BCBS Tennessee Knee Replacement Rates in Memphis
Published BlueCross BlueShield of Tennessee negotiated rates for Knee Replacement at 8 hospitals in Memphis, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$1,482.89
Baptist Memorial Hospital-Memphis
all plan types
Highest Rate
$12,371.26
Baptist Memorial Hospital for Women
all plan types
Rate Spread
8x
across all plan types
Hospitals
8
with BlueCross BlueShield of Tennessee data
BlueCross BlueShield of Tennessee's negotiated knee-replacement rates in Memphis span an 8x range, from $1,482.89 at Baptist Memorial Hospital-Memphis (a TennCare rate) to $12,371.26 at Baptist Memorial Hospital for Women. Across eight hospitals, the median rate is $6,772. Lowest figures often reflect Medicaid or Medicare plan types rather than commercial coverage.
BlueCross BlueShield of Tennessee Knee Replacement Rates by Hospital
| Hospital | Lowest BlueCross BlueShield of Tennessee Rate |
|---|---|
| Baptist Memorial Hospital-Memphis | $1,482.89 |
| Methodist Le Bonheur Germantown Hospital | $1,697 |
| Methodist North Hospital | $1,697 |
| Methodist South Hospital | $1,697 |
| Methodist University Hospital | $1,697 |
| Le Bonheur Children's Hospital | $1,992 |
| Baptist Memorial Hospital-Collierville | $12,371.26 |
| Baptist Memorial Hospital for Women | $12,371.26 |
Median of all 40 published BlueCross BlueShield of Tennessee rates for Knee Replacement at these hospitals: $6,772
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 Memphis
Where BlueCross BlueShield of Tennessee knee replacement rates begin in Memphis. The lowest published rate is $1,482.89 at Baptist Memorial Hospital-Memphis, listed under TennCare. Methodist Le Bonheur Germantown Hospital and Methodist North Hospital follow at $1,697. At the top end, Baptist Memorial Hospital for Women and Baptist Memorial Hospital-Collierville both show $12,371.26, each with Medicare as the plan type.
How wide the Memphis knee replacement spread runs. Rates across the 8 hospitals differ by 8x, and the median of all 40 published rates is $6,772. Plan types beside the low rates, such as TennCare and HB Bluecare Adult Contract, look like Medicaid-type plans, so the low end likely reflects those plans rather than commercial plans. The $12,371.26 rates are tied to Medicare, so neither end necessarily matches what a commercial member pays.
What BlueCross BlueShield of Tennessee members can ask before a Memphis knee replacement. These are facility rates, and professional fees are billed separately.
- Ask BlueCross BlueShield of Tennessee for your own plan's negotiated rate and estimated cost share at a named hospital.
- Ask whether that hospital is in network for your plan.
- Ask 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 Memphis
Frequently Asked Questions
Where is the lowest-cost BlueCross BlueShield of Tennessee Knee Replacement in Memphis?
The lowest BlueCross BlueShield of Tennessee negotiated rate for Knee Replacement in Memphis is $1,482.89 at Baptist Memorial Hospital-Memphis, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $12,371.26 at Baptist Memorial Hospital for Women, an 8x 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 Memphis hospitals have published BlueCross BlueShield of Tennessee rates?
8 hospitals in the Memphis 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