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Hip replacement revision in Tennessee: what insurers pay

Posted commercial rates at 4 Tennessee hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27134

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Rutherford Murfreesboro$21,2941.7×22026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$21,6361.8×22026-01-01
TriStar StoneCrest Medical Center Smyrna$25,8082.1×52026-09-01

CPT 27137

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Hospital (Midtown + West) Nashville$14,8281.2×22026-01-01
Ascension Saint Thomas Rutherford Murfreesboro$22,9011.9×12026-01-01
TriStar StoneCrest Medical Center Smyrna$25,8082.1×52026-09-01

CPT 27138

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Rutherford Murfreesboro$24,3432.0×42026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$24,6382.0×42026-01-01
TriStar StoneCrest Medical Center Smyrna$25,8082.1×52026-09-01

MS-DRG 468

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Hospital (Midtown + West) Nashville$19,9701.1×62026-01-01
Ascension Saint Thomas Rutherford Murfreesboro$20,3001.1×52026-01-01
TriStar StoneCrest Medical Center Smyrna$21,9771.2×72026-09-01
Vanderbilt University Medical Center Nashville$57,1933.0×62025-10-01

MS-DRG 467

HospitalMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical Center Smyrna$27,5531.1×72026-09-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$28,2601.2×42026-01-01
Ascension Saint Thomas Rutherford Murfreesboro$29,2521.2×42026-01-01
Vanderbilt University Medical Center Nashville$73,3973.0×62025-10-01

MS-DRG 466

HospitalMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical Center Smyrna$39,1841.1×72026-09-01
Ascension Saint Thomas Rutherford Murfreesboro$44,8091.3×32026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$53,5771.5×32026-01-01
Vanderbilt University Medical Center Nashville$91,3392.6×62025-10-01

Questions

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

4 Tennessee hospitals post usable commercial rates for hip replacement revision in their federal price-transparency files. For CPT 27134, hospital outpatient, the median across 3 hospitals is $21,636, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.