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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
Medicare allowed amount, 48 cases, APC 5115
Inpatient here
$12,539
Avg total payment (incl. patient share), 14 Medicare stays, MS-DRG 470

Medicare prices at Methodist Medical Center of Oak Ridge

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare 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×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$15,1791.2×$15,179–$23,8733
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$23,8731.9×1
BCBS TN$15,1791.2×1
Devoted Health$15,1791.2×1

From the hospital's price-transparency file (2026-08-05); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-08-05); commercial plans, dollar-amount contracts only.

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 the average total payment to Methodist Medical Center of Oak Ridge for an inpatient hip or knee replacement stay was $12,539 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?

Methodist Medical Center of Oak Ridge's average total payment per Medicare stay is lower than 90% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Methodist Medical Center of Oak Ridge for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $15,179 across 3 insurers, ranging from $15,179 to $23,873.