Hendersonville, TN 37075 · CMS Certification Number 440194. 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 | $13,345 | $112,337 | 8.4× | $11,326 |
| Shoulder replacement | — | — | — | $16,023 |
| Hip replacement after a fracture (DRG 522) | $14,829 | $144,034 | 9.7× | — |
Complications after hip or knee replacement: 5.6% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 148 beds
Tennessee requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Tristar Hendersonville Medical Center an average of $13,345 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $11,326 per outpatient case (APC 5115, 117 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $112,337, 8.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Indian Lake Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,497 by Medicare for a knee replacement (CPT 27447), $4,848 less than an inpatient stay at Tristar Hendersonville Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Tristar Hendersonville Medical Center less than 59% of the 29 Tennessee hospitals that report inpatient hip or knee replacement.