Tristar Centennial Medical Center
TriStar Centennial Medical Center in Nashville, TN charges 11.2x the Medicare reimbursement rate on average, with 28% of analyzed procedures showing significant pricing variations.
Nashville, TN 37203 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
11.16x
Charge / Medicare rate
Max markup
21.66x
Worst procedure
Procedures analyzed
120
With pricing data
Outlier procedures
27.5%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $142,150 | $71,075 | — | 21.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $93,858 | $46,929 | — | 20.5x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $164,878 | $82,439 | — | 17.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $109,185 | $54,592 | — | 17.7x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $73,548 | $36,774 | — | 17.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $315,717 | $157,859 | — | 16.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $205,066 | $102,533 | — | 16.6x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $282,777 | $141,388 | — | 16x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $151,188 | $75,594 | — | 15.5x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $267,650 | $133,825 | — | 15.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $74,252 | $37,126 | — | 15.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $69,055 | $34,528 | — | 15.1x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $419,446 | $209,723 | — | 15x |
| OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | 167 | $162,002 | $81,001 | — | 14.7x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $136,800 | $68,400 | — | 14.6x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 808 | $219,108 | $109,554 | — | 14.3x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $327,048 | $163,524 | — | 14.3x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $188,705 | $94,352 | — | 14.1x |
| AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | 016 | $594,486 | $297,243 | — | 13.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $181,196 | $90,598 | — | 13.7x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $354,145 | $177,073 | — | 13.7x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $534,800 | $267,400 | — | 13.6x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $477,072 | $238,536 | — | 13.5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $195,143 | $97,571 | — | 13.4x |
| COMPLICATIONS OF TREATMENT WITH MCC | 919 | $150,913 | $75,457 | — | 13.2x |
| CHEST PAIN | 313 | $55,068 | $27,534 | — | 13.2x |
| ALLOGENEIC BONE MARROW TRANSPLANT | 014 | $1,195,609 | $597,804 | — | 12.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $122,872 | $61,436 | — | 12.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $130,497 | $65,248 | — | 12.9x |
| OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | 166 | $319,031 | $159,515 | — | 12.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $56,459 | $28,230 | — | 12.5x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 219 | $565,306 | $282,653 | — | 12.4x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WIT | 216 | $776,420 | $388,210 | — | 12.3x |
| DIABETES WITH CC | 638 | $60,848 | $30,424 | — | 12.3x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $700,856 | $350,428 | — | 12x |
| ACUTE LEUKEMIA WITH MCC | 834 | $783,367 | $391,684 | — | 11.9x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $194,894 | $97,447 | — | 11.9x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $49,440 | $24,720 | — | 11.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $120,409 | $60,205 | — | 11.9x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | 326 | $509,812 | $254,906 | — | 11.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $167,314 | $83,657 | — | 11.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $66,809 | $33,404 | — | 11.7x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $82,858 | $41,429 | — | 11.6x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $125,929 | $62,965 | — | 11.6x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $355,208 | $177,604 | — | 11.5x |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $1,700,161 | $850,081 | — | 11.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $354,674 | $177,337 | — | 11.4x |
| UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | 743 | $78,716 | $39,358 | — | 11.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $55,633 | $27,816 | — | 11.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $66,913 | $33,457 | — | 11.2x |
Showing 50 of 120 procedures
How TRISTAR CENTENNIAL MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use