Nacogdoches, TX 75965 · CMS Certification Number 450656. 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 | $13,887 | $168,043 | 12.1× | $10