Maryville, TN 37804 · CMS Certification Number 440011. 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 | $13,316 | $62,560 | 4.7× | $11,220 |
| Shoulder replacement | — | — | — | $16,157 |
| Hip replacement after a fracture (DRG 522) | $14,824 | $58,267 | 3.9× | — |
Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 304 beds
Tennessee requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Blount Memorial Hospital an average of $13,316 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $11,220 per outpatient case (APC 5115, 147 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $62,560, 4.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. University Orthopaedic Surgery Center, an orthopedic surgery center 8.5 mi away, is paid about $7,703 by Medicare for a knee replacement (CPT 27447), $5,613 less than an inpatient stay at Blount Memorial Hospital. Not every patient is a surgery-center candidate.
Medicare paid Blount Memorial Hospital less than 66% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.