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Tristar Skyline Medical Center: what a joint replacement costs

Nashville, TN 37207 · CMS Certification Number 440006. 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.

Surgery center nearby
$8,497
Saint Thomas Surgery Center Midtown, 5.8 mi
Outpatient here
$11,071
Medicare allowed amount, 38 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Tristar Skyline Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,071
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$15,621$253,64116.2×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$17,058—$11,138–$37,37710
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS TN$37,377—1
MultiPlan/PHCS (rental network)$33,312—1
UnitedHealthcare$27,206—1
Oscar$22,178—1
Cigna$19,062—1
Zing$17,757—1
Bright Health$16,360—1
Aetna$16,304—1
Humana$16,142—1
Odyssey Healthcare$16,142—1
Elevance/Anthem/Empire$11,138—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.

Quality

Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 395 beds

Tennessee requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Tristar Skyline Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $11,071 per outpatient hip or knee replacement case (APC 5115, 38 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Tristar Skyline Medical Center?

Yes for Medicare facility payments. Saint Thomas Surgery Center Midtown, an orthopedic surgery center 5.8 mi away, is paid about $8,497 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Tristar Skyline Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $17,058 across 10 insurers, ranging from $11,138 to $37,377.