Bowling Green, KY 42104 · CMS Certification Number 180124. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,227 | $91,929 | 6.5× | $11,272 |
| Shoulder replacement | $16,774 | $147,645 | 8.8× | $16,068 |
| Hip replacement after a fracture (DRG 522) | $16,818 | $112,037 | 6.7× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $13,122 | 0.9× | $12,935–$42,888 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $42,888 | 3.0× | 1 |
| UnitedHealthcare | $13,122 | 0.9× | 1 |
| Elevance/Anthem/Empire | $12,935 | 0.9× | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 211 beds
Kentucky requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Tristar Greenview Regional Hospital for an inpatient hip or knee replacement stay was $14,227 (MS-DRG 470, 33 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,272 per outpatient case (APC 5115, 226 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $91,929, 6.5× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Greenview Surgery Center , an orthopedic surgery center 9.3 mi away, is paid about $8,526 by Medicare for a knee replacement (CPT 27447), $5,701 less than an inpatient stay at Tristar Greenview Regional Hospital. Not every patient is a surgery-center candidate.
Tristar Greenview Regional Hospital's average total payment per Medicare stay is lower than 50% of the 14 Kentucky hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $13,122 across 3 insurers, ranging from $12,935 to $42,888.