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Johnson City Medical Center: what a joint replacement costs

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.

Surgery center nearby
$7,988
Mountain Empire Surgery Center, same ZIP
Outpatient here
$11,248
55 Medicare cases, APC 5115
Inpatient here
$14,839
22 Medicare stays, MS-DRG 470

Medicare prices at Johnson City Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,839$109,8467.4×$11,248
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$16,069$96,3996.0×—

Quality

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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Questions

How much does Medicare pay Johnson City Medical Center for a knee or hip replacement?

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).

What is Johnson City Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Johnson City Medical Center?

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.

How does Johnson City Medical Center compare with other Tennessee hospitals?

Medicare paid Johnson City Medical Center more than 76% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.