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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 Medicare paid Fort Sanders Regional Medical Center an average of $12,905 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $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× what Medicare paid. 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.
Medicare paid Fort Sanders Regional Medical Center less than 79% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.