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Tristar Summit Medical Center: what a joint replacement costs

Hermitage, TN 37076 · CMS Certification Number 440150. 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
Summit Surgery Center, same ZIP
Outpatient here
$10,298
Medicare allowed amount, 252 cases, APC 5115
Inpatient here
$13,158
Avg total payment (incl. patient share), 15 Medicare stays, MS-DRG 470

Medicare prices at Tristar Summit Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,158$122,1569.3×$10,298
Shoulder replacement———$14,389
Hip replacement after a fracture (DRG 522)$14,294$147,02910.3×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$16,2841.2×$10,315–$37,75110
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS TN$37,7512.9×1
MultiPlan/PHCS (rental network)$26,4052.0×1
UnitedHealthcare$25,7152.0×1
Oscar$22,1781.7×1
Cigna$19,0621.4×1
Bright Health$16,3601.2×1
Zing$16,2091.2×1
Aetna$14,8831.1×1
Humana$14,7351.1×1
Odyssey Healthcare$14,7351.1×1
Elevance/Anthem/Empire$10,3150.8×1

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: 4.1% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 200 beds

Tennessee requires a certificate of need for new surgery centers.

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Questions

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

In 2024 the average total payment to Tristar Summit Medical Center for an inpatient hip or knee replacement stay was $13,158 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,298 per outpatient case (APC 5115, 252 cases).

What is Tristar Summit Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $122,156, 9.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

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

Yes for Medicare facility payments. Summit Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,497 by Medicare for a knee replacement (CPT 27447), $4,661 less than an inpatient stay at Tristar Summit Medical Center. Not every patient is a surgery-center candidate.

How does Tristar Summit Medical Center compare with other Tennessee hospitals?

Tristar Summit Medical Center's average total payment per Medicare stay is lower than 69% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Tristar Summit 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 $16,284 across 10 insurers, ranging from $10,315 to $37,751.