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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,042 | $36,775 | 2.6× | $11,316 |
| Shoulder replacement | — | — | — | $16,137 |
| Hip replacement after a fracture (DRG 522) | $15,265 | $45,347 | 3.0× | — |
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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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).
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.
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.
Medicare paid Guadalupe Regional Medical Center less than 65% of the 77 Texas hospitals that report inpatient hip or knee replacement.