Amerigroup Knee Replacement Rates in Nashville
Published Amerigroup negotiated rates for Knee Replacement at 3 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$12.56
Vanderbilt University Medical Center
all plan types
Highest Rate
$13,425.71
Vanderbilt Wilson County Hospital
all plan types
Rate Spread
1069x
across all plan types
Hospitals
3
with Amerigroup data
Amerigroup Knee Replacement Rates by Hospital
| Hospital | Lowest Amerigroup Rate |
|---|---|
| Vanderbilt University Medical Center | $12.56 |
| Maury Regional Medical Center | $10,352.05 |
| Vanderbilt Wilson County Hospital | $13,425.71 |
Median of all 32 published Amerigroup rates for Knee Replacement at these hospitals: $272.65
Rates shown are Amerigroup's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Amerigroup 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.
Understanding Amerigroup Negotiated Rates
A negotiated rate is the price Amerigroup 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 Amerigroup 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 Amerigroup Knee Replacement in Nashville?
The lowest Amerigroup negotiated rate for Knee Replacement in Nashville is $12.56 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $13,425.71 at Vanderbilt Wilson County Hospital, a 1069x difference. Commercial plan rates typically fall between these extremes.
Is the Amerigroup negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Amerigroup 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 Amerigroup for a pre-service cost estimate specific to your plan.
How many Nashville hospitals have published Amerigroup rates?
3 hospitals in the Nashville area have published Amerigroup 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 Amerigroup directly.
Does Amerigroup require prior authorization for knee replacement?
Almost all Amerigroup plans require prior authorization for knee replacement surgery. Without authorization, Amerigroup 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 Amerigroup 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 Amerigroup 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 Amerigroup website: www.amerigroup.com