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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,552 | $74,637 | 5.1× | $11,187 |
| Shoulder replacement | — | — | — | $15,624 |
| Hip replacement after a fracture (DRG 522) | $16,875 | $78,632 | 4.7× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $16,471 | 1.1× | $8,369–$42,043 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS TN | $42,043 | 2.9× | 1 |
| Health 2 Business | $25,656 | 1.8× | 1 |
| Smart Health | $21,080 | 1.4× | 1 |
| Aetna | $20,300 | 1.4× | 1 |
| Cigna | $16,471 | 1.1× | 1 |
| UnitedHealthcare | $15,974 | 1.1× | 1 |
| Covid Uninsured Test Fund | $12,608 | 0.9× | 1 |
| Humana | $11,794 | 0.8× | 1 |
| Oscar | $8,369 | 0.6× | 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.
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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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).
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.
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.
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.
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.