Knoxville, TN 37916 · CMS Certification Number 440125. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,905 | $42,680 | 3.3× | $10,493 |
| Shoulder replacement | — | — | — | $15,130 |
| Hip replacement after a fracture (DRG 522) | $13,805 | $45,347 | 3.3× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $16,039 | 1.2× | $16,039–$23,873 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $23,873 | 1.8× | 1 |
| BCBS TN | $16,039 | 1.2× | 1 |
| Devoted Health | $16,039 | 1.2× | 1 |
From the hospital's price-transparency file (2026-08-05); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-08-05); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 4.7%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 517 beds
Tennessee requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Fort Sanders Regional Medical Center for an inpatient hip or knee replacement stay was $12,905 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,493 per outpatient case (APC 5115, 207 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $42,680, 3.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Physician's Surgery Center of Knoxville, an orthopedic surgery center same ZIP away, is paid about $7,703 by Medicare for a knee replacement (CPT 27447), $5,202 less than an inpatient stay at Fort Sanders Regional Medical Center. Not every patient is a surgery-center candidate.
Fort Sanders Regional Medical Center's average total payment per Medicare stay is lower than 79% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $16,039 across 3 insurers, ranging from $16,039 to $23,873.