Tennessee / Tristar Centennial Medical Center
CMS certification 440161 · Nashville, TN · 4 entries in CMS's price-transparency list
Tristar Centennial Medical Center: charges and Medicare payments
Tristar Centennial Medical Center reported 3,961 Medicare inpatient stays across 134 DRGs in 2024. Across them it charged 9.25 times what it was paid — among the higher ratios in Tennessee, number 4 of 65 hospitals with at least 100 stays (state median 4.42×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 234 stays at an average charge of $152,495, 69% above the national average. It also billed 3,910 outpatient services, charging 15.68 times what Medicare paid.
- 1Medicare inpatient stays 3,961
- 2Charge ÷ paid, inpatient 9.25×
- 3Rank in TN (highest ratio = 1) 4 of 65
- 4CMS price-transparency actions 4
Inpatient stays
For the 134 DRGs that can be compared with the national average, Tristar Centennial Medical Center charged more than the national average in 133 (99%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 234 | $152,495 | +69% | $16,100 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 174 | $197,932 | +26% | $23,267 |
| 291 Heart Failure and Shock with MCC | 141 | $84,171 | +49% | $10,079 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 105 | $118,990 | +28% | $14,392 |
| 467 Revision of Hip or Knee Replacement with CC | 97 | $192,597 | +22% | $25,813 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 86 | $148,329 | +20% | $23,022 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 79 | $409,884 | +94% | $35,811 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 78 | $181,779 | +62% | $17,439 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 66 | $145,116 | +91% | $12,074 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 61 | $63,272 | +58% | $7,182 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 61 | $359,076 | +28% | $47,177 |
| 330 Major Small and Large Bowel Procedures with CC | 60 | $168,021 | +41% | $18,602 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 57 | $70,758 | +44% | $8,421 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 55 | $385,960 | +69% | $49,642 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 51 | $333,761 | +17% | $45,695 |
| 683 Renal Failure with CC | 51 | $59,824 | +47% | $7,600 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 49 | $132,174 | +5% | $18,446 |
| 377 Gastrointestinal Hemorrhage with MCC | 46 | $100,731 | +18% | $14,054 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 44 | $124,605 | +95% | $9,420 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 44 | $34,708 | +21% | $5,100 |
| 193 Simple Pneumonia and Pleurisy with MCC | 42 | $82,742 | +38% | $10,465 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 42 | $577,107 | +97% | $51,493 |
| 165 Major Chest Procedures without CC/MCC | 41 | $144,182 | +40% | $16,113 |
| 177 Respiratory Infections and Inflammations with MCC | 41 | $96,486 | +37% | $15,040 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 41 | $261,335 | +18% | $34,263 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 39 | $59,208 | +64% | $7,497 |
| 378 Gastrointestinal Hemorrhage with CC | 39 | $53,947 | +11% | $8,760 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 38 | $159,263 | +59% | $17,147 |
| 682 Renal Failure with MCC | 38 | $96,229 | +46% | $11,444 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 37 | $250,939 | +24% | $34,839 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 36 | $217,092 | +90% | $16,737 |
| 834 Acute Leukemia with MCC | 36 | $653,712 | +128% | $61,855 |
| 811 Red Blood Cell Disorders with MCC | 34 | $72,044 | +6% | $10,806 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 33 | $279,036 | +70% | $23,201 |
| 552 Medical Back Problems without MCC | 32 | $67,214 | +38% | $8,163 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 31 | $783,037 | +96% | $73,192 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 31 | $161,910 | +46% | $16,776 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $95,398 | +58% | $10,129 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 31 | $133,479 | +82% | $13,659 |
| 329 Major Small and Large Bowel Procedures with MCC | 30 | $353,492 | +64% | $35,982 |
| 312 Syncope and Collapse | 29 | $53,916 | +18% | $7,915 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 26 | $118,148 | +134% | $8,548 |
| 840 Lymphoma and Non-Acute Leukemia with MCC | 26 | $461,699 | +196% | $46,294 |
| 394 Other Digestive System Diagnoses with CC | 25 | $53,745 | +14% | $7,801 |
| 808 Major Hematological and Immunological Diagnoses except... | 25 | $439,344 | +304% | $57,258 |
| 164 Major Chest Procedures with CC | 24 | $165,414 | +30% | $18,287 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 24 | $199,925 | +47% | $20,037 |
| 270 Other Major Cardiovascular Procedures with MCC | 24 | $446,607 | +72% | $45,662 |
| 273 Percutaneous and Other Intracardiac Procedures with MCC | 24 | $446,483 | +108% | $33,505 |
| 435 Malignancy of Hepatobiliary System or Pancreas with MCC | 24 | $143,745 | +52% | $15,214 |
| 690 Kidney and Urinary Tract Infections without MCC | 24 | $40,980 | +8% | $6,665 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 23 | $1,904,251 | +81% | $211,393 |
| 324 Coronary Intravascular Lithotripsy with Intraluminal Device... | 23 | $311,950 | +79% | $21,368 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 23 | $136,704 | +34% | $15,486 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $54,603 | +47% | $6,442 |
| 919 Complications of Treatment with MCC | 23 | $310,173 | +251% | $27,289 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 22 | $285,747 | +23% | $35,153 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 22 | $273,270 | +70% | $33,812 |
| 016 Autologous Bone Marrow Transplant with CC/MCC | 21 | $760,969 | +178% | $52,939 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 21 | $58,460 | +3% | $9,489 |
Showing the 60 most frequent of 134 DRGs.
Outpatient services
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Tristar Centennial Medical Center charged $152,495 on average, 117% more than the Tennessee average of $70,379, and was paid $16,100 against a state average of $15,065. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Tristar Centennial Medical Center charged $197,932 on average, 26% more than the Tennessee average of $156,643, and was paid $23,267 against a state average of $24,179. For Heart Failure and Shock with MCC (DRG 291), Tristar Centennial Medical Center charged $84,171 on average, 82% more than the Tennessee average of $46,128, and was paid $10,079 against a state average of $10,346. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Tristar Centennial Medical Center charged $118,990 on average, 44% more than the Tennessee average of $82,835, and was paid $14,392 against a state average of $14,500. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $94,773 was 44% above the state average of $65,840. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $382,030 was 116% above the state average of $176,464. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $16,158 was 43% above the state average of $11,319. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $65,365 was 136% above the state average of $27,751.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Tristar Centennial Medical Center in Nashville, TN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-07-11 (CMS case 125)
- Closure Notice — 2023-10-19 (CMS case 125)
- Met Requirements — 2025-04-28 (CMS case 4161)
- Met Requirements — 2025-05-08 (CMS case 4361)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.