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Baylor Scott & White Medical Center Grapevine: what a joint replacement costs

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.

Surgery center nearby
$8,908
Baylor Scott and White Surgicare Southlake, 4.1 mi
Outpatient here
$11,520
Medicare allowed amount, 88 cases, APC 5115
Inpatient here
$12,453
Avg total payment (incl. patient share), 14 Medicare stays, MS-DRG 470

Medicare prices at Baylor Scott & White Medical Center Grapevine

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,453$64,2705.2×$11,520
Shoulder replacement———$15,368
Hip replacement after a fracture (DRG 522)$13,905$89,4896.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$24,9172.0×$17,114–$38,67111
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$38,6713.1×1
HealthSmart (rental network)$37,7623.0×1
MultiPlan/PHCS (rental network)$37,5293.0×1
Humana$37,1223.0×1
Aetna$36,2262.9×1
Mark Cuban$28,7292.3×1
Cigna$28,6712.3×1
BCBS TX$24,9172.0×1
Employers Health Network$24,5712.0×1
Imagine Health$20,5581.7×1
University of Mary Hardin-Baylor$17,7111.4×1
Sedgwick$17,1801.4×1
Baylor Scott & White Health Plan$17,1141.4×1

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.

Quality

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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Questions

How much does Medicare pay Baylor Scott & White Medical Center Grapevine for a knee or hip replacement?

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).

What is Baylor Scott & White Medical Center Grapevine's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Baylor Scott & White Medical Center Grapevine?

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.

How does Baylor Scott & White Medical Center Grapevine compare with other Texas hospitals?

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.

What do commercial insurers pay Baylor Scott & White Medical Center Grapevine for a 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.