Tennessee / Tristar Skyline Medical Center
CMS certification 440006 · Nashville, TN · 3 entries in CMS's price-transparency list
Tristar Skyline Medical Center: charges and Medicare payments
Tristar Skyline Medical Center reported 1,605 Medicare inpatient stays across 57 DRGs in 2024. Across them it charged 10.65 times what it was paid — among the higher ratios in Tennessee, number 1 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: 240 stays at an average charge of $147,585, 63% above the national average. It also billed 561 outpatient services, charging 22.28 times what Medicare paid.
- 1Medicare inpatient stays 1,605
- 2Charge ÷ paid, inpatient 10.65×
- 3Rank in TN (highest ratio = 1) 1 of 65
- 4CMS price-transparency actions 3
Inpatient stays
For the 57 DRGs that can be compared with the national average, Tristar Skyline Medical Center charged more than the national average in 57 (100%). 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 | 240 | $147,585 | +63% | $15,716 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 130 | $169,562 | +70% | $15,396 |
| 291 Heart Failure and Shock with MCC | 65 | $75,417 | +34% | $11,535 |
| 481 Hip and Femur Procedures except Major Joint with CC | 53 | $249,450 | +148% | $18,033 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 48 | $118,696 | +113% | $8,650 |
| 100 Seizures with MCC | 42 | $138,244 | +46% | $14,517 |
| 193 Simple Pneumonia and Pleurisy with MCC | 42 | $96,713 | +62% | $11,555 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 37 | $132,902 | +95% | $10,925 |
| 552 Medical Back Problems without MCC | 37 | $109,617 | +124% | $8,059 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 35 | $232,045 | +71% | $19,108 |
| 682 Renal Failure with MCC | 35 | $79,455 | +20% | $11,516 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 33 | $414,019 | +81% | $39,738 |
| 689 Kidney and Urinary Tract Infections with MCC | 31 | $77,067 | +50% | $8,910 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 30 | $169,432 | +131% | $10,573 |
| 177 Respiratory Infections and Inflammations with MCC | 28 | $114,973 | +63% | $12,490 |
| 189 Pulmonary Edema and Respiratory Failure | 28 | $77,082 | +34% | $9,640 |
| 101 Seizures without MCC | 27 | $75,062 | +54% | $9,047 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 26 | $113,352 | +49% | $11,033 |
| 377 Gastrointestinal Hemorrhage with MCC | 25 | $119,820 | +40% | $17,355 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 24 | $173,021 | +136% | $14,016 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 23 | $452,809 | +61% | $47,499 |
| 069 Transient Ischemia without Thrombolytic | 23 | $79,211 | +57% | $6,872 |
| 551 Medical Back Problems with MCC | 23 | $147,642 | +88% | $12,583 |
| 683 Renal Failure with CC | 23 | $65,173 | +60% | $7,691 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 22 | $73,647 | +50% | $15,180 |
| 885 Psychoses | 22 | $92,875 | +111% | $11,650 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 20 | $261,529 | +120% | $17,753 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 20 | $501,480 | +55% | $52,154 |
| 057 Degenerative Nervous System Disorders without MCC | 19 | $80,962 | +43% | $9,662 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 18 | $436,228 | +88% | $47,740 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 18 | $246,368 | +114% | $18,510 |
| 305 Hypertension without MCC | 18 | $44,775 | +12% | $6,713 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $93,874 | +56% | $9,808 |
| 690 Kidney and Urinary Tract Infections without MCC | 18 | $68,874 | +82% | $9,351 |
| 956 Limb Reattachment, Hip and Femur Procedures for Multiple... | 18 | $502,298 | +185% | $34,920 |
| 183 Major Chest Trauma with MCC | 16 | $164,494 | +121% | $10,856 |
| 811 Red Blood Cell Disorders with MCC | 16 | $104,184 | +53% | $11,604 |
| 062 Ischemic Stroke, Precerebral Occlusion or Transient Ischemia... | 15 | $161,684 | +60% | $14,104 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $61,619 | +71% | $6,980 |
| 312 Syncope and Collapse | 15 | $81,765 | +80% | $9,204 |
