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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,187 |
| Shoulder replacement | — | — | — | $16,618 |
| Hip replacement after a fracture (DRG 522) | $16,972 | $89,871 | 5.3× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $13,600 | — | $12,477–$28,413 | 16 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| 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.
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 487 beds
Texas has no certificate-of-need law.
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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.
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.