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Ascension Saint Thomas Rutherford Hospital: what a joint replacement costs

Murfreesboro, TN 37129 · CMS Certification Number 440053. 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
Middle Tn Ambulatory Surgery Center, same ZIP
Outpatient here
$11,187
Medicare allowed amount, 268 cases, APC 5115
Inpatient here
$14,552
Avg total payment (incl. patient share), 47 Medicare stays, MS-DRG 470

Medicare prices at Ascension Saint Thomas Rutherford Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,552$74,6375.1×$11,187
Shoulder replacement———$15,624
Hip replacement after a fracture (DRG 522)$16,875$78,6324.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$16,4711.1×$8,369–$42,0439
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS TN$42,0432.9×1
Health 2 Business$25,6561.8×1
Smart Health$21,0801.4×1
Aetna$20,3001.4×1
Cigna$16,4711.1×1
UnitedHealthcare$15,9741.1×1
Covid Uninsured Test Fund$12,6080.9×1
Humana$11,7940.8×1
Oscar$8,3690.6×1

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 358 beds

Tennessee requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Ascension Saint Thomas Rutherford Hospital for a knee or hip replacement?

In 2024 the average total payment to Ascension Saint Thomas Rutherford Hospital for an inpatient hip or knee replacement stay was $14,552 (MS-DRG 470, 47 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,187 per outpatient case (APC 5115, 268 cases).

What is Ascension Saint Thomas Rutherford Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $74,637, 5.1× 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 Ascension Saint Thomas Rutherford Hospital?

Yes for Medicare facility payments. Middle Tn Ambulatory Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,497 by Medicare for a knee replacement (CPT 27447), $6,055 less than an inpatient stay at Ascension Saint Thomas Rutherford Hospital. Not every patient is a surgery-center candidate.

How does Ascension Saint Thomas Rutherford Hospital compare with other Tennessee hospitals?

Ascension Saint Thomas Rutherford Hospital's average total payment per Medicare stay is higher than 69% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Ascension Saint Thomas Rutherford Hospital 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 $16,471 across 9 insurers, ranging from $8,369 to $42,043.