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Vanderbilt University Medical Center: what a joint replacement costs

Nashville, TN 37232 · CMS Certification Number 440039. 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
$8,497
Saint Thomas Surgery Center Midtown, 1.0 mi
Outpatient here
$6,948
316 Medicare cases, APC 5115
Inpatient here
$19,231
64 Medicare stays, MS-DRG 470

Medicare prices at Vanderbilt University Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$19,231$95,1945.0×$6,948
Shoulder replacement$24,118$145,8396.0×$8,954
Hip replacement after a fracture (DRG 522)$25,799$155,8366.0×—

Quality

Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 1091 beds

Tennessee requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Vanderbilt University Medical Center for a knee or hip replacement?

In 2024 Medicare paid Vanderbilt University Medical Center an average of $19,231 per inpatient hip or knee replacement stay (MS-DRG 470, 64 stays) and $6,948 per outpatient case (APC 5115, 316 cases).

What is Vanderbilt University Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $95,194, 5.0× 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 Vanderbilt University Medical Center?

Yes for Medicare facility payments. Saint Thomas Surgery Center Midtown, an orthopedic surgery center 1.0 mi away, is paid about $8,497 by Medicare for a knee replacement (CPT 27447), $10,734 less than an inpatient stay at Vanderbilt University Medical Center. Not every patient is a surgery-center candidate.

How does Vanderbilt University Medical Center compare with other Tennessee hospitals?

Medicare paid Vanderbilt University Medical Center more than 100% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.