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Christus Mother Frances Hospital Sulphur Springs: what a joint replacement costs

Sulphur Springs, TX 75482 · CMS Certification Number 450236. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$12,458
Medicare allowed amount, 53 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Christus Mother Frances Hospital Sulphur Springs

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,458
Shoulder replacement———$17,921
Hip replacement after a fracture (DRG 522)$17,549$185,39910.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$13,197—$12,812–$15,0969
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Healthcare Highways (rental network)$15,770—1
BCBS TX$15,096—1
Christus Health$15,055—1
Imperial Health Plan$14,094—1
Shared Health Insurance$13,453—1
Peoples Health$13,197—1
Aetna$12,941—1
Humana$12,812—1
UnitedHealthcare$12,812—1
Washington National$12,812—1

From the hospital's price-transparency file (2026-01-12); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-01-12); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 96 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Christus Mother Frances Hospital Sulphur Springs for a knee or hip replacement?

The Medicare allowed amount averaged $12,458 per outpatient hip or knee replacement case (APC 5115, 53 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Christus Mother Frances Hospital Sulphur Springs for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $13,197 across 9 insurers, ranging from $12,812 to $15,096.