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Bristol Regional Medical Center: what a joint replacement costs

Bristol, TN 37620 · CMS Certification Number 440012. 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
$7,999
Renaissance Surgery Center, LLC, same ZIP
Outpatient here
$11,005
Medicare allowed amount, 134 cases, APC 5115
Inpatient here
$14,697
Avg total payment (incl. patient share), 19 Medicare stays, MS-DRG 470

Medicare prices at Bristol Regional Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,697$81,8975.6×$11,005
Shoulder replacement———$15,977
Hip replacement after a fracture (DRG 522)$15,559$90,5995.8×—

Quality

Complications after hip or knee replacement: 5.4% (no different from the national rate). Readmissions: 6.9%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 282 beds

Tennessee requires a certificate of need for new surgery centers.

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Questions

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

In 2024 the average total payment to Bristol Regional Medical Center for an inpatient hip or knee replacement stay was $14,697 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,005 per outpatient case (APC 5115, 134 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $81,897, 5.6× 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 Bristol Regional Medical Center?

Yes for Medicare facility payments. Renaissance Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $7,999 by Medicare for a knee replacement (CPT 27447), $6,698 less than an inpatient stay at Bristol Regional Medical Center. Not every patient is a surgery-center candidate.

How does Bristol Regional Medical Center compare with other Tennessee hospitals?

Bristol Regional Medical Center's average total payment per Medicare stay is higher than 72% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.