Waxahachie, TX 75165 · CMS Certification Number 450372. 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 | — | — | — | $11,747 |
| Shoulder replacement | — | — | — | $15,411 |
| Hip replacement after a fracture (DRG 522) | $15,062 | $64,347 | 4.3× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $24,917 | — | $17,711–$38,671 | 11 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $38,671 | — | 1 |
| HealthSmart (rental network) | $37,762 | — | 1 |
| MultiPlan/PHCS (rental network) | $37,529 | — | 1 |
| Humana | $37,122 | — | 1 |
| Aetna | $36,226 | — | 1 |
| Mark Cuban | $28,729 | — | 1 |
| Cigna | $28,671 | — | 1 |
| BCBS TX | $24,917 | — | 1 |
| Employers Health Network | $24,571 | — | 1 |
| Imagine Health | $20,558 | — | 1 |
| Sedgwick | $20,148 | — | 1 |
| Baylor Scott & White Health Plan | $18,548 | — | 1 |
| University of Mary Hardin-Baylor | $17,711 | — | 1 |
From the hospital's price-transparency file (2026-06-29); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-06-29); commercial plans, dollar-amount contracts only.
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 134 beds
Texas has no certificate-of-need law.
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The Medicare allowed amount averaged $11,747 per outpatient hip or knee replacement case (APC 5115, 86 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Bluebonnet Surgery Pavilion LLC, an orthopedic surgery center same ZIP away, is paid about $8,879 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $24,917 across 11 insurers, ranging from $17,711 to $38,671.