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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,458 |
| Shoulder replacement | — | — | — | $17,921 |
| Hip replacement after a fracture (DRG 522) | $17,549 | $185,399 | 10.6× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $13,197 | — | $12,812–$15,096 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| 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.
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 96 beds
Texas has no certificate-of-need law.
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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.
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.