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Holston Valley Medical Center: what a joint replacement costs

Kingsport, TN 37662 · CMS Certification Number 440017. 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
Meadowview ASC, LLC, 2.0 mi
Outpatient here
$11,156
Medicare allowed amount, 136 cases, APC 5115
Inpatient here
$15,458
Avg total payment (incl. patient share), 38 Medicare stays, MS-DRG 470

Medicare prices at Holston Valley Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,458$95,3836.2×$11,156
Shoulder replacement———$15,543
Hip replacement after a fracture (DRG 522)$16,187$85,1215.3×—

Quality

Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 505 beds

Tennessee requires a certificate of need for new surgery centers.

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Questions

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

In 2024 the average total payment to Holston Valley Medical Center for an inpatient hip or knee replacement stay was $15,458 (MS-DRG 470, 38 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,156 per outpatient case (APC 5115, 136 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $95,383, 6.2× 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 Holston Valley Medical Center?

Yes for Medicare facility payments. Meadowview ASC, LLC, an orthopedic surgery center 2.0 mi away, is paid about $7,999 by Medicare for a knee replacement (CPT 27447), $7,459 less than an inpatient stay at Holston Valley Medical Center. Not every patient is a surgery-center candidate.

How does Holston Valley Medical Center compare with other Tennessee hospitals?

Holston Valley Medical Center's average total payment per Medicare stay is higher than 86% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.