San Antonio, TX 78205 · CMS Certification Number 450058. 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 | $14,934 | $200,997 | 13.5× | $11,235 |
| Shoulder replacement | $18,287 | $242,158 | 13.2× | $15,752 |
| Hip replacement after a fracture (DRG 522) | $15,405 | $208,541 | 13.5× | — |
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 1285 beds
Texas has no certificate-of-need law.
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In 2024 Medicare paid Baptist Medical Center an average of $14,934 per inpatient hip or knee replacement stay (MS-DRG 470, 79 stays) and $11,235 per outpatient case (APC 5115, 796 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $200,997, 13.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Christus Santa Rosa Pasc-San Antonio LLC, an orthopedic surgery center 4.8 mi away, is paid about $8,437 by Medicare for a knee replacement (CPT 27447), $6,497 less than an inpatient stay at Baptist Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Baptist Medical Center more than 58% of the 77 Texas hospitals that report inpatient hip or knee replacement.