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Ascension Providence Depaul: what a joint replacement costs

Waco, TX 76712 · CMS Certification Number 450042. 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
$8,674
Heart of Texas Surgery Center PLLC, same ZIP
Outpatient here
$11,667
Medicare allowed amount, 123 cases, APC 5115
Inpatient here
$16,282
Avg total payment (incl. patient share), 20 Medicare stays, MS-DRG 470

Medicare prices at Ascension Providence Depaul

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,282$88,6495.4×$11,667
Shoulder replacement———$16,742
Hip replacement after a fracture (DRG 522)$14,561$76,4785.3×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$16,9141.0×$10,618–$20,5233
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS TX$20,5231.3×1
Smarthealth$16,9141.0×1
Firstcare Focus Network$10,6180.7×1

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

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

Quality

Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 237 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Ascension Providence Depaul for a knee or hip replacement?

In 2024 the average total payment to Ascension Providence Depaul for an inpatient hip or knee replacement stay was $16,282 (MS-DRG 470, 20 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,667 per outpatient case (APC 5115, 123 cases).

What is Ascension Providence Depaul's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $88,649, 5.4× 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 Ascension Providence Depaul?

Yes for Medicare facility payments. Heart of Texas Surgery Center PLLC, an orthopedic surgery center same ZIP away, is paid about $8,674 by Medicare for a knee replacement (CPT 27447), $7,608 less than an inpatient stay at Ascension Providence Depaul. Not every patient is a surgery-center candidate.

How does Ascension Providence Depaul compare with other Texas hospitals?

Ascension Providence Depaul's average total payment per Medicare stay is higher than 73% of the 77 Texas hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Ascension Providence Depaul 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 $16,914 across 3 insurers, ranging from $10,618 to $20,523.