CMS Price Transparency Data

Total hip replacement

Facility: Tristar Skyline Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$13,498
about 1.0× the $13,117 Medicare rate · typically $4,543–$19,585
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,476
Above the fair price
about $4,978 over the fair price · 1.4× Medicare
Medicare pays $13,117 Fair price $13,498 This hospital $18,476

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $3,449 Priciest $18,476

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $13,498 (about 1.0× the $13,117 Medicare rate). Tristar Skyline Medical Center charges insurers about $18,476 — above the fair price. Located in Nashville, TN.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $13,498. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $22,403 - $29,870 171%
Blue Cross Blue Shieldmajor $2,179 - $37,269 17%
Aetnamajor $20,979 - $26,035 160%
Cignamajor $29,454 - $33,471 225%
Humanamajor $4,013 - $14,000 31%
Ambetter (Centene) $18,954 - $19,712 145%
Bright Health $12,950 - $26,677 99%
Devoted Health $15,396 117%
Oscar Health $30,445 232%
WellCare $12,000 91%
+ 6 smaller / regional plans $2,550 - $18,476

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3441 Dickerson Pike, Nashville, TN 37207
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals