5/100
#2,524 nationally
Tristar Skyline Medical Center
3441 Dickerson Pike, Nashville, TN 37207 · (615) 769-2000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Tristar Skyline Medical Center billed $11.16 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
- 11.2x
- volume-weighted across all its priced work
- Procedures priced
- 74
- inpatient and outpatient combined
- Rank in TN
- #61
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 4% of U.S. hospitals.
Better than 4% of U.S. hospitals.
Better than 6% of U.S. hospitals.
Better than 10% 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 |
240 | $147,585 | $15,716 | +126% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
180 | $45,236 | $2,337 | +133% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
130 | $169,562 | $15,396 | +122% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
65 | $75,417 | $11,535 | +74% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
53 | $249,450 | $18,033 | +199% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
48 | $118,697 | $8,650 | +161% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
46 | $47,493 | $2,746 | +149% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
42 | $138,244 | $14,517 | +71% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
42 | $96,713 | $11,555 | +108% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
39 | $29,473 | $1,397 | +192% |
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 |
|---|---|---|---|
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
$488,719 | $26,607 | +316% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$50,079 | $1,755 | +288% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$40,271 | $1,306 | +259% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$69,710 | $2,819 | +238% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$57,735 | $2,271 | +227% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$65,622 | $2,683 | +222% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$113,871 | $4,735 | +215% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$173,021 | $14,016 | +205% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
$44,775 | $6,713 | +34% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$109,178 | $14,413 | +39% |
|
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face
MS-DRG 004 · Inpatient stay |
$802,537 | $56,238 | +49% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$79,455 | $11,516 | +50% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$77,082 | $9,640 | +59% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$67,189 | $8,216 | +63% |
|
Traumatic Stupor and Coma <1 Hour without Complications/mcc
MS-DRG 087 · Inpatient stay |
$90,590 | $7,370 | +64% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$119,820 | $17,355 | +69% |
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.