Dallas, TX 75204 · CMS Certification Number 450422. 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 | $12,463 | $47,897 | 3.8× | $11,595 |
| Shoulder replacement | — | — | — | $16,376 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $27,288 | 2.2× | $17,514–$37,122 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| HealthSmart (rental network) | $37,762 | 3.0× | 1 |
| MultiPlan/PHCS (rental network) | $37,529 | 3.0× | 1 |
| Humana | $37,122 | 3.0× | 1 |
| UnitedHealthcare | $37,108 | 3.0× | 1 |
| Aetna | $36,226 | 2.9× | 1 |
| Mark Cuban | $28,729 | 2.3× | 1 |
| Cigna | $28,671 | 2.3× | 1 |
| BCBS TX | $25,906 | 2.1× | 1 |
| Employers Health Network | $24,571 | 2.0× | 1 |
| Sedgwick | $18,007 | 1.4× | 1 |
| University of Mary Hardin-Baylor | $17,711 | 1.4× | 1 |
| Baylor Scott & White Health Plan | $17,514 | 1.4× | 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.
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 5.2%. For-profit · Acute · 28 beds
Texas has no certificate-of-need law.
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In 2024 the average total payment to Baylor Scott and White Medical Center Uptown for an inpatient hip or knee replacement stay was $12,463 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,595 per outpatient case (APC 5115, 328 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $47,897, 3.8× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Baylor Scott and White Surgicare, an orthopedic surgery center 1.2 mi away, is paid about $8,879 by Medicare for a knee replacement (CPT 27447), $3,584 less than an inpatient stay at Baylor Scott and White Medical Center Uptown. Not every patient is a surgery-center candidate.
Baylor Scott and White Medical Center Uptown's average total payment per Medicare stay is lower than 91% of the 77 Texas hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $27,288 across 10 insurers, ranging from $17,514 to $37,122.