CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Tristar Horizon Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,736
about 1.1× the $14,044 Medicare rate · typically $14,025–$18,485
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,744
About the fair price
about $8 over the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $15,736 This hospital $15,744

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 $7,429 Priciest $15,744

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

A fair price for a Hip or knee replacement (inpatient stay) is about $15,736 (about 1.1× the $14,044 Medicare rate). Tristar Horizon Medical Center charges insurers about $15,744 — about the fair price. Located in Dickson, TN.

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 $3,271 - $37,214 23%
Blue Cross Blue Shieldmajor $6,101 - $61,118 43%
Aetnamajor $15,369 - $47,887 109%
Cignamajor $18,507 - $21,031 132%
Humanamajor $15,217 - $24,242 108%
Ambetter (Centene) $15,246 - $15,856 109%
Amerigroup $15,217 108%
Bright Health $15,065 - $19,605 107%
Cigna HealthSpring $15,521 111%
Devoted Health $15,521 111%
Oscar Health $22,178 158%
WellCare $15,673 112%
+ 11 smaller / regional plans $2,300 - $16,739
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 111 Highway 70 East, Dickson, TN 37055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals