Revision of hip or knee replacement without complications in Tennessee
What 12 hospitals in Tennessee charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.
Average charge
$115,608
Hospital list price billed
Average payment
$21,213
Medicare + patient + other payers
Medicare paid
$16,768
Average per stay
State rank
#13 of 42
1 = lowest average payment
Hospitals in Tennessee billed an average of $115,608 for revision of hip or knee replacement without complications, about 5.4 times the average total payment of $21,213. That payment is 11% below the U.S. average of $23,925.
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 $21,213Billed $115,608
About 18¢ was paid for every $1 hospitals in Tennessee billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Tennessee:
Tennessee hospitals: revision of hip or knee replacement without 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 | 86 | $148,329 | $23,022 | $16,064 |
| Erlanger Medical CenterChattanooga | 25 | $68,921 | $22,350 | $18,259 |
| Parkwest Medical CenterKnoxville | 25 | $72,616 | $17,374 | $14,554 |
| St Thomas HospitalNashville | 23 | $133,982 | $18,688 | $16,817 |
| Univ of Tn Mem HospitalKnoxville | 22 | $108,288 | $22,854 | $17,911 |
| Baptist Memorial HospitalMemphis | 19 | $70,057 | $18,261 | $16,832 |
| Methodist Healthcare-MemphisMemphis | 16 | $91,083 | $22,615 | $18,264 |
| Williamson Medical CenterFranklin | 15 | $67,872 | $16,948 | $15,305 |
| Vanderbilt University HospitalNashville | 15 | $130,132 | $26,264 | $19,851 |
| Memorial Healthcare System, INCChattanooga | 13 | $81,502 | $16,931 | $15,326 |
| Wellmont Holston Vly Med CtrKingsport | 12 | $218,124 | $20,567 | $18,974 |
| Saint Thomas Rutherford HospitalMurfreesboro | 12 | $126,922 | $22,812 | $16,359 |
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 | $16,931 |
|---|---|
| Williamson Medical CenterFranklin, TN | $16,948 |
| Parkwest Medical CenterKnoxville, TN | $17,374 |
| Baptist Memorial HospitalMemphis, TN | $18,261 |
| St Thomas HospitalNashville, TN | $18,688 |
Highest
| Vanderbilt University HospitalNashville, TN | $26,264 |
|---|---|
| Centennial Medical CenterNashville, TN | $23,022 |
| Univ of Tn Mem HospitalKnoxville, TN | $22,854 |
| Saint Thomas Rutherford HospitalMurfreesboro, TN | $22,812 |
| Methodist Healthcare-MemphisMemphis, TN | $22,615 |
Revision of hip or knee replacement without complications in other states
Questions
How much does revision of hip or knee replacement without complications cost in Tennessee?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 12 hospitals in Tennessee was billed at $115,608 on average, while the average total payment was $21,213, of which Medicare paid $16,768. 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 5.4 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.