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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,231 | $95,194 | 5.0× | $6,948 |
| Shoulder replacement | $24,118 | $145,839 | 6.0× | $8,954 |
| Hip replacement after a fracture (DRG 522) | $25,799 | $155,836 | 6.0× | — |
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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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).
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.
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.
Medicare paid Vanderbilt University Medical Center more than 100% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.