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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,539 | $48,253 | 3.8× | $10,843 |
| Shoulder replacement | — | — | — | $14,936 |
| Hip replacement after a fracture (DRG 522) | $13,888 | $43,912 | 3.2× | — |
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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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).
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.
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.
Medicare paid Methodist Medical Center of Oak Ridge less than 90% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.