Price AtlasInteractive atlas · All states · techysurgeon.comAscension Saint Thomas Hospital: what a joint replacement costs
Nashville, TN 37205 · CMS Certification Number 440082. 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.
Medicare prices at Ascension Saint Thomas Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,924 | $78,577 | 5.3× | $11,185 |
| Shoulder replacement | $18,830 | $91,047 | 4.8× | $15,866 |
| Hip replacement after a fracture (DRG 522) | $16,784 | $77,593 | 4.6× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $15,974 | 1.1× | $8,272–$32,813 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS TN | $32,813 | 2.2× | 1 |
| Health 2 Business | $25,656 | 1.7× | 1 |
| Aetna | $19,970 | 1.3× | 1 |
| Cigna | $16,471 | 1.1× | 1 |
| UnitedHealthcare | $15,974 | 1.1× | 1 |
| MultiPlan/PHCS (rental network) | $13,288 | 0.9× | 1 |
| Covid Uninsured Test Fund | $11,723 | 0.8× | 1 |
| Humana | $11,267 | 0.8× | 1 |
| Smart Health | $10,900 | 0.7× | 1 |
| Oscar | $8,272 | 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.
Quality
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 571 beds
Tennessee requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Ascension Saint Thomas Hospital for a knee or hip replacement?
In 2024 the average total payment to Ascension Saint Thomas Hospital for an inpatient hip or knee replacement stay was $14,924 (MS-DRG 470, 92 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,185 per outpatient case (APC 5115, 620 cases).
What is Ascension Saint Thomas Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $78,577, 5.3× 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 Hospital?
Yes for Medicare facility payments. Saint Thomas Surgicare, an orthopedic surgery center same ZIP away, is paid about $8,497 by Medicare for a knee replacement (CPT 27447), $6,427 less than an inpatient stay at Ascension Saint Thomas Hospital. Not every patient is a surgery-center candidate.
How does Ascension Saint Thomas Hospital compare with other Tennessee hospitals?
Ascension Saint Thomas Hospital's average total payment per Medicare stay is higher than 79% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Ascension Saint Thomas 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 $15,974 across 9 insurers, ranging from $8,272 to $32,813.