Hip or knee replacement (inpatient stay)
Facility: Tristar Summit Medical Center
Billing Code: 470 (MS-DRG)
Highest price of the 9 TN hospitals we have prices for — worth calling around.
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 $15,765 (about 1.1× the $14,044 Medicare rate). Tristar Summit Medical Center charges insurers about $15,376 — about the fair price. Located in Hermitage, 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
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 | $2,811 - $31,746 | 20% |
| Blue Cross Blue Shieldmajor | $8,274 - $66,535 | 59% |
| Aetnamajor | $15,004 - $47,887 | 107% |
| Cignamajor | $18,507 - $21,031 | 132% |
| Humanamajor | $14,856 - $24,242 | 106% |
| Ambetter (Centene) | $15,246 - $15,856 | 109% |
| Amerigroup | $14,856 | 106% |
| Bright Health | $14,707 - $19,605 | 105% |
| Cigna HealthSpring | $15,153 | 108% |
| Devoted Health | $15,153 | 108% |
| Oscar Health | $22,178 | 158% |
| WellCare | $15,301 | 109% |
| + 12 smaller / regional plans | $2,300 - $16,341 |
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.
Other Procedures at Tristar Summit Medical Center
Compare: Hip or knee replacement (inpatient stay) at other TN hospitals
- Unity Medical Center · Manchester $7,429
- Southern Tennessee Regional Health System Winchest · Winchester $13,087
- Parkwest Medical Center · Knoxville $13,222
- Ascension Saint Thomas Hospital · Nashville $13,288
- Highpoint Health-Sumner With Ascension Saint Thoma · Gallatin $13,369
- Physicians Regional Medical Center · Powell $13,846
- Dekalb Community Hospital · Smithville $13,948
- Morristown Hamblen Hospital Association · Morristown $13,961
Insurance negotiated median for the same procedure, sorted lowest first.