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Methodist Medical Center of Oak Ridge: what a joint replacement costs

Oak Ridge, TN 37830 · CMS Certification Number 440034. 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
$7,703
Parkwest Surgery Center, LLC, 12.0 mi
Outpatient here
$10,843
48 Medicare cases, APC 5115
Inpatient here
$12,539
14 Medicare stays, MS-DRG 470

Medicare prices at Methodist Medical Center of Oak Ridge

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,539$48,2533.8×$10,843
Shoulder replacement———$14,936
Hip replacement after a fracture (DRG 522)$13,888$43,9123.2×—

Quality

Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 301 beds

Tennessee requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Methodist Medical Center of Oak Ridge for a knee or hip replacement?

In 2024 Medicare paid Methodist Medical Center of Oak Ridge an average of $12,539 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $10,843 per outpatient case (APC 5115, 48 cases).

What is Methodist Medical Center of Oak Ridge's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $48,253, 3.8× what Medicare paid. 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 Methodist Medical Center of Oak Ridge?

Yes for Medicare facility payments. Parkwest Surgery Center, LLC, an orthopedic surgery center 12.0 mi away, is paid about $7,703 by Medicare for a knee replacement (CPT 27447), $4,836 less than an inpatient stay at Methodist Medical Center of Oak Ridge. Not every patient is a surgery-center candidate.

How does Methodist Medical Center of Oak Ridge compare with other Tennessee hospitals?

Medicare paid Methodist Medical Center of Oak Ridge less than 90% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.