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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,724 | $146,742 | 10.0× | $11,309 |
| Shoulder replacement | $18,424 | $198,435 | 10.8× | $16,137 |
| Hip replacement after a fracture (DRG 522) | $15,813 | $154,391 | 9.8× | — |
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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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).
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.
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.
Medicare paid Methodist Hospital more than 57% of the 77 Texas hospitals that report inpatient hip or knee replacement.