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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 Medicare paid Dell Seton Med Center at The University of Tx an average of $28,493 per inpatient hip or knee replacement stay (MS-DRG 470, 21 stays) and $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× what Medicare paid. 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.
Medicare paid Dell Seton Med Center at The University of Tx more than 100% of the 77 Texas hospitals that report inpatient hip or knee replacement.