Crossville, TN 38555 · CMS Certification Number 440009. 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 | $13,386 | $36,075 | 2.7× | $11,429 |
| Shoulder replacement | — | — | — | $16,426 |
| Hip replacement after a fracture (DRG 522) | $15,011 | $36,010 | 2.4× | — |
Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 189 beds
Tennessee requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Cumberland Medical Center an average of $13,386 per inpatient hip or knee replacement stay (MS-DRG 470, 32 stays) and $11,429 per outpatient case (APC 5115, 55 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $36,075, 2.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Medicare paid Cumberland Medical Center less than 55% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.