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Tennessee: one knee, three prices

What Medicare pays Tennessee hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$8,234
Median Medicare knee rate, 54 orthopedic surgery centers
Hospital, same day
$10,981
Median outpatient allowed
Hospital, overnight
$13,790
Median inpatient paid, 29 hospitals

Tennessee requires a certificate of need for new surgery centers.

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Lowest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Williamson Medical CenterFranklin$11,929$71,833$11,312
Sycamore Shoals HospitalElizabethton$11,946$83,153$10,437
Methodist Medical Center of Oak RidgeOak Ridge$12,539$48,253$10,843
Memorial Healthcare System, IncChattanooga$12,815$63,231$10,854
Parkwest Medical CenterKnoxville$12,848$44,809$10,668
Fort Sanders Regional Medical CenterKnoxville$12,905$42,680$10,493
Bradley Medical CenterCleveland$13,047$215,831$11,203
Maury Regional HospitalColumbia$13,051$69,464$10,856
Tristar Summit Medical CenterHermitage$13,158$122,156$10,298
Blount Memorial HospitalMaryville$13,316$62,560$11,220

Highest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Vanderbilt University Medical CenterNashville$19,231$95,194$6,948
University of Tn Medical Center (The)Knoxville$17,435$65,224$10,394
Erlanger Health SystemChattanooga$16,702$43,357$11,031
Methodist Hospitals of MemphisMemphis$16,195$76,991$11,029
Holston Valley Medical CenterKingsport$15,458$95,383$11,156
Jackson-Madison County General HospitalJackson$15,453$102,835$11,604
Ascension Saint Thomas HospitalNashville$14,924$78,577$11,185
Johnson City Medical CenterJohnson City$14,839$109,846$11,248
Bristol Regional Medical CenterBristol$14,697$81,897$11,005
Ascension Saint Thomas Rutherford HospitalMurfreesboro$14,552$74,637$11,187

Every Tennessee hospital (47)

Orthopedic surgery centers (54)

Questions

How much does Medicare pay for a knee replacement in Tennessee?

In 2024 Medicare paid Tennessee hospitals a median $13,790 per inpatient hip or knee replacement stay (MS-DRG 470, 29 hospitals) and a median $10,981 per outpatient case. An orthopedic surgery center is paid about $8,234 for a knee.

Which Tennessee hospitals does Medicare pay least for a joint replacement?

Williamson Medical Center ($11,929), Sycamore Shoals Hospital ($11,946), Methodist Medical Center of Oak Ridge ($12,539).

What do Tennessee hospitals list for a joint replacement?

The median list (chargemaster) price is $78,656, about 5.7× what Medicare pays.

Does Tennessee have a certificate-of-need law?

Tennessee requires a certificate of need for new surgery centers. CON still applies to new ASCs until December 1, 2027 under a 2024 law; a 2026 law phases out hospital CON by 2030.