Dallas, TX 75246 · CMS Certification Number 450021. 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 | $19,039 | $68,363 | 3.6× | $10,652 |
| Shoulder replacement | $21,790 | $104,564 | 4.8× | $16,111 |
| Hip replacement after a fracture (DRG 522) | $22,097 | $83,854 | 3.8× | — |
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 914 beds
Texas has no certificate-of-need law.
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In 2024 Medicare paid Baylor University Medical Center an average of $19,039 per inpatient hip or knee replacement stay (MS-DRG 470, 46 stays) and $10,652 per outpatient case (APC 5115, 92 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $68,363, 3.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Baylor Scott and White Surgicare, an orthopedic surgery center same ZIP away, is paid about $8,879 by Medicare for a knee replacement (CPT 27447), $10,160 less than an inpatient stay at Baylor University Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Baylor University Medical Center more than 92% of the 77 Texas hospitals that report inpatient hip or knee replacement.