Austin, TX 78705 · CMS Certification Number 450056. 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 | $17,047 | $207,284 | 12.2× | $11,547 |
| Shoulder replacement | $20,523 | $189,708 | 9.2× | $16,369 |
Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 521 beds
Texas has no certificate-of-need law.
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In 2024 Medicare paid Ascension Seton Medical Center Austin an average of $17,047 per inpatient hip or knee replacement stay (MS-DRG 470, 77 stays) and $11,547 per outpatient case (APC 5115, 257 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $207,284, 12.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Medical Park Tower Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,747 by Medicare for a knee replacement (CPT 27447), $8,300 less than an inpatient stay at Ascension Seton Medical Center Austin. Not every patient is a surgery-center candidate.
Medicare paid Ascension Seton Medical Center Austin more than 81% of the 77 Texas hospitals that report inpatient hip or knee replacement.