facebook tracking Revision of hip or knee replacement with complications cost in Tennessee: 14 hospitals compared (DRG 467)

Revision of hip or knee replacement with complications in Tennessee

What 14 hospitals in Tennessee charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.

DRG 467 Inpatient 2024 Medicare data
Average charge $147,242 Hospital list price billed
Average payment $26,031 Medicare + patient + other payers
Medicare paid $22,073 Average per stay
State rank #6 of 41 1 = lowest average payment

Hospitals in Tennessee billed an average of $147,242 for revision of hip or knee replacement with complications, about 5.7 times the average total payment of $26,031. That payment is 15% below the U.S. average of $30,673.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $26,031Billed $147,242

About 18¢ was paid for every $1 hospitals in Tennessee billed for this stay.

Tennessee hospitals: revision of hip or knee replacement with complications

Every Tennessee hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Centennial Medical CenterNashville 97 $192,597 $25,813 $22,156
St Thomas HospitalNashville 45 $142,038 $27,673 $20,927
Methodist Healthcare-MemphisMemphis 41 $137,402 $27,365 $24,851
Memorial Healthcare System, INCChattanooga 41 $88,519 $19,819 $18,543
Vanderbilt University HospitalNashville 28 $180,041 $34,069 $24,830
Baptist Memorial HospitalMemphis 21 $108,120 $22,531 $20,727
Univ of Tn Mem HospitalKnoxville 15 $111,278 $28,239 $23,752
Johnson City Medical CenterJohnson City 15 $215,186 $25,669 $23,566
Erlanger Medical CenterChattanooga 14 $87,718 $28,045 $25,118
Parkwest Medical CenterKnoxville 14 $79,063 $21,615 $20,218
St Francis HospitalMemphis 14 $174,825 $24,497 $23,229
Williamson Medical CenterFranklin 13 $78,257 $22,082 $20,929
Saint Thomas Rutherford HospitalMurfreesboro 12 $113,372 $29,378 $22,158
Summit Medical CenterHermitage 12 $211,778 $28,873 $18,641
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Lowest and highest payments in Tennessee

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Memorial Healthcare System, INCChattanooga, TN$19,819
Parkwest Medical CenterKnoxville, TN$21,615
Williamson Medical CenterFranklin, TN$22,082
Baptist Memorial HospitalMemphis, TN$22,531
St Francis HospitalMemphis, TN$24,497

Highest

Vanderbilt University HospitalNashville, TN$34,069
Saint Thomas Rutherford HospitalMurfreesboro, TN$29,378
Summit Medical CenterHermitage, TN$28,873
Univ of Tn Mem HospitalKnoxville, TN$28,239
Erlanger Medical CenterChattanooga, TN$28,045

Revision of hip or knee replacement with complications in other states

Questions

How much does revision of hip or knee replacement with complications cost in Tennessee?

In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 14 hospitals in Tennessee was billed at $147,242 on average, while the average total payment was $26,031, of which Medicare paid $22,073. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Tennessee, average charges were 5.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.