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Methodist Hospital: what a joint replacement costs

San Antonio, TX 78229 · CMS Certification Number 450388. 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
$8,437
Texas Spine and Joint Surgical Center, same ZIP
Outpatient here
$11,309
288 Medicare cases, APC 5115
Inpatient here
$14,724
162 Medicare stays, MS-DRG 470

Medicare prices at Methodist Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,724$146,74210.0×$11,309
Shoulder replacement$18,424$198,43510.8×$16,137
Hip replacement after a fracture (DRG 522)$15,813$154,3919.8×—

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 2465 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Methodist Hospital for a knee or hip replacement?

In 2024 Medicare paid Methodist Hospital an average of $14,724 per inpatient hip or knee replacement stay (MS-DRG 470, 162 stays) and $11,309 per outpatient case (APC 5115, 288 cases).

What is Methodist Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $146,742, 10.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Methodist Hospital?

Yes for Medicare facility payments. Texas Spine and Joint Surgical Center, an orthopedic surgery center same ZIP away, is paid about $8,437 by Medicare for a knee replacement (CPT 27447), $6,287 less than an inpatient stay at Methodist Hospital. Not every patient is a surgery-center candidate.

How does Methodist Hospital compare with other Texas hospitals?

Medicare paid Methodist Hospital more than 57% of the 77 Texas hospitals that report inpatient hip or knee replacement.