Austin, TX 78701 · CMS Certification Number 450124. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $28,493 | $238,932 | 8.4× | $11,570 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $30,184 | $172,510 | 5.7× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $10,268 | 0.4× | $9,063–$11,474 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $11,474 | 0.4× | 1 |
| Whole Foods | $9,063 | 0.3× | 1 |
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 240 beds
Texas has no certificate-of-need law.
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In 2024 the average total payment to Dell Seton Med Center at The University of Tx for an inpatient hip or knee replacement stay was $28,493 (MS-DRG 470, 21 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,570 per outpatient case (APC 5115, 24 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $238,932, 8.4× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Ut Medicine- Ambulatory Surgery Center, an orthopedic surgery center 1.1 mi away, is paid about $8,747 by Medicare for a knee replacement (CPT 27447), $19,746 less than an inpatient stay at Dell Seton Med Center at The University of Tx. Not every patient is a surgery-center candidate.
Dell Seton Med Center at The University of Tx's average total payment per Medicare stay is higher than 100% of the 77 Texas hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $10,268 across 2 insurers, ranging from $9,063 to $11,474.