Hendersonville, TN 37075 · CMS Certification Number 440194. 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 | $13,345 | $112,337 | 8.4× | $11,326 |
| Shoulder replacement | — | — | — | $16,023 |
| Hip replacement after a fracture (DRG 522) | $14,829 | $144,034 | 9.7× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $16,360 | 1.2× | $10,299–$61,118 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS TN | $61,118 | 4.6× | 1 |
| UnitedHealthcare | $25,715 | 1.9× | 1 |
| Oscar | $22,178 | 1.7× | 1 |
| Cigna | $19,062 | 1.4× | 1 |
| Bright Health | $16,360 | 1.2× | 1 |
| Zing | $16,184 | 1.2× | 1 |
| Aetna | $14,860 | 1.1× | 1 |
| Humana | $14,712 | 1.1× | 1 |
| Elevance/Anthem/Empire | $10,299 | 0.8× | 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.
Complications after hip or knee replacement: 5.6% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 148 beds
Tennessee requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Tristar Hendersonville Medical Center for an inpatient hip or knee replacement stay was $13,345 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,326 per outpatient case (APC 5115, 117 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $112,337, 8.4× 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. Indian Lake Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,497 by Medicare for a knee replacement (CPT 27447), $4,848 less than an inpatient stay at Tristar Hendersonville Medical Center. Not every patient is a surgery-center candidate.
Tristar Hendersonville Medical Center's average total payment per Medicare stay is lower than 59% of the 29 Tennessee 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 $16,360 across 9 insurers, ranging from $10,299 to $61,118.