▸ Tennessee · MS-DRG 470
Major joint replacement w/o MCC in Tennessee
What Tennessee hospitals charge for major joint replacement w/o mcc (MS-DRG 470). Rates sourced from federally-mandated machine-readable files.
Hospitals
20
Rate rows
878
Neg. median
$14,495
Min
$45
Max
$58,345
Cash median
$16,253
Across 20 Tennessee hospitals, the negotiated rate for Major joint replacement w/o MCC ranges from $45 to $58,345, with a median of $14,495. The interquartile range is $11,723 to $19,970. Cash-pay patients typically pay $16,253; gross charges median $69,355.
By payer in Tennessee
Top 30 payers for Major joint replacement w/o MCC in Tennessee.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 19 | 141 | $18,136 |
| Aetna | 18 | 52 | $19,970 |
| Cigna | 17 | 146 | $15,285 |
| UnitedHealthcare | 17 | 130 | $15,584 |
| Humana | 12 | 21 | $13,695 |
| Ambetter | 11 | 11 | $16,390 |
| community plan | 8 | 8 | $8,943.87 |
| Medicare | 8 | 15 | $13,238 |
| Oscar Health | 8 | 14 | $8,394.5 |
| Medicare Advantage | 8 | 9 | $13,498 |
| smart health | 8 | 30 | $20,418 |
| celtic insurance company | 7 | 7 | $23,348 |
| health 2 business | 7 | 21 | $25,656 |
| oscar | 7 | 7 | $22,261 |
| healthspring mcr replacement | 7 | 7 | $13,498 |
| optum va | 7 | 7 | $13,498 |
| nhc advantage | 7 | 7 | $13,498 |
| point comfort underwriters | 7 | 7 | $12,148 |
| centurion of tn | 7 | 7 | $13,498 |
| Self-Pay (Cash) | 7 | 7 | $13,498 |
| river valley plan | 7 | 7 | $9,821.96 |
| amerigroup mcaid replacement | 7 | 35 | $7,894 |
| amerigroup mcr replacement | 7 | 7 | $13,498 |
| ascension complete | 6 | 6 | $13,506 |
| TRICARE | 5 | 5 | $13,875 |
| VA Health | 4 | 4 | $13,888 |
| triwest va pccc | 3 | 3 | $12,608 |
| beech street | 3 | 3 | $85 |
| ccn managed care | 3 | 3 | $85 |
| community services network | 3 | 3 | $65 |
Hospital comparison — Major joint replacement w/o MCC in Tennessee
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Saint Thomas Midtown Hospital | Nashville | $11,840 | — | — |
| Morristown-Hamblen Hospital | Morristown | $13,496 | — | — |
| St Thomas Dekalb Hospital | Smithville | $13,498 | — | — |
| Ascension St Thomas River Park | Mcminnville | $13,648 | — | — |
| Saint Thomas West Hospital | Nashville | $13,695 | — | — |
| Saint Thomas Rutherford Hospital | Murfreesboro | $13,695 | — | — |
| Fort Loudoun Medical Center | Lenoir City | $14,220 | — | — |
| Henry County Medical Center | Paris | $14,244 | — | — |
| Roane County Medical Center | Harriman | $14,444 | — | — |
| Saint Thomas Highland Hospital | Sparta | $14,495 | — | — |
| Saint Thomas Stones River Hospital | Woodbury | $14,674 | — | — |
| Methodist H/C Memphis Hospt. | Memphis | $15,739 | $14,299 | $64,995 |
| St Thomas Hickman Hospital | Centerville | $15,974 | — | — |
| Milan General Hospital | Milan | $16,535 | — | — |
| Jackson-Madison County General Hosp | Jackson | $21,845 | — | — |
| Dyersburg Regional Medical Center | Dyersburg | $21,845 | — | — |
| West Tn Healthcare Volunteer Hospita | Martin | $22,053 | — | — |
| Camden General Hospital | Camden | $23,409 | — | — |
| Bolivar General Hospital | Bolivar | $24,556 | — | — |
| St Thomas Ascension | Nashville | — | $18,208 | $73,716 |