Aetna Knee Replacement Rates in Nashville
Published Aetna negotiated rates for Knee Replacement at 15 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$132.77
Vanderbilt University Medical Center
all plan types
Highest Rate
$23,491
Ascension Saint Thomas Midtown
all plan types
Rate Spread
177x
across all plan types
Hospitals
15
with Aetna data
Aetna's negotiated rates for knee replacement in Nashville span a 177x range, from $132.77 at Vanderbilt University Medical Center to $23,491 at Ascension Saint Thomas Midtown. The lowest figure reflects a Medicare Managed Care plan rather than a commercial one. Across 15 hospitals, the median negotiated rate is $20,979.
Aetna Knee Replacement Rates by Hospital
| Hospital | Lowest Aetna Rate |
|---|---|
| Vanderbilt University Medical Center | $132.77 |
| Vanderbilt Wilson County Hospital | $6,569 |
| Maury Regional Medical Center | $7,403 |
| Metro Nashville General Hospital | $12,317.16 |
| TriStar Centennial Medical Center | $20,979 |
| TriStar Hendersonville Medical Center | $20,979 |
| TriStar Horizon Medical Center | $20,979 |
| TriStar NorthCrest Medical Center | $20,979 |
| TriStar Skyline Medical Center | $20,979 |
| TriStar Southern Hills Medical Center | $20,979 |
| TriStar StoneCrest Medical Center | $20,979 |
| TriStar Summit Medical Center | $20,979 |
| Ascension Saint Thomas Rutherford | $21,555 |
| Ascension Saint Thomas West | $21,555 |
| Ascension Saint Thomas Midtown | $23,491 |
Median of all 51 published Aetna rates for Knee Replacement at these hospitals: $20,979
Rates shown are Aetna's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Aetna plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.
Reading Aetna Knee Replacement Rates in Nashville
Where Aetna knee replacement rates start and stop in Nashville. The lowest published rate is $132.77 at Vanderbilt University Medical Center, followed by $6,569 at Vanderbilt Wilson County Hospital and $7,403 at Maury Regional Medical Center. At the top end, Ascension Saint Thomas Midtown lists $23,491, while Ascension Saint Thomas Rutherford and Ascension Saint Thomas West list $21,555 as their lowest rates.
The 177x gap in Nashville knee replacement rates. Across 15 hospitals, the spread runs 177x, and the median of all 51 published Aetna rates is $20,979. The lowest rate at Vanderbilt University Medical Center is tied to a Medicare Managed Care Plan, so the low end likely reflects Medicare Advantage plans rather than commercial plans. Plan names behind other rates are not always clear.
What an Aetna member can ask before a knee replacement in Nashville. These figures are facility rates, and professional fees are billed separately. A member can ask:
- Aetna, for the negotiated rate and estimated cost share for their own plan at a named hospital
- Aetna, whether that hospital is in network for their plan
- The hospital, for an estimate
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding Aetna Negotiated Rates
A negotiated rate is the price Aetna has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.
The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all Aetna plan types at each facility.
Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.
Compare Other Insurers for Knee Replacement in Nashville
Frequently Asked Questions
Where is the lowest-cost Aetna Knee Replacement in Nashville?
The lowest Aetna negotiated rate for Knee Replacement in Nashville is $132.77 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $23,491 at Ascension Saint Thomas Midtown, a 177x difference. Commercial plan rates typically fall between these extremes.
Is the Aetna negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Aetna has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact Aetna for a pre-service cost estimate specific to your plan.
How many Nashville hospitals have published Aetna rates?
15 hospitals in the Nashville area have published Aetna negotiated rates for Knee Replacement in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Aetna directly.
Does Aetna require prior authorization for knee replacement?
Almost all Aetna plans require prior authorization for knee replacement surgery. Without authorization, Aetna can deny the claim entirely. Start the approval process well before your planned surgery date and confirm what documentation your plan requires.
We are not affiliated with Aetna or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact Aetna or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.
Visit the official Aetna website: www.aetna.com