Tennessee / Tristar Southern Hills Medical Center
CMS certification 440197 · Nashville, TN · 2 entries in CMS's price-transparency list
Tristar Southern Hills Medical Center: charges and Medicare payments
Tristar Southern Hills Medical Center reported 379 Medicare inpatient stays across 14 DRGs in 2024. Across them it charged 5.59 times what it was paid — among the higher ratios in Tennessee, number 20 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: 134 stays at an average charge of $85,208, 6% below the national average. It also billed 273 outpatient services, charging 15.2 times what Medicare paid.
- 1Medicare inpatient stays 379
- 2Charge ÷ paid, inpatient 5.59×
- 3Rank in TN (highest ratio = 1) 20 of 65
- 4CMS price-transparency actions 2
Inpatient stays
For the 14 DRGs that can be compared with the national average, Tristar Southern Hills Medical Center charged more than the national average in 6 (43%). 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 | 134 | $85,208 | -6% | $16,527 |
| 291 Heart Failure and Shock with MCC | 35 | $66,967 | +19% | $12,500 |
| 193 Simple Pneumonia and Pleurisy with MCC | 26 | $59,344 | -1% | $11,682 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 24 | $212,746 | -7% | $36,035 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $62,228 | +3% | $11,878 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $51,871 | -10% | $12,342 |
| 682 Renal Failure with MCC | 17 | $56,677 | -14% | $14,136 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $51,554 | -27% | $14,152 |
| 683 Renal Failure with CC | 16 | $47,680 | +17% | $9,808 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $54,165 | +10% | $11,544 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 15 | $57,975 | -24% | $13,907 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 14 | $434,996 | +55% | $48,597 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $130,125 | -4% | $18,676 |
| 481 Hip and Femur Procedures except Major Joint with CC | 11 | $115,549 | +15% | $17,609 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 72 | $31,715 | $2,358 |
| Level 5 Musculoskeletal Procedures | 36 | $109,785 | $11,326 |
| Level 3 Urology and Related Services | 28 | $35,792 | $1,755 |
| Level 2 Upper GI Procedures | 22 | $32,623 | $1,639 |
| Level 1 Laparoscopy and Related Services | 22 | $69,475 | $4,450 |
| Level 4 Musculoskeletal Procedures | 18 | $81,605 | $5,618 |
| Level 4 Urology and Related Services | 18 | $37,238 | $3,004 |
| Level 5 Urology and Related Services | 18 | $45,790 | $4,458 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 17 | $11,087 | $1,397 |
| Level 3 Musculoskeletal Procedures | 11 | $57,398 | $2,789 |
| Level 6 Urology and Related Services | 11 | $64,956 | $7,362 |
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Tristar Southern Hills Medical Center charged $85,208 on average, 21% more than the Tennessee average of $70,379, and was paid $16,527 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Tristar Southern Hills Medical Center charged $66,967 on average, 45% more than the Tennessee average of $46,128, and was paid $12,500 against a state average of $10,346. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Tristar Southern Hills Medical Center charged $59,344 on average, 23% more than the Tennessee average of $48,160, and was paid $11,682 against a state average of $10,379. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Tristar Southern Hills Medical Center charged $212,746 on average, 18% more than the Tennessee average of $180,353, and was paid $36,035 against a state average of $37,966. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $31,715 was 59% above the state average of $19,917. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $109,785 was 67% above the state average of $65,840. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $35,792 was 154% above the state average of $14,067. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $32,623 was 188% above the state average of $11,319.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Tristar Southern Hills 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 — 2024-02-02 (CMS case 1871)
- Met Requirements — 2025-05-06 (CMS case 4329)
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.