9/100
#2,426 nationally
Tristar Centennial Medical Center
2300 Patterson Street, Nashville, TN 37203 · (615) 342-1000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Tristar Centennial Medical Center billed $10.27 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 10.3x
- volume-weighted across all its priced work
- Procedures priced
- 182
- inpatient and outpatient combined
- Rank in TN
- #59
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 7% of U.S. hospitals.
Better than 8% of U.S. hospitals.
Better than 11% of U.S. hospitals.
Better than 13% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
558 | $94,773 | $11,158 | +52% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
417 | $382,030 | $20,103 | +188% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
322 | $16,158 | $1,623 | +37% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
314 | $65,365 | $2,754 | +159% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
234 | $152,495 | $16,100 | +134% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
174 | $197,932 | $23,267 | +59% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
160 | $41,842 | $3,445 | +102% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
150 | $70,947 | $3,194 | +213% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
143 | $89,728 | $8,826 | +50% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
142 | $111,391 | $5,864 | +189% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
$310,173 | $27,289 | +315% |
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 808 · Inpatient stay |
$439,344 | $57,258 | +313% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$165,499 | $11,177 | +246% |
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 809 · Inpatient stay |
$186,128 | $13,004 | +238% |
|
Lymphoma and Non-acute Leukemia with Major Complications
MS-DRG 840 · Inpatient stay |
$461,699 | $46,294 | +223% |
|
Autologous Bone Marrow Transplant with Complications/mcc
MS-DRG 016 · Inpatient stay |
$760,969 | $52,939 | +216% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$70,947 | $3,194 | +213% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$105,833 | $4,925 | +206% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Icd and Similar Procedures
APC 5231 · Hospital outpatient visit |
$85,769 | $20,258 | -9% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$92,304 | $18,056 | +14% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$171,628 | $26,971 | +16% |
|
Revision of Hip or Knee Replacement with Major Complications
MS-DRG 466 · Inpatient stay |
$251,413 | $32,584 | +16% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$63,559 | $11,783 | +17% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$116,689 | $16,752 | +22% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$58,460 | $9,489 | +23% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$43,602 | $7,287 | +26% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.