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Baylor 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.

Surgery center nearby
$8,674
Heart of Texas Surgery Center PLLC, same ZIP
Outpatient here
$11,435
213 Medicare cases, APC 5115
Inpatient here
$16,032
35 Medicare stays, MS-DRG 470

Medicare prices at Baylor Scott & White Medical Center - Hillcrest

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,032$59,8853.7×$11,435
Shoulder replacement———$16,742
Hip replacement after a fracture (DRG 522)$18,762$70,4733.8×—

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 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).

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× what Medicare paid. 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?

Medicare paid Baylor Scott & White Medical Center - Hillcrest more than 70% of the 77 Texas hospitals that report inpatient hip or knee replacement.