Waco, TX 76712 · CMS Certification Number 450101. 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 | $16,032 | $59,885 | 3.7× | $11,435 |
| Shoulder replacement | — | — | — | $16,742 |
| Hip replacement after a fracture (DRG 522) | $18,762 | $70,473 | 3.8× | — |
Complications after hip or knee replacement: 2.9% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 260 beds
Texas has no certificate-of-need law.
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In 2024 Medicare paid Baylor Scott & White Medical Center - Hillcrest an average of $16,032 per inpatient hip or knee replacement stay (MS-DRG 470, 35 stays) and $11,435 per outpatient case (APC 5115, 213 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $59,885, 3.7× 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), $7,358 less than an inpatient stay at Baylor Scott & White Medical Center - Hillcrest. Not every patient is a surgery-center candidate.
Medicare paid Baylor Scott & White Medical Center - Hillcrest more than 70% of the 77 Texas hospitals that report inpatient hip or knee replacement.