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Cumberland Medical Center: what a joint replacement costs

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.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,429
55 Medicare cases, APC 5115
Inpatient here
$13,386
32 Medicare stays, MS-DRG 470

Medicare prices at Cumberland Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,386$36,0752.7×$11,429
Shoulder replacement———$16,426
Hip replacement after a fracture (DRG 522)$15,011$36,0102.4×—

Quality

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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Questions

How much does Medicare pay Cumberland Medical Center for a knee or hip replacement?

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).

What is Cumberland Medical Center's list price for a joint replacement?

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.

How does Cumberland Medical Center compare with other Tennessee hospitals?

Medicare paid Cumberland Medical Center less than 55% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.