UHC Knee Replacement Rates in Nashville

Published UnitedHealthcare negotiated rates for Knee Replacement at 16 hospitals in Nashville, TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$97.47

Vanderbilt University Medical Center

all plan types

Highest Rate

$31,961

TriStar Skyline Medical Center

all plan types

Rate Spread

328x

across all plan types

Hospitals

with UnitedHealthcare data

UnitedHealthcare's negotiated rates for knee replacement in Nashville vary 328x across 16 hospitals, from $97.47 at Vanderbilt University Medical Center to $31,961 at TriStar Skyline Medical Center. The median rate is $24,195. The lowest figures often reflect Medicare or Medicaid plan types rather than commercial coverage.

Why the range is so wide: UnitedHealthcare negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

UnitedHealthcare Knee Replacement Rates by Hospital

Hospital	Lowest UnitedHealthcare Rate	Plan Type	Highest Rate	Plans
Vanderbilt University Medical Center	$97.47	Medicare Managed Care Plan	$28,142	83
TriStar NorthCrest Medical Center	$4,851	MCD	$32,558	32
TriStar Summit Medical Center	$5,435	TENNCARE	$32,260	32
TriStar StoneCrest Medical Center	$5,675	TENNCARE	$32,260	32
TriStar Southern Hills Medical Center	$5,705	TENNCARE	$32,558	32
TriStar Horizon Medical Center	$5,801	TENNCARE	$32,260	32
Maury Regional Medical Center	$6,260	Medicaid	$19,971	5
TriStar Hendersonville Medical Center	$6,533	TENNCARE	$32,260	32
TriStar Centennial Medical Center	$7,058	TENNCARE	$32,558	32
Vanderbilt Wilson County Hospital	$7,659.28	TN CoverKids Medicaid Managed Care Plan	$23,922	8
Metro Nashville General Hospital	$11,929	All Commercial Plans	$11,929	1
HighPoint Health Sumner (Sumner Regional Medical Center)	$13,197	UHC All Payer	$13,197	1
Ascension Saint Thomas Rutherford	$17,738	3165_MTTN UHC EXCHANGE 20250715	$25,785	12
Ascension Saint Thomas West	$17,738	3165_MTTN UHC EXCHANGE 20250715	$25,785	12
Ascension Saint Thomas Midtown	$18,998	1309_UHC COMPASS EXCHANGE (MIDTOWN) 20250715	$22,768	2
TriStar Skyline Medical Center	$23,971	Core	$31,961	24

Median of all 372 published UnitedHealthcare rates for Knee Replacement at these hospitals: $24,195

Rates shown are UnitedHealthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all UnitedHealthcare 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 UnitedHealthcare Knee Replacement Rates in Nashville

Where Nashville knee replacement rates begin and end for UnitedHealthcare. Among the 16 hospitals with published rates, the lowest figures are $97.47 at Vanderbilt University Medical Center, $4,851 at TriStar NorthCrest Medical Center and $5,435 at TriStar Summit Medical Center. The highest are $31,961 at TriStar Skyline Medical Center, with TriStar NorthCrest Medical Center and TriStar Southern Hills Medical Center each topping out at $32,558.

The UnitedHealthcare knee replacement spread in Nashville and the plans behind it. The page shows a spread of 328x, and the median of all 372 published rates is $24,195. The plan types beside the lowest rates read as Medicare Managed Care, TennCare and Medicaid plans, so the low end likely reflects those plans rather than commercial plans. A rate does not always show which plan it belongs to, so treat any single figure with care.

Questions a UnitedHealthcare member can bring about a Nashville knee replacement.

Ask UnitedHealthcare 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.

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 UnitedHealthcare Negotiated Rates

A negotiated rate is the price UnitedHealthcare 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 UnitedHealthcare 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

BlueCross BlueShield of Tennessee $452.86 - $32,971 16 hospitals Aetna $132.77 - $23,491 15 hospitals Cigna $266.88 - $34,140 14 hospitals Ambetter $171.11 - $31,911.71 12 hospitals Oscar Health $272.94 - $31,422.51 12 hospitals Humana $145.20 - $14,000 11 hospitals

View all Knee Replacement prices in Nashville (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost UnitedHealthcare Knee Replacement in Nashville?

The lowest UnitedHealthcare negotiated rate for Knee Replacement in Nashville is $97.47 at Vanderbilt University Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $31,961 at TriStar Skyline Medical Center, a 328x difference. Commercial plan rates typically fall between these extremes.

Is the UnitedHealthcare negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what UnitedHealthcare 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 UnitedHealthcare for a pre-service cost estimate specific to your plan.

How many Nashville hospitals have published UnitedHealthcare rates?

16 hospitals in the Nashville area have published UnitedHealthcare 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 UnitedHealthcare directly.

Does UnitedHealthcare require prior authorization for knee replacement?

Almost all UnitedHealthcare plans require prior authorization for knee replacement surgery. Without authorization, UnitedHealthcare 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 UnitedHealthcare 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 UnitedHealthcare 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 UnitedHealthcare website: www.uhc.com