▸ Tennessee · MS-DRG 469
Major joint replacement w MCC in Tennessee
What Tennessee hospitals charge for major joint replacement w mcc (MS-DRG 469). Rates sourced from federally-mandated machine-readable files.
Hospitals
20
Rate rows
878
Neg. median
$20,300
Min
$45
Max
$69,341
Cash median
$25,742
Across 20 Tennessee hospitals, the negotiated rate for Major joint replacement w MCC ranges from $45 to $69,341, with a median of $20,300. The interquartile range is $12,300 to $27,601. Cash-pay patients typically pay $25,742; gross charges median $109,675.
By payer in Tennessee
Top 30 payers for Major joint replacement w MCC in Tennessee.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 19 | 141 | $24,398 |
| Aetna | 18 | 52 | $20,300 |
| Cigna | 17 | 146 | $16,559 |
| UnitedHealthcare | 17 | 130 | $15,974 |
| Humana | 12 | 21 | $23,075 |
| Ambetter | 11 | 11 | $25,774 |
| community plan | 8 | 8 | $15,116 |
| Medicare | 8 | 15 | $20,817 |
| Oscar Health | 8 | 14 | $8,394.5 |
| Medicare Advantage | 8 | 9 | $21,225 |
| smart health | 8 | 30 | $32,108 |
| celtic insurance company | 7 | 7 | $36,514 |
| health 2 business | 7 | 21 | $41,652 |
| oscar | 7 | 7 | $35,006 |
| healthspring mcr replacement | 7 | 7 | $21,225 |
| optum va | 7 | 7 | $21,225 |
| nhc advantage | 7 | 7 | $21,225 |
| point comfort underwriters | 7 | 7 | $19,103 |
| centurion of tn | 7 | 7 | $21,225 |
| Self-Pay (Cash) | 7 | 7 | $21,225 |
| river valley plan | 7 | 7 | $15,445 |
| amerigroup mcaid replacement | 7 | 35 | $12,300 |
| amerigroup mcr replacement | 7 | 7 | $21,225 |
| ascension complete | 6 | 6 | $21,238 |
| TRICARE | 5 | 5 | $23,051 |
| VA Health | 4 | 4 | $21,079 |
| triwest va pccc | 3 | 3 | $19,826 |
| beech street | 3 | 3 | $85 |
| ccn managed care | 3 | 3 | $85 |
| community services network | 3 | 3 | $65 |
Hospital comparison — Major joint replacement w MCC in Tennessee
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| St Thomas Hickman Hospital | Centerville | $15,974 | — | — |
| Saint Thomas Stones River Hospital | Woodbury | $18,292 | — | — |
| Saint Thomas Midtown Hospital | Nashville | $18,434 | — | — |
| St Thomas Dekalb Hospital | Smithville | $19,103 | — | — |
| Ascension St Thomas River Park | Mcminnville | $19,547 | — | — |
| Saint Thomas Rutherford Hospital | Murfreesboro | $19,826 | — | — |
| Saint Thomas West Hospital | Nashville | $19,826 | — | — |
| Saint Thomas Highland Hospital | Sparta | $20,300 | — | — |
| Henry County Medical Center | Paris | $21,585 | — | — |
| Morristown-Hamblen Hospital | Morristown | $23,397 | — | — |
| Methodist H/C Memphis Hospt. | Memphis | $23,457 | $21,955 | $99,795 |
| Fort Loudoun Medical Center | Lenoir City | $24,652 | — | — |
| Roane County Medical Center | Harriman | $25,040 | — | — |
| Milan General Hospital | Milan | $26,001 | — | — |
| Jackson-Madison County General Hosp | Jackson | $34,351 | — | — |
| Dyersburg Regional Medical Center | Dyersburg | $34,351 | — | — |
| West Tn Healthcare Volunteer Hospita | Martin | $34,679 | — | — |
| Camden General Hospital | Camden | $35,760 | — | — |
| Bolivar General Hospital | Bolivar | $36,514 | — | — |
| St Thomas Ascension | Nashville | — | $29,530 | $119,555 |