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Guadalupe Regional Medical Center: what a joint replacement costs

Seguin, TX 78155 · CMS Certification Number 450104. 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
$8,437
New Braunfels Surgery Center, 13.4 mi
Outpatient here
$11,316
109 Medicare cases, APC 5115
Inpatient here
$14,042
19 Medicare stays, MS-DRG 470

Medicare prices at Guadalupe Regional Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,042$36,7752.6×$11,316
Shoulder replacement———$16,137
Hip replacement after a fracture (DRG 522)$15,265$45,3473.0×—

Quality

Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 153 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Guadalupe Regional Medical Center for a knee or hip replacement?

In 2024 Medicare paid Guadalupe Regional Medical Center an average of $14,042 per inpatient hip or knee replacement stay (MS-DRG 470, 19 stays) and $11,316 per outpatient case (APC 5115, 109 cases).

What is Guadalupe Regional Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $36,775, 2.6× 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 Guadalupe Regional Medical Center?

Yes for Medicare facility payments. New Braunfels Surgery Center, an orthopedic surgery center 13.4 mi away, is paid about $8,437 by Medicare for a knee replacement (CPT 27447), $5,605 less than an inpatient stay at Guadalupe Regional Medical Center. Not every patient is a surgery-center candidate.

How does Guadalupe Regional Medical Center compare with other Texas hospitals?

Medicare paid Guadalupe Regional Medical Center less than 65% of the 77 Texas hospitals that report inpatient hip or knee replacement.