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Vanderbilt 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.

Surgery center nearby
$8,497
Phoenix Ambulatory Surgery Center, LLC, 10.4 mi
Outpatient here
$10,905
22 Medicare cases, APC 5115
Inpatient here
$13,738
31 Medicare stays, MS-DRG 470

Medicare prices at Vanderbilt Wilson County Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,738$83,9366.1×$10,905
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$14,879$114,2417.7×—

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 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).

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× what Medicare paid. 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?

Medicare paid Vanderbilt Wilson County Hospital less than 52% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.