Hermitage, TN 37076 · CMS Certification Number 440150. 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 | $13,158 | $122,156 | 9.3× | $10,298 |
| Shoulder replacement | — | — | — | $14,389 |
| Hip replacement after a fracture (DRG 522) | $14,294 | $147,029 | 10.3× | — |
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 200 beds
Tennessee requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Tristar Summit Medical Center an average of $13,158 per inpatient hip or knee replacement stay (MS-DRG 470, 15 stays) and $10,298 per outpatient case (APC 5115, 252 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $122,156, 9.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Summit Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,497 by Medicare for a knee replacement (CPT 27447), $4,661 less than an inpatient stay at Tristar Summit Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Tristar Summit Medical Center less than 69% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.