Medical Procedure Costs in Tennessee

Tennessee Medicare physician rates are generally below the national average (-7.3%). One statewide locality — the ZIP tool still maps you onto that locality.

Look up any CPT in Tennessee

Featured table below is 59 procedures. Search covers 7,500+ fee-schedule codes.

Try
vs national (featured set)
-7.3%
Medicare localities
1
PE GPCI 0.909
On this page
59
featured procedures · rest via search

What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. These Tennessee averages are unweighted means of the state’s localities, not population-weighted.

How Medicare prices Tennessee

Tennessee's Medicare rates come from one statewide locality with below-average geographic indices, so Memphis, Nashville, Knoxville, and Chattanooga all publish the same approved amounts despite being four distinct metro markets. The uniform locality stretches across a state that spans two time zones and several regional economies. Nashville's boom has raised local practice costs faster than the statewide averages that feed the indices. For patients, the fee schedule is identical statewide; the markets around it are anything but.

Nashville is the corporate capital of American hospital operations, home to major for-profit chains, alongside a prominent academic medical center, while Memphis anchors care for the Mid-South including parts of Mississippi and Arkansas. Knoxville and Chattanooga serve East Tennessee, and the rural Cumberland Plateau and West Tennessee counties have seen multiple hospital closures. Cross-border patient flows into Tennessee's metros are heavy from every neighboring state.

Enter a ZIP code for your part of Tennessee, whether Nashville, Memphis, Knoxville, Chattanooga, the Tri-Cities, or the rural plateau and delta counties.

Featured physician rates in Tennessee

ProcedureTennessee
Incision & Drainage of Abscess10060$119
Skin Biopsy (Tangential)11102$88
Skin Biopsy (Punch)11104$112
Destruction of Skin Lesion17000$61
Partial Mastectomy19301$574
Total Hip Replacement27130$1,064
Total Knee Replacement27447$1,062
Knee Arthroscopy29881$472
Upper Endoscopy (EGD)43235$297
Upper Endoscopy (EGD) With Biopsy43239$384
Colonoscopy (Diagnostic)45378$348
Colonoscopy With Biopsy45380$442
Colonoscopy With Polyp Removal45385$462
Laparoscopic Cholecystectomy47562$572
Laparoscopic Inguinal Hernia Repair49650$384
Laparoscopic Removal of Ovarian Cyst58661$540
Vaginal Delivery (Global)59400$1,994
Cesarean Delivery (Global)59510$2,212
Lumbar Discectomy63030$804
Cataract Surgery66984$436
MRI Brain Without Contrast70551$181
MRI Brain With Contrast70552$248
MRI Brain70553$293
Chest X-Ray71046$30
CT Chest Without Contrast71250$123
CT Chest With Contrast71260$154
MRI Cervical Spine72141$177
MRI Lumbar Spine72148$177
Shoulder X-Ray73030$33
MRI Shoulder73221$189
Knee X-Ray73560$32
MRI Knee73721$189
CT Abdomen & Pelvis Without Contrast74176$170
CT Abdomen & Pelvis With Contrast74177$277
Ultrasound Abdomen76700$105
Ultrasound Transvaginal76830$108
Ultrasound Pelvis76856$97
Diagnostic Mammogram77066$145
Screening Mammogram77067$116
Nuclear Stress Test78452$392
Psychiatric Evaluation90791$169
Psychiatric Evaluation With Medical Services90792$194
Psychotherapy (45 min)90834$111
Psychotherapy (60 min)90837$163
ECG/EKG93000$14
Echocardiogram93306$182
Stress Echocardiogram93350$172
Carotid Ultrasound93880$173
Laser Treatment for Skin96920$127
Physical Therapy (Therapeutic Exercise)97110$28
Physical Therapy (Manual Therapy)97140$26
PT Evaluation (Low Complexity)97161$94
PT Evaluation (Moderate Complexity)97162$94
Office Visit (New, Low)99203$110
Office Visit (New, Moderate-High)99204$166
Office Visit (New, High)99205$221
Office Visit (Established, Moderate)99213$89
Office Visit (Established, Moderate-High)99214$127
Office Visit (Established, High)99215$181

Office (non-facility) physician rates. Open a row for the locality table and ZIP tool.

Medical costs in Tennessee: questions

Across the 59 featured procedures on this page, Tennessee sits below the national average by about 7%. Examples: incision & drainage of abscess $119, skin biopsy (tangential) $88, skin biopsy (punch) $112. Search any other CPT in the box above — those codes are in the tool, not as extra Tennessee articles.

Tennessee is one Medicare locality, so the physician fee schedule is statewide. Site of service (office vs hospital) and hospital facility fees still change what a patient is billed.

Medicare physician allowed amounts only — the professional fee after GPCI. They do not include hospital facility charges, anesthesia, or your plan’s contracted rate. Medicare patients typically owe 20% of the allowed amount after the Part B deductible, before Medigap.

Yes. The table is the featured set (59 procedures). The search box looks up 7,500+ payable codes from the 2026 fee schedule and applies Tennessee’s locality when you enter a ZIP.

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.