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Hip fracture replacement in Tennessee: what insurers pay

Posted commercial rates at 8 Tennessee hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27236

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Rutherford Murfreesboro$3,6490.5×12026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$6,1650.9×12026-01-01
TriStar StoneCrest Medical Center Smyrna$7,4751.1×32026-09-01

MS-DRG 522

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Rutherford Murfreesboro$17,5421.2×52026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$17,5421.2×62026-01-01
TriStar StoneCrest Medical Center Smyrna$19,0621.3×72026-09-01
TriStar Skyline Medical Center Nashville$19,0621.3×82026-09-01
TriStar Summit Medical Center Hermitage$19,0621.3×82026-09-01
TriStar Hendersonville Medical Center Hendersonville$19,0621.3×72026-09-01
Vanderbilt Wilson County Hospital Lebanon$34,9632.4×62025-10-01
Vanderbilt University Medical Center Nashville$44,0753.0×62025-10-01

MS-DRG 521

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Rutherford Murfreesboro$20,3001.0×52026-01-01
TriStar Hendersonville Medical Center Hendersonville$21,4111.1×72026-09-01
TriStar Summit Medical Center Hermitage$21,4231.1×82026-09-01
TriStar StoneCrest Medical Center Smyrna$22,8531.2×72026-09-01
TriStar Skyline Medical Center Nashville$23,0651.2×82026-09-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$24,8181.3×52026-01-01
Vanderbilt Wilson County Hospital Lebanon$47,3872.4×62025-10-01
Vanderbilt University Medical Center Nashville$59,7363.0×62025-10-01

Questions

How much do insurers pay for hip fracture replacement in Tennessee?

8 Tennessee hospitals post usable commercial rates for hip fracture replacement in their federal price-transparency files. For CPT 27236, hospital outpatient, the median across 3 hospitals is $6,165, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.