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Christus Southeast Texas- St Elizabeth: what a joint replacement costs

Beaumont, TX 77702 · CMS Certification Number 450034. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$12,187
Medicare allowed amount, 111 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Christus Southeast Texas- St Elizabeth

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,187
Shoulder replacement———$16,618
Hip replacement after a fracture (DRG 522)$16,972$89,8715.3×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$13,600—$12,477–$28,41316
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Healthsmart (rental network)$34,263—1
Humana$28,413—1
BCBS TX$25,043—1
ADV Cardiovas Specialist$24,953—1
Cigna$16,489—1
Partners Direct Health$15,567—1
Christus Health$14,660—1
LSU First Choice Verity$13,802—1
Imperial Health Plan$13,724—1
Devoted Health Plan$13,475—1
US Imaging Network$13,350—1
Shared Health Insurance$13,100—1
Texas Independence Health Plan$12,851—1
Aetna$12,477—1
Arcadian Health Plan$12,477—1
Coventry$12,477—1
UnitedHealthcare$12,477—1

From the hospital's price-transparency file (2026-01-13); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-01-13); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 487 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Christus Southeast Texas- St Elizabeth for a knee or hip replacement?

The Medicare allowed amount averaged $12,187 per outpatient hip or knee replacement case (APC 5115, 111 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Christus Southeast Texas- St Elizabeth 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 $13,600 across 16 insurers, ranging from $12,477 to $28,413.