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Tristar Horizon Medical Center: what a joint replacement costs

Dickson, TN 37055 · CMS Certification Number 440046. 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
Dickson Surgery Center, same ZIP
Outpatient here
$11,326
Medicare allowed amount, 18 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Tristar Horizon Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,326
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$14,870$120,3618.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$16,687—$10,467–$61,1189
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS TN$61,118—1
UnitedHealthcare$25,715—1
Oscar$22,178—1
Cigna$19,062—1
Zing$16,687—1
Bright Health$16,360—1
Aetna$15,322—1
Humana$15,170—1
Elevance/Anthem/Empire$10,467—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

Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 157 beds

Tennessee requires a certificate of need for new surgery centers.

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Questions

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

The Medicare allowed amount averaged $11,326 per outpatient hip or knee replacement case (APC 5115, 18 cases) in 2024. Inpatient stays were too few to report.

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

Yes for Medicare facility payments. Dickson Surgery Center, an orthopedic surgery center same ZIP 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 Horizon 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 $16,687 across 9 insurers, ranging from $10,467 to $61,118.