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Hill Country Memorial Hospital: what a joint replacement costs

Fredericksburg, TX 78624 · CMS Certification Number 450604. 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
$8,280
Legent Hill Country ASC, same ZIP
Outpatient here
$11,322
Medicare allowed amount, 232 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Hill Country Memorial Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,322
Shoulder replacement———$16,137
Hip replacement after a fracture (DRG 522)$24,196$105,6004.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$27,454—$15,412–$35,7776
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS TX$35,777—1
Cigna$30,383—1
UnitedHealthcare$28,583—1
Curative Administrators$26,326—1
Healthcare Highways (rental network)$25,461—1
Gonzaba Medical Group$15,811—1
Humana$15,412—1

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 84 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Hill Country Memorial Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $11,322 per outpatient hip or knee replacement case (APC 5115, 232 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Hill Country Memorial Hospital?

Yes for Medicare facility payments. Legent Hill Country ASC, an orthopedic surgery center same ZIP away, is paid about $8,280 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Hill Country Memorial Hospital 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 $27,454 across 6 insurers, ranging from $15,412 to $35,777.