TN CMS Medicare PUF 2023 Avg payment #12 of 56

Tennessee procedure costs

122 hospitals · 4,349 Medicare providers · 4,604 procedure codes with Tennessee locality adjustments.

The short answer

Tennessee has 122 hospitals and 4,349 Medicare-billing providers across 4,604 procedure codes. The average Medicare payment per procedure is $263.44; the average submitted (billed) charge is $1,369.11.

Procedure codes
4,604
Providers per hospital
35.6
Billed-to-Medicare ratio
5.2x
Markup rank
#36 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

122
Hospitals
4,349
Providers
$263.44
Avg Medicare Payment
$1,369.11
Avg Billed Charge

Tennessee against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$263 higher than 79% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). Below this entry. $150–$175: 5 states (9%). Below this entry. $175–$200: 7 states (13%). Below this entry. $200–$225: 9 states (16%). Below this entry. $225–$250: 9 states (16%). Below this entry. $250–$275: 11 states (20%). This entry sits in this band. $275–$300: 4 states (7%). Above this entry. $300–$325: 4 states (7%). Above this entry. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in Tennessee

Highest average Medicare payment per procedure billed in Tennessee. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - Tennessee

Sipuleucel-T, Minimum Of 50 …41990Radioelements For Brachyther…12641Fusion Of Sacroiliac Joint B…8928Removal Of Plaque And Insert…8381Creation Of Opening Between …7117Injection Of Cell Or Tissue-…6731Removal Of Plaque And Insert…6520Not Otherwise Classified, An…6198
Top procedures by Medicare payment - Tennessee-Average Medicare payment per procedure (CMS 2023)

The cost spread in Tennessee

The highest- and lowest-paying procedures Medicare reimbursed in Tennessee, side by side.

Top Procedures by Volume

Procedure Medicare Services
Injection, Ferric Carboxymaltose, 1 Mg $0.87 4.7M
Injection, Testosterone Cypionate, 1 Mg $0.02 3.9M
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.11 3.6M
Ground Mileage, Per Statute Mile $7.44 3.2M
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $75.68 2.5M
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) $3.88 2.0M
Injection, Darbepoetin Alfa, 1 Microgram (non-Esrd Use) $2.34 1.8M
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $53.11 1.7M
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $16.87 1.4M
Injection, Denosumab, 1 Mg $18.24 1.3M
Insertion Of Needle Into Vein For Collection Of Blood Sample $8.26 1.3M
Injection, Pembrolizumab, 1 Mg $43.08 1.2M
Injection, Tocilizumab, 1 Mg $4.60 1.2M
Injection, Faricimab-Svoa, 0.1 Mg $28.93 1.0M
Injection, Onabotulinumtoxina, 1 Unit $4.78 975.7K
Injection, Nivolumab, 1 Mg $23.38 939.4K
Injection, Romosozumab-Aqqg, 1 Mg $7.90 894.3K
Therapy Procedure Using Functional Activities $23.06 848.1K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes $57.33 809.8K
Injection, Dexamethasone Sodium Phosphate, 1 Mg $0.09 789.5K
Chloroprocaine Hcl Ophthalmic, 3% Gel, 1 Mg $0.55 740.8K
Injection, Golimumab, 1 Mg, For Intravenous Use $10.39 736.8K
Injection, Oxaliplatin, 0.5 Mg $0.06 694.0K
Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test And Automated Differential White Blood Cell Count $7.57 678.7K
Blood Test, Comprehensive Group Of Blood Chemicals $10.30 677.3K
Injection, Vedolizumab, 1 Mg $16.88 663.3K
Pathology Examination Of Tissue Using A Microscope, Intermediate Complexity $34.68 659.8K
Injection, Daratumumab, 10 Mg And Hyaluronidase-Fihj $37.44 633.9K
Therapy Procedure Using Manual Technique, Each 15 Minutes $15.16 633.0K
Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-Esrd Use) $0.39 574.8K

Tennessee Healthcare Cost Landscape

CMS lists 122 hospitals in Tennessee across 79 cities. MEMPHIS holds 12 (10%). The three densest cities together hold 23% of the state roster. Statewide that is 4,349 Medicare-billing providers, 35.6 per listed hospital.

66 hospitals carry a CMS overall star rating (4 five-star, 17 four-star, 23 three-star, 20 two-star, 2 one-star) ; five-star share among rated facilities is 6%. 56 hospitals in this extract have no published overall rating.

Facility-type mix: Acute Care Hospitals 78 (64%); Psychiatric 21 (17%); Critical Access Hospitals 15 (12%); Acute Care - Veterans Administration 4 (3%).

