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Christus Santa Rosa Hospital-San Marcos: what a joint replacement costs

San Marcos, TX 78666 · CMS Certification Number 450272. 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
$8,747
Hays Surgery Center LLC, 12.5 mi
Outpatient here
$11,401
Medicare allowed amount, 59 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Christus Santa Rosa Hospital-San Marcos

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,401
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$16,563$148,9919.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$13,596—$12,058–$22,51110
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Healthcare Highways (rental network)$28,352—1
Humana$22,511—1
BCBS TX$20,644—1
Sendero$20,619—1
Cigna$19,722—1
Christus Health$14,168—1
Devoted Health Plan$13,023—1
Shared Health Insurance$12,661—1
Aetna$12,299—1
UnitedHealthcare$12,058—1
Washington National$12,058—1

From the hospital's price-transparency file (2026-01-13); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-01-13); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 302 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Christus Santa Rosa Hospital-San Marcos for a knee or hip replacement?

The Medicare allowed amount averaged $11,401 per outpatient hip or knee replacement case (APC 5115, 59 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Christus Santa Rosa Hospital-San Marcos?

Yes for Medicare facility payments. Hays Surgery Center LLC, an orthopedic surgery center 12.5 mi away, is paid about $8,747 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Christus Santa Rosa Hospital-San Marcos 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 $13,596 across 10 insurers, ranging from $12,058 to $22,511.