10902
Kidney And Urinary Tract Infections With Major Complications
 Tennessee 2365 $22616 $6897 $15719
Laparoscopic Cholecystectomy No Cde No Complications
 Tennessee 432 $29378 $7018 $22360
Laparoscopic Cholecystectomy No Cde With Complications
 Tennessee 474 $41442 $10337 $31105
Major Cardiovasc Procedures No Major Complications
 Tennessee 1026 $75271 $19565 $55706
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Tennessee 549 $22522 $7598 $14924
Major Joint Replacement Of Lower Extremity No Major Complications
 Tennessee 10063 $48672 $13186 $35486
Major Joint Replacement Of Lower Extremity With Major Complications
 Tennessee 658 $69709 $19436 $50273
Major Small And Large Bowel Procedures With Complications
 Tennessee 1189 $56060 $16163 $39897
Major Small And Large Bowel Procedures With Major Complications
 Tennessee 917 $110867 $33529 $77338
Medical Back Problems No Major Complications
 Tennessee 1048 $19934 $5122 $14812
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Tennessee 4057 $14272 $4148 $10124
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Tennessee 1466 $24119 $7153 $16966
Other Circulatory System Diagnoses With Complications
 Tennessee 489 $20433 $6142 $14291
Other Circulatory System Diagnoses With Major Complications
 Tennessee 1349 $41375 $11783 $29592
Other Digestive System Diagnoses With Complications
 Tennessee 829 $20672 $6110 $14562
Other Kidney And Urinary Tract Diagnoses With Complications
 Tennessee 560 $25061 $6771 $18290
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Tennessee 626 $33389 $10628 $22761
Other Vascular Procedures No Complications
 Tennessee 756 $42154 $10343 $31811
Other Vascular Procedures With Complications
 Tennessee 877 $56128 $15389 $40739
Other Vascular Procedures With Major Complications
 Tennessee 831 $65800 $19180 $46620
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Tennessee 768 $61528 $12601 $48927
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Tennessee 3216 $56956 $12982 $43974
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Tennessee 1039 $80497 $20808 $59689
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Tennessee 878 $47631 $11254 $36377
Peripheral Vascular Disorders No Complications
 Tennessee 425 $12809 $4100 $8709
Peripheral Vascular Disorders With Complications
 Tennessee 946 $18056 $5865 $12191
Permanent Cardiac Pacemaker Implant No Complications
 Tennessee 783 $51791 $12608 $39183
Permanent Cardiac Pacemaker Implant With Complications
 Tennessee 741 $59871 $16684 $43187
Poisoning And Toxic Effects Of Drugs No Major Complications
 Tennessee 834 $13909 $3775 $10134
Poisoning And Toxic Effects Of Drugs With Major Complications
 Tennessee 687 $31935 $8982 $22953
Psychoses
 Tennessee 2199 $16263 $5366 $10897
Pulmonary Edema And Respiratory Failure
 Tennessee 3367 $26754 $7625 $19129
Pulmonary Embolism No Major Complications
 Tennessee 940 $20829 $6342 $14487
Red Blood Cell Disorders No Major Complications
 Tennessee 2372 $17917 $4923 $12994
Red Blood Cell Disorders With Major Complications
 Tennessee 482 $30716 $8082 $22634
Renal Failure No Complications
 Tennessee 414 $12630 $3963 $8667
Renal Failure With Complications
 Tennessee 4182 $19625 $6067 $13558
Renal Failure With Major Complications
 Tennessee 3129 $30685 $9923 $20762
Respiratory Infections And Inflammations With Complications
 Tennessee 1757 $27845 $8368 $19477
Respiratory Infections And Inflammations With Major Complications
 Tennessee 2058 $40945 $11818 $29127
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Tennessee 793 $114067 $33224 $80843
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Tennessee 2184 $51409 $14090 $37319
Seizures No Major Complications
 Tennessee 979 $18940 $5001 $13939
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Tennessee 2684 $21763 $6717 $15046
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Tennessee 8502 $38065 $11398 $26667
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Tennessee 515 $124697 $37659 $87038
Signs And Symptoms No Major Complications
 Tennessee 1199 $15457 $4193 $11264
Simple Pneumonia And Pleurisy No Complications
 Tennessee 2558 $15203 $4222 $10981
Simple Pneumonia And Pleurisy With Complications
 Tennessee 6389 $20741 $5942 $14799
Simple Pneumonia And Pleurisy With Major Complications
 Tennessee 4345 $30931 $8698 $22233
Spinal Fusion Except Cervical No Major Complications
 Tennessee 2044 $87395 $25076 $62319
Syncope And Collapse
 Tennessee 2851 $17657 $4362 $13295
Transient Ischemia
 Tennessee 1766 $18327 $4491 $13836


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

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