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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $16,914 | 1.0× | $10,618–$20,523 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS TX | $20,523 | 1.3× | 1 |
| Smarthealth | $16,914 | 1.0× | 1 |
| Firstcare Focus Network | $10,618 | 0.7× | 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.
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 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).
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.
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.
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.
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.