Lebanon, TN 37087 · CMS Certification Number 440193. 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 | $13,738 | $83,936 | 6.1× | $10,905 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $14,879 | $114,241 | 7.7× | — |
Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 250 beds
Tennessee requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Vanderbilt Wilson County Hospital an average of $13,738 per inpatient hip or knee replacement stay (MS-DRG 470, 31 stays) and $10,905 per outpatient case (APC 5115, 22 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $83,936, 6.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Phoenix Ambulatory Surgery Center, LLC, an orthopedic surgery center 10.4 mi away, is paid about $8,497 by Medicare for a knee replacement (CPT 27447), $5,241 less than an inpatient stay at Vanderbilt Wilson County Hospital. Not every patient is a surgery-center candidate.
Medicare paid Vanderbilt Wilson County Hospital less than 52% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.