Tennessee / Tristar Hendersonville Medical Center
CMS certification 440194 · Hendersonville, TN · 2 entries in CMS's price-transparency list
Tristar Hendersonville Medical Center: charges and Medicare payments
Tristar Hendersonville Medical Center reported 1,115 Medicare inpatient stays across 39 DRGs in 2024. Across them it charged 8.59 times what it was paid — among the higher ratios in Tennessee, number 7 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: 233 stays at an average charge of $110,217, 22% above the national average. It also billed 882 outpatient services, charging 14.34 times what Medicare paid.
- 1Medicare inpatient stays 1,115
- 2Charge ÷ paid, inpatient 8.59×
- 3Rank in TN (highest ratio = 1) 7 of 65
- 4CMS price-transparency actions 2
Inpatient stays
For the 39 DRGs that can be compared with the national average, Tristar Hendersonville Medical Center charged more than the national average in 38 (97%). 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 | 233 | $110,217 | +22% | $13,665 |
| 291 Heart Failure and Shock with MCC | 88 | $83,731 | +49% | $9,376 |
| 193 Simple Pneumonia and Pleurisy with MCC | 55 | $98,546 | +65% | $10,185 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 36 | $64,146 | +31% | $8,186 |
| 377 Gastrointestinal Hemorrhage with MCC | 35 | $75,381 | -12% | $12,184 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 32 | $71,387 | +78% | $6,054 |
| 682 Renal Failure with MCC | 31 | $103,061 | +56% | $11,175 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 30 | $112,676 | +49% | $10,826 |
| 189 Pulmonary Edema and Respiratory Failure | 28 | $77,272 | +34% | $9,994 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 27 | $145,453 | +30% | $16,314 |
| 378 Gastrointestinal Hemorrhage with CC | 27 | $60,041 | +24% | $7,561 |
| 683 Renal Failure with CC | 26 | $61,743 | +52% | $7,042 |
| 177 Respiratory Infections and Inflammations with MCC | 25 | $87,003 | +23% | $11,822 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 25 | $90,657 | +42% | $9,015 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 25 | $88,227 | +20% | $11,083 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 25 | $250,329 | +9% | $31,633 |
| 312 Syncope and Collapse | 23 | $73,984 | +62% | $7,640 |
| 690 Kidney and Urinary Tract Infections without MCC | 23 | $72,111 | +91% | $6,180 |
| 811 Red Blood Cell Disorders with MCC | 23 | $80,293 | +18% | $10,992 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $77,052 | +28% | $9,460 |
| 689 Kidney and Urinary Tract Infections with MCC | 21 | $80,452 | +57% | $11,420 |
| 481 Hip and Femur Procedures except Major Joint with CC | 19 | $150,960 | +50% | $16,622 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 18 | $49,738 | +38% | $5,904 |
| 305 Hypertension without MCC | 17 | $50,219 | +25% | $6,820 |
| 313 Chest Pain | 16 | $69,123 | +73% | $5,703 |
| 389 Gastrointestinal Obstruction with CC | 16 | $51,447 | +32% | $6,363 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $56,694 | +53% | $7,559 |
| 884 Organic Disturbances and Intellectual Disability | 15 | $70,310 | +13% | $11,131 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 14 | $44,829 | +56% | $5,037 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $208,856 | +82% | $13,031 |
| 603 Cellulitis without MCC | 14 | $52,495 | +41% | $6,827 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $95,386 | +46% | $13,200 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 13 | $112,337 | +21% | $13,345 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $144,034 | +41% | $14,829 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $162,775 | +63% | $13,911 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $83,445 | +65% | $7,736 |
| 390 Gastrointestinal Obstruction without CC/MCC | 11 | $49,311 | +77% | $6,360 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $79,773 | +31% | $10,550 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 11 | $184,267 | +33% | $19,605 |
Outpatient services
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Tristar Hendersonville Medical Center charged $110,217 on average, 57% more than the Tennessee average of $70,379, and was paid $13,665 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Tristar Hendersonville Medical Center charged $83,731 on average, 82% more than the Tennessee average of $46,128, and was paid $9,376 against a state average of $10,346. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Tristar Hendersonville Medical Center charged $98,546 on average, 105% more than the Tennessee average of $48,160, and was paid $10,185 against a state average of $10,379. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Tristar Hendersonville Medical Center charged $64,146 on average, 57% more than the Tennessee average of $40,769, and was paid $8,186 against a state average of $8,809. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $39,273 was 97% above the state average of $19,917. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $83,588 was 27% above the state average of $65,840. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $61,443 was 121% above the state average of $27,751. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $17,080 was 51% above the state average of $11,319.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Tristar Hendersonville Medical Center in Hendersonville, TN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-12-05 (CMS case 1995)
- Met Requirements — 2025-05-06 (CMS case 4313)
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.