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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,697 | $81,897 | 5.6× | $11,005 |
| Shoulder replacement | — | — | — | $15,977 |
| Hip replacement after a fracture (DRG 522) | $15,559 | $90,599 | 5.8× | — |
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.
Open the interactive price tagBuild a reportAll Tennessee hospitals
In 2024 Medicare paid Bristol Regional Medical Center an average of $14,697 per inpatient hip or knee replacement stay (MS-DRG 470, 19 stays) and $11,005 per outpatient case (APC 5115, 134 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $81,897, 5.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Bristol Regional Medical Center more than 72% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.