BCBS Tennessee Knee Replacement Rates in Chattanooga
Published BlueCross BlueShield of Tennessee negotiated rates for Knee Replacement at 4 hospitals in Chattanooga, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$167
CHI Memorial Hospital Chattanooga
all plan types
Highest Rate
$37,269
Parkridge Medical Center
all plan types
Rate Spread
223x
across all plan types
Hospitals
4
with BlueCross BlueShield of Tennessee data
BlueCross BlueShield of Tennessee's negotiated rates for knee replacement in Chattanooga range from $167 at CHI Memorial Hospital Chattanooga to $37,269 at Parkridge Medical Center, a 223x spread across four hospitals. The median rate is $2,179. Rates vary by plan type, and the lowest figures may reflect Medicaid or Medicare arrangements rather than commercial plans.
BlueCross BlueShield of Tennessee Knee Replacement Rates by Hospital
| Hospital | Lowest BlueCross BlueShield of Tennessee Rate |
|---|---|
| CHI Memorial Hospital Chattanooga | $167 |
| CHI Memorial Hospital Hixson | $167 |
| Parkridge East Hospital | $1,572.19 |
| Parkridge Medical Center | $2,125.60 |
Median of all 72 published BlueCross BlueShield of Tennessee rates for Knee Replacement at these hospitals: $2,179
Rates shown are BlueCross BlueShield of Tennessee's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee Knee Replacement Rates in Chattanooga
Where Chattanooga knee replacement rates start for BlueCross BlueShield of Tennessee. The lowest published rate is $167, listed at both CHI Memorial Hospital Chattanooga and CHI Memorial Hospital Hixson. Parkridge East Hospital follows with $1,572.19. At the top, Parkridge Medical Center shows $37,269, the highest rate in the table.
How wide the Chattanooga knee replacement spread runs. Rates across the 4 hospitals spread 223x, and the median of all 72 published rates is $2,179. The plan types beside the lower rates at Parkridge East Hospital and Parkridge Medical Center are listed as TENNCARE, which is Tennessee's Medicaid program, so the low end likely reflects those plans rather than commercial plans. The $167 rates are labeled Commercial|Network S, but the plan behind any given rate is not always clear.
What BlueCross BlueShield of Tennessee members can ask in Chattanooga. These are facility rates, and professional fees are billed separately. Members can ask:
- BlueCross BlueShield of Tennessee for their own plan's negotiated rate and estimated cost share at a named hospital, such as CHI Memorial Hospital Hixson
- 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 BlueCross BlueShield of Tennessee Negotiated Rates
A negotiated rate is the price BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee 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 Chattanooga
Frequently Asked Questions
Where is the lowest-cost BlueCross BlueShield of Tennessee Knee Replacement in Chattanooga?
The lowest BlueCross BlueShield of Tennessee negotiated rate for Knee Replacement in Chattanooga is $167 at CHI Memorial Hospital Chattanooga, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $37,269 at Parkridge Medical Center, a 223x difference. Commercial plan rates typically fall between these extremes.
Is the BlueCross BlueShield of Tennessee negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee for a pre-service cost estimate specific to your plan.
How many Chattanooga hospitals have published BlueCross BlueShield of Tennessee rates?
4 hospitals in the Chattanooga area have published BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee directly.
Does BlueCross BlueShield of Tennessee require prior authorization for knee replacement?
Almost all BlueCross BlueShield of Tennessee plans require prior authorization for knee replacement surgery. Without authorization, BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee 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 BlueCross BlueShield of Tennessee website: www.bcbst.com