Cigna Knee Replacement Rates in Nashville
Published Cigna negotiated rates for Knee Replacement at 14 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.
Lowest Rate
$266.88
Vanderbilt University Medical Center
all plan types
Highest Rate
$34,140
TriStar Summit Medical Center
all plan types
Rate Spread
128x
across all plan types
Hospitals
14
with Cigna data
Cigna's negotiated rates for knee replacement in Nashville span a 128x gap, from $266.88 at Vanderbilt University Medical Center to $34,140 at TriStar Centennial Medical Center. Across 14 hospitals, the median rate is $2,225.50. Rates vary by plan type, and the lowest listed figures can reflect government-program plans rather than commercial ones.
Cigna Knee Replacement Rates by Hospital
| Hospital | Lowest Cigna Rate |
|---|---|
| Vanderbilt University Medical Center | $266.88 |
| Ascension Saint Thomas Rutherford | $2,118 |
| Ascension Saint Thomas West | $2,118 |
| Ascension Saint Thomas Midtown | $2,800 |
| Maury Regional Medical Center | $12,322.55 |
| Vanderbilt Wilson County Hospital | $21,570.23 |
| TriStar Centennial Medical Center | $30,338 |
| TriStar Hendersonville Medical Center | $30,338 |
| TriStar Horizon Medical Center | $30,338 |
| TriStar NorthCrest Medical Center | $30,338 |
| TriStar Skyline Medical Center | $30,338 |
| TriStar Southern Hills Medical Center | $30,338 |
| TriStar StoneCrest Medical Center | $30,338 |
| TriStar Summit Medical Center | $30,338 |
Median of all 102 published Cigna rates for Knee Replacement at these hospitals: $2,225.50
Rates shown are Cigna's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Cigna 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 Cigna Knee Replacement Rates in Nashville
Nashville knee replacement rates under Cigna, low to high. The lowest published rate is $266.88 at Vanderbilt University Medical Center, followed by $2,118 at Ascension Saint Thomas Rutherford and Ascension Saint Thomas West. At the top, $34,140 appears at TriStar Centennial Medical Center and several other TriStar hospitals in the table.
The 128x spread and what may sit behind the low end. Across 14 hospitals, the spread is 128x, and the median of all 102 published Cigna rates is $2,225.50. The plan type behind the lowest rate at Vanderbilt University Medical Center is listed as OAP All Commercial Plans, but the plan behind a rate is not always stated, so a figure in the table may not match what a given member's plan pays.
What a Cigna member can ask about a Nashville knee replacement.
- Ask Cigna for your own plan's negotiated rate and estimated cost share at a named hospital.
- Ask Cigna whether that hospital is in network for your plan.
- Ask 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 Cigna Negotiated Rates
A negotiated rate is the price Cigna 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 Cigna 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 Cigna Knee Replacement in Nashville?
The lowest Cigna negotiated rate for Knee Replacement in Nashville is $266.88 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $34,140 at TriStar Summit Medical Center, a 128x difference. Commercial plan rates typically fall between these extremes.
Is the Cigna negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Cigna 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 Cigna for a pre-service cost estimate specific to your plan.
How many Nashville hospitals have published Cigna rates?
14 hospitals in the Nashville area have published Cigna 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 Cigna directly.
Does Cigna require prior authorization for knee replacement?
Almost all Cigna plans require prior authorization for knee replacement surgery. Without authorization, Cigna 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 Cigna 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 Cigna 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 Cigna website: www.cigna.com