Jackson, TN 38301 · CMS Certification Number 440002. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,453 | $102,835 | 6.7× | $11,604 |
| Shoulder replacement | — | — | — | $16,677 |
| Hip replacement after a fracture (DRG 522) | $15,697 | $71,393 | 4.5× | — |
Readmissions: 6.5%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 771 beds
Tennessee requires a certificate of need for new surgery centers.
Open the interactive price tagBuild a reportAll Tennessee hospitals
In 2024 Medicare paid Jackson-Madison County General Hospital an average of $15,453 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $11,604 per outpatient case (APC 5115, 423 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $102,835, 6.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Physician's Surgery Center, LLC, an orthopedic surgery center 9.2 mi away, is paid about $7,813 by Medicare for a knee replacement (CPT 27447), $7,640 less than an inpatient stay at Jackson-Madison County General Hospital. Not every patient is a surgery-center candidate.
Medicare paid Jackson-Madison County General Hospital more than 83% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.