Price AtlasInteractive atlas · All states · techysurgeon.comVanderbilt Wilson County Hospital: what a joint replacement costs
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.
Medicare prices at Vanderbilt Wilson County Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $36,202 | 2.6× | $25,745–$47,570 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS TN | $47,570 | 3.5× | 1 |
| Oscar | $41,233 | 3.0× | 1 |
| Commonwealth Health | $36,202 | 2.6× | 1 |
| Hpi | $36,202 | 2.6× | 1 |
| Lucent | $36,202 | 2.6× | 1 |
| MedBen | $36,202 | 2.6× | 1 |
| Partner Direct Health | $36,202 | 2.6× | 1 |
| UnitedHealthcare | $31,846 | 2.3× | 1 |
| MultiPlan/PHCS (rental network) | $27,508 | 2.0× | 1 |
| Aetna | $27,213 | 2.0× | 1 |
| Cigna | $25,745 | 1.9× | 1 |
From the hospital's price-transparency file (2025-10-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-10-01); commercial plans, dollar-amount contracts only.
Quality
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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Questions
How much does Medicare pay Vanderbilt Wilson County Hospital for a knee or hip replacement?
In 2024 the average total payment to Vanderbilt Wilson County Hospital for an inpatient hip or knee replacement stay was $13,738 (MS-DRG 470, 31 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,905 per outpatient case (APC 5115, 22 cases).
What is Vanderbilt Wilson County Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $83,936, 6.1× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Vanderbilt Wilson County Hospital?
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.
How does Vanderbilt Wilson County Hospital compare with other Tennessee hospitals?
Vanderbilt Wilson County Hospital's average total payment per Medicare stay is lower than 52% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Vanderbilt Wilson County Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $36,202 across 10 insurers, ranging from $25,745 to $47,570.