Grapevine, TX 76051 · CMS Certification Number 450563. 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 | $12,453 | $64,270 | 5.2× | $11,520 |
| Shoulder replacement | — | — | — | $15,368 |
| Hip replacement after a fracture (DRG 522) | $13,905 | $89,489 | 6.4× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $24,917 | 2.0× | $17,114–$38,671 | 11 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $38,671 | 3.1× | 1 |
| HealthSmart (rental network) | $37,762 | 3.0× | 1 |
| MultiPlan/PHCS (rental network) | $37,529 | 3.0× | 1 |
| Humana | $37,122 | 3.0× | 1 |
| Aetna | $36,226 | 2.9× | 1 |
| Mark Cuban | $28,729 | 2.3× | 1 |
| Cigna | $28,671 | 2.3× | 1 |
| BCBS TX | $24,917 | 2.0× | 1 |
| Employers Health Network | $24,571 | 2.0× | 1 |
| Imagine Health | $20,558 | 1.7× | 1 |
| University of Mary Hardin-Baylor | $17,711 | 1.4× | 1 |
| Sedgwick | $17,180 | 1.4× | 1 |
| Baylor Scott & White Health Plan | $17,114 | 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: 4.5% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 273 beds
Texas has no certificate-of-need law.
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In 2024 the average total payment to Baylor Scott & White Medical Center Grapevine for an inpatient hip or knee replacement stay was $12,453 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,520 per outpatient case (APC 5115, 88 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $64,270, 5.2× 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 Southlake, an orthopedic surgery center 4.1 mi away, is paid about $8,908 by Medicare for a knee replacement (CPT 27447), $3,545 less than an inpatient stay at Baylor Scott & White Medical Center Grapevine. Not every patient is a surgery-center candidate.
Baylor Scott & White Medical Center Grapevine's average total payment per Medicare stay is lower than 92% 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 $24,917 across 11 insurers, ranging from $17,114 to $38,671.