Hip or knee replacement (inpatient stay)
Facility: Tristar Southern Hills 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 Southern Hills Medical Center charges insurers about $19,153 — 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 $15,765. 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
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 | $2,987 - $33,819 | 21% |
| Blue Cross Blue Shieldmajor | $8,619 - $66,535 | 61% |
| Aetnamajor | $18,965 - $47,887 | 135% |
| Cignamajor | $18,507 - $21,031 | 132% |
| Humanamajor | $18,777 - $24,242 | 134% |
| Ambetter (Centene) | $15,246 - $15,856 | 109% |
| Amerigroup | $18,777 | 134% |
| Bright Health | $15,814 - $19,605 | 113% |
| Cigna HealthSpring | $19,153 | 136% |
| Devoted Health | $19,153 | 136% |
| Oscar Health | $22,178 | 158% |
| WellCare | $19,341 | 138% |
| + 12 smaller / regional plans | $2,300 - $20,655 |
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 Southern Hills 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.