12/100
#2,354 nationally
Tristar Hendersonville Medical Center
355 New Shackle Island Rd, Hendersonville, TN 37075 · (615) 338-1000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Tristar Hendersonville Medical Center billed $9.48 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
- 9.5x
- volume-weighted across all its priced work
- Procedures priced
- 59
- inpatient and outpatient combined
- Rank in TN
- #57
- 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 9% of U.S. hospitals.
Better than 11% of U.S. hospitals.
Better than 13% of U.S. hospitals.
Better than 19% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
233 | $110,217 | $13,665 | +69% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
129 | $39,273 | $2,315 | +102% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
117 | $83,588 | $11,326 | +34% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
109 | $61,443 | $2,758 | +143% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
90 | $17,080 | $1,612 | +45% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
88 | $83,731 | $9,376 | +93% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
58 | $49,177 | $4,903 | +40% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
55 | $98,546 | $10,185 | +112% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
48 | $14,597 | $1,374 | +45% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
40 | $32,562 | $2,746 | +70% |
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 |
|---|---|---|---|
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$392,988 | $15,079 | +311% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$61,443 | $2,758 | +143% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$72,111 | $6,180 | +142% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$54,342 | $2,981 | +134% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$29,668 | $1,755 | +130% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$153,638 | $9,282 | +127% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$71,387 | $6,054 | +121% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$38,724 | $2,253 | +119% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$75,381 | $12,184 | +6% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$54,358 | $7,461 | +22% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$109,348 | $16,023 | +32% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$83,588 | $11,326 | +34% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$49,177 | $4,903 | +40% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$112,337 | $13,345 | +41% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$250,329 | $31,633 | +41% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$70,310 | $11,131 | +41% |
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.