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Jackson-Madison County General Hospital: what a joint replacement costs

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.

Surgery center nearby
$7,813
Physician's Surgery Center, LLC, 9.2 mi
Outpatient here
$11,604
Medicare allowed amount, 423 cases, APC 5115
Inpatient here
$15,453
Avg total payment (incl. patient share), 11 Medicare stays, MS-DRG 470

Medicare prices at Jackson-Madison County General Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,453$102,8356.7×$11,604
Shoulder replacement———$16,677
Hip replacement after a fracture (DRG 522)$15,697$71,3934.5×—

Quality

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.

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Questions

How much does Medicare pay Jackson-Madison County General Hospital for a knee or hip replacement?

In 2024 the average total payment to Jackson-Madison County General Hospital for an inpatient hip or knee replacement stay was $15,453 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,604 per outpatient case (APC 5115, 423 cases).

What is Jackson-Madison County General Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $102,835, 6.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Jackson-Madison County General Hospital?

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.

How does Jackson-Madison County General Hospital compare with other Tennessee hospitals?

Jackson-Madison County General Hospital's average total payment per Medicare stay is higher than 83% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.