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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,282 | $88,649 | 5.4× | $11,667 |
| Shoulder replacement | — | — | — | $16,742 |
| Hip replacement after a fracture (DRG 522) | $14,561 | $76,478 | 5.3× | — |
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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In 2024 Medicare paid Ascension Providence Depaul an average of $16,282 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $11,667 per outpatient case (APC 5115, 123 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $88,649, 5.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Ascension Providence Depaul more than 73% of the 77 Texas hospitals that report inpatient hip or knee replacement.