| 378 Gastrointestinal Hemorrhage with CC | 15 | $67,189 | +38% | $8,216 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $64,711 | +61% | $7,176 |
| 184 Major Chest Trauma with CC | 14 | $119,442 | +115% | $10,770 |
| 200 Pneumothorax with CC | 14 | $126,912 | +139% | $8,882 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $253,641 | +148% | $15,621 |
| 964 Other Multiple Significant Trauma with CC | 13 | $168,587 | +116% | $21,087 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 12 | $1,518,388 | +44% | $124,798 |
| 054 Nervous System Neoplasms with MCC | 12 | $130,326 | +68% | $11,660 |
| 085 Traumatic Stupor and Coma <1 Hour with MCC | 12 | $249,750 | +130% | $21,870 |
| 087 Traumatic Stupor and Coma <1 Hour without CC/MCC | 12 | $90,590 | +75% | $7,370 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 11 | $802,537 | +31% | $56,238 |
| 061 Ischemic Stroke, Precerebral Occlusion or Transient Ischemia... | 11 | $343,745 | +132% | $21,724 |
| 199 Pneumothorax with MCC | 11 | $163,081 | +102% | $13,659 |
| 314 Other Circulatory System Diagnoses with MCC | 11 | $109,178 | +15% | $14,413 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 11 | $488,719 | +252% | $26,607 |
| 605 Trauma To The Skin, Subcutaneous Tissue and Breast without... | 11 | $91,620 | +98% | $8,526 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $66,040 | +78% | $6,132 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 180 | $45,236 | $2,337 |
| Level 3 Vascular Procedures | 46 | $47,493 | $2,746 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 39 | $29,473 | $1,397 |
| Level 5 Musculoskeletal Procedures | 38 | $130,222 | $11,071 |
| Level 5 Urology and Related Services | 32 | $77,708 | $4,458 |
| Level 1 Laparoscopy and Related Services | 30 | $95,835 | $4,971 |
| Level 2 Vascular Procedures | 28 | $22,102 | $1,341 |
| Level 4 Vascular Procedures | 27 | $113,871 | $4,735 |
| Level 1 Endovascular Procedures | 27 | $42,726 | $2,737 |
| Level 3 Musculoskeletal Procedures | 21 | $65,622 | $2,683 |
| Level 4 Musculoskeletal Procedures | 19 | $102,628 | $5,905 |
| Level 2 Musculoskeletal Procedures | 14 | $40,271 | $1,306 |
| Level 3 Endovascular Procedures | 13 | $188,542 | $9,472 |
| Level 4 Urology and Related Services | 13 | $69,710 | $2,819 |
| Level 1 Intraocular Procedures | 12 | $19,957 | $2,008 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 11 | $57,735 | $2,271 |
| Level 3 Urology and Related Services | 11 | $50,079 | $1,755 |
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Tristar Skyline Medical Center charged $147,585 on average, 110% more than the Tennessee average of $70,379, and was paid $15,716 against a state average of $15,065. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Tristar Skyline Medical Center charged $169,562 on average, 115% more than the Tennessee average of $78,944, and was paid $15,396 against a state average of $15,483. For Heart Failure and Shock with MCC (DRG 291), Tristar Skyline Medical Center charged $75,417 on average, 63% more than the Tennessee average of $46,128, and was paid $11,535 against a state average of $10,346. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Tristar Skyline Medical Center charged $249,450 on average, 183% more than the Tennessee average of $87,998, and was paid $18,033 against a state average of $15,965. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $45,236 was 127% above the state average of $19,917. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $47,493 was 147% above the state average of $19,196. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $29,473 was 186% above the state average of $10,318. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $130,222 was 98% above the state average of $65,840.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Tristar Skyline 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:
- Met Requirements — 2023-10-27 (CMS case 1878)
- Met Requirements — 2025-04-01 (CMS case 3503)
- Met Requirements — 2025-05-07 (CMS case 4379)
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.