BCBS Tennessee Knee Replacement Rates in Knoxville
Published BlueCross BlueShield of Tennessee negotiated rates for Knee Replacement at 8 hospitals in Knoxville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$1,783.93
The University of Tennessee Medical Center
all plan types
Highest Rate
$22,018
Roane Medical Center
all plan types
Rate Spread
12x
across all plan types
Hospitals
8
with BlueCross BlueShield of Tennessee data
Knee-replacement rates negotiated by BlueCross BlueShield of Tennessee span a 12x range across eight Knoxville hospitals, from $1,783.93 at The University of Tennessee Medical Center to $22,018 at Roane Medical Center. The median sits at $12,230.62. The lowest figure reflects TennCare Select, a Medicaid plan, so it is not a commercial rate.
BlueCross BlueShield of Tennessee Knee Replacement Rates by Hospital
| Hospital | Lowest BlueCross BlueShield of Tennessee Rate |
|---|---|
| The University of Tennessee Medical Center | $1,783.93 |
| Tennova North Knoxville Medical Center | $1,934.66 |
| Tennova Turkey Creek Medical Center | $1,934.66 |
| Fort Loudoun Medical Center | $11,500 |
| Fort Sanders Regional Medical Center | $11,500 |
| Methodist Medical Center of Oak Ridge | $11,500 |
| Parkwest Medical Center | $11,500 |
| Roane Medical Center | $11,500 |
Median of all 68 published BlueCross BlueShield of Tennessee rates for Knee Replacement at these hospitals: $12,230.62
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 Knoxville
Where Knoxville knee replacement rates start and top out. Among BlueCross BlueShield of Tennessee's published rates, the lowest figures are $1,783.93 at The University of Tennessee Medical Center and $1,934.66 at both Tennova North Knoxville Medical Center and Tennova Turkey Creek Medical Center. The highest are $22,233 at Fort Sanders Regional Medical Center and Parkwest Medical Center, and $22,018 at Roane Medical Center.
How wide the Knoxville knee replacement spread runs. The page shows a 12x spread, and the median of all 68 published rates is $12,230.62. The plan types beside the lowest rates are TennCare Select and BCBS TN CoverKids, which look like Medicaid or CHIP plans, so the low end likely reflects those plans rather than commercial plans.
What BlueCross BlueShield of Tennessee members can ask about a Knoxville knee replacement. Members can ask:
- BlueCross BlueShield of Tennessee for their own plan's negotiated rate and estimated cost share at a named hospital
- whether that hospital is in network for their plan
- the hospital for an estimate
These are facility rates, and professional fees are billed separately.
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 Knoxville
Frequently Asked Questions
Where is the lowest-cost BlueCross BlueShield of Tennessee Knee Replacement in Knoxville?
The lowest BlueCross BlueShield of Tennessee negotiated rate for Knee Replacement in Knoxville is $1,783.93 at The University of Tennessee Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $22,018 at Roane Medical Center, a 12x 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 Knoxville hospitals have published BlueCross BlueShield of Tennessee rates?
8 hospitals in the Knoxville 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