17/100
#2,258 nationally
Tristar Southern Hills Medical Center
391 Wallace Rd, Nashville, TN 37211 · (615) 781-4000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Tristar Southern Hills Medical Center billed $6.60 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
- 6.6x
- volume-weighted across all its priced work
- Procedures priced
- 25
- inpatient and outpatient combined
- Rank in TN
- #53
- 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 24% of U.S. hospitals.
Better than 10% of U.S. hospitals.
Better than 18% of U.S. hospitals.
Better than 12% 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 |
134 | $85,208 | $16,527 | +31% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
72 | $31,715 | $2,358 | +63% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
36 | $109,785 | $11,326 | +76% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
35 | $66,967 | $12,500 | +54% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
28 | $35,792 | $1,755 | +177% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
26 | $59,344 | $11,682 | +27% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
24 | $212,746 | $36,035 | +20% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
22 | $62,228 | $11,878 | +28% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
22 | $32,623 | $1,639 | +178% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
22 | $69,475 | $4,450 | +98% |
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 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$57,398 | $2,789 | +182% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$32,623 | $1,639 | +178% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$35,792 | $1,755 | +177% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$81,605 | $5,618 | +105% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$69,475 | $4,450 | +98% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$434,996 | $48,597 | +96% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$37,238 | $3,004 | +80% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$109,785 | $11,326 | +76% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$51,554 | $14,152 | -6% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$57,975 | $13,907 | -6% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$56,677 | $14,136 | +7% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$51,871 | $12,342 | +7% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$11,087 | $1,397 | +10% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
$130,125 | $18,676 | +15% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$212,746 | $36,035 | +20% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$59,344 | $11,682 | +27% |
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.