Among the 30 highest-volume procedure codes billed in Tennessee, Drugs (Administered) leads with 24.4M services (57% of this top-volume slice) across 17 codes. Next is Temporary Codes at 10%.

Submitted charges average $1,369.11 against $263.44 Medicare payment (5.2x billed-to-Medicare). That ratio ranks #36 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #12 of 56.

Volume leaders are not the high-payment codes. Injection, Ferric Carboxymaltose, 1 Mg is in the top volume slice but not the highest Medicare payments; Sipuleucel-T, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-Gm-Csf, Including Leukapheresis And All Other Preparatory Procedures, Per Infusion is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for Tennessee, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where Tennessee hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 79 distinct cities appear on 122 listed facilities.

City Hospitals Share of state roster
MEMPHIS 12 10%
NASHVILLE 10 8%
KNOXVILLE 6 5%
CHATTANOOGA 5 4%
COLUMBIA 3 2%
JACKSON 3 2%
KINGSPORT 3 2%
MURFREESBORO 3 2%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for Tennessee: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar CMS hospital count

Nearest states with ≥5 hospitals (122 here).

Similar average Medicare payment

Nearest states with published averages ($263.44 here).

Hospitals in Tennessee

AFFILIATE OF VITRUVIAN HEALTH
CLEVELAND · ★★☆☆☆
ASCENSION SAINT THOMAS BEHAVIORAL HEALTH HOSPITAL
NASHVILLE · -
ASCENSION SAINT THOMAS HOSPITAL
NASHVILLE · ★★★☆☆
ASCENSION SAINT THOMAS THREE RIVERS
WAVERLY · -
BAPTIST MEMORIAL HOSPITAL
MEMPHIS · ★★☆☆☆
BAPTIST MEMORIAL HOSPITAL - CARROLL COUNTY
HUNTINGDON · -
BAPTIST MEMORIAL HOSPITAL TIPTON
COVINGTON · ★★★☆☆
BAPTIST MEMORIAL HOSPITAL UNION CITY
UNION CITY · ★★★★★
BIG SOUTH FORK MEDICAL CENTER
ONEIDA · -
BLOUNT MEMORIAL HOSPITAL
MARYVILLE · ★★★★☆
CLAIBORNE MEDICAL CENTER
TAZEWELL · -
COMPASS INTERVENTION CENTER
MEMPHIS · -
COOKEVILLE REGIONAL MEDICAL CENTER
COOKEVILLE · ★★☆☆☆
CREEKSIDE BEHAVIORAL HEALTH
KINGSPORT · -
CRESTWYN BEHAVIORAL HEALTH
MEMPHIS · -
CUMBERLAND MEDICAL CENTER
CROSSVILLE · ★★★★☆
DEKALB COMMUNITY HOSPITAL
SMITHVILLE · -
DELTA SPECIALTY HOSPITAL
MEMPHIS · -
DYERSBURG REGIONAL MEDICAL CENTER
DYERSBURG · ★★★★☆
EAST TENNESSEE BEHAVIORAL HEALTH
KNOXVILLE · -
EAST TENNESSEE CHILDRENS HOSPITAL
KNOXVILLE · -
ERLANGER BEHAVIORAL HOSPITAL, LLC
CHATTANOOGA · -
ERLANGER BLEDSOE HOSPITAL
PIKEVILLE · -
ERLANGER MEDICAL CENTER
CHATTANOOGA · ★★★☆☆
FORT LOUDOUN MEDICAL CENTER
LENOIR CITY · ★★★★★
FORT SANDERS REGIONAL MEDICAL CENTER
KNOXVILLE · ★★★☆☆
FRANKLIN WOODS COMMUNITY HOSPITAL
JOHNSON CITY · ★★★★☆
GREENEVILLE COMMUNITY HOSPITAL
GREENEVILLE · ★★★☆☆
HANCOCK COUNTY HOSPITAL
SNEEDVILLE · -
HARDIN MEDICAL CENTER
SAVANNAH · -

View all 122 hospitals in Tennessee →

How Tennessee Compares Nationally

Tennessee's average Medicare payment is #12 of 56 in this extract. Submitted-over-Medicare markup ranks #36 of 56 (5.2x). Hospital-count peers (nearest CMS roster size to 122): Missouri 121, North Carolina 120, Iowa 118, Oklahoma 135. Payment peers (nearest average Medicare payment to $263.44): Michigan $261.21, Georgia $260.01, Virginia $267.46, Colorado $268.29.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Tennessee, not an out-of-pocket quote.

Related registry pages

Tennessee averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are Tennessee CMS averages, not a quote for any patient, plan, or visit.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure  · Verify with CMS →

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.