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Ascension 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.

Surgery center nearby
$8,497
Saint Thomas Surgicare, same ZIP
Outpatient here
$11,185
620 Medicare cases, APC 5115
Inpatient here
$14,924
92 Medicare stays, MS-DRG 470

Medicare prices at Ascension Saint Thomas Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,924$78,5775.3×$11,185
Shoulder replacement$18,830$91,0474.8×$15,866
Hip replacement after a fracture (DRG 522)$16,784$77,5934.6×—

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 Medicare paid Ascension Saint Thomas Hospital an average of $14,924 per inpatient hip or knee replacement stay (MS-DRG 470, 92 stays) and $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× 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 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?

Medicare paid Ascension Saint Thomas Hospital more than 79% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.