Price AtlasInteractive atlas · All states · techysurgeon.comBaylor Scott & White Medical Center - Hillcrest: what a joint replacement costs
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.
Medicare prices at Baylor Scott & White Medical Center - Hillcrest
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,222 | 1.4× | $17,711–$36,226 | 12 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| HealthSmart (rental network) | $37,762 | 2.4× | 1 |
| MultiPlan/PHCS (rental network) | $37,529 | 2.3× | 1 |
| Aetna | $36,226 | 2.3× | 1 |
| Humana | $34,882 | 2.2× | 1 |
| Mark Cuban | $28,729 | 1.8× | 1 |
| BCBS TX | $26,420 | 1.6× | 1 |
| Cigna | $23,911 | 1.5× | 1 |
| UnitedHealthcare | $23,828 | 1.5× | 1 |
| High Plains Health Plans | $22,616 | 1.4× | 1 |
| Baylor Scott & White Health Plan | $22,157 | 1.4× | 1 |
| Injury Management Organization | $22,056 | 1.4× | 1 |
| Sedgwick | $22,056 | 1.4× | 1 |
| Imagine Health | $20,558 | 1.3× | 1 |
| University of Mary Hardin-Baylor | $17,711 | 1.1× | 1 |
From the hospital's price-transparency file (2026-06-13); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-06-13); commercial plans, dollar-amount contracts only.
Quality
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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Questions
How much does Medicare pay Baylor Scott & White Medical Center - Hillcrest for a knee or hip replacement?
In 2024 the average total payment to Baylor Scott & White Medical Center - Hillcrest for an inpatient hip or knee replacement stay was $16,032 (MS-DRG 470, 35 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,435 per outpatient case (APC 5115, 213 cases).
What is Baylor Scott & White Medical Center - Hillcrest's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $59,885, 3.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Baylor Scott & White Medical Center - Hillcrest?
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.
How does Baylor Scott & White Medical Center - Hillcrest compare with other Texas hospitals?
Baylor Scott & White Medical Center - Hillcrest's average total payment per Medicare stay is higher than 70% of the 77 Texas hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Baylor Scott & White Medical Center - Hillcrest for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $23,222 across 12 insurers, ranging from $17,711 to $36,226.