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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,458 | $95,383 | 6.2× | $11,156 |
| Shoulder replacement | — | — | — | $15,543 |
| Hip replacement after a fracture (DRG 522) | $16,187 | $85,121 | 5.3× | — |
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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In 2024 Medicare paid Holston Valley Medical Center an average of $15,458 per inpatient hip or knee replacement stay (MS-DRG 470, 38 stays) and $11,156 per outpatient case (APC 5115, 136 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $95,383, 6.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Holston Valley Medical Center more than 86% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.