Johnson City, TN 37604 · CMS Certification Number 440063. 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 | $14,839 | $109,846 | 7.4× | $11,248 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $16,069 | $96,399 | 6.0× | — |
Complications after hip or knee replacement: 6% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 585 beds
Tennessee requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Johnson City Medical Center an average of $14,839 per inpatient hip or knee replacement stay (MS-DRG 470, 22 stays) and $11,248 per outpatient case (APC 5115, 55 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $109,846, 7.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Mountain Empire Surgery Center, an orthopedic surgery center same ZIP away, is paid about $7,988 by Medicare for a knee replacement (CPT 27447), $6,851 less than an inpatient stay at Johnson City Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Johnson City Medical Center more than 76% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.