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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Ascension Saint Thomas Hospital more than 79% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.