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Baylor University Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,879
Baylor Scott and White Surgicare, same ZIP
Outpatient here
$10,652
Medicare allowed amount, 92 cases, APC 5115
Inpatient here
$19,039
Avg total payment (incl. patient share), 46 Medicare stays, MS-DRG 470

Medicare prices at Baylor University Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$19,039$68,3633.6×$10,652
Shoulder replacement$21,790$104,5644.8×$16,111
Hip replacement after a fracture (DRG 522)$22,097$83,8543.8×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$24,9171.3×$17,711–$38,67111
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$38,6712.0×1
HealthSmart (rental network)$37,7622.0×1
MultiPlan/PHCS (rental network)$37,5292.0×1
Humana$37,1221.9×1
Aetna$36,2261.9×1
Mark Cuban$28,7291.5×1
Cigna$28,6711.5×1
BCBS TX$24,9171.3×1
Employers Health Network$24,5711.3×1
Sedgwick$24,0881.3×1
Imagine Health$20,5581.1×1
Baylor Scott & White Health Plan$20,4511.1×1
University of Mary Hardin-Baylor$17,7110.9×1

From the hospital's price-transparency file (2026-06-29); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-06-29); commercial plans, dollar-amount contracts only.

Quality

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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Questions

How much does Medicare pay Baylor University Medical Center for a knee or hip replacement?

In 2024 the average total payment to Baylor University Medical Center for an inpatient hip or knee replacement stay was $19,039 (MS-DRG 470, 46 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,652 per outpatient case (APC 5115, 92 cases).

What is Baylor University Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $68,363, 3.6× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Baylor University Medical Center?

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.

How does Baylor University Medical Center compare with other Texas hospitals?

Baylor University Medical Center's average total payment per Medicare stay is higher than 92% of the 77 Texas hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Baylor University Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $24,917 across 11 insurers, ranging from $17,711 to $38,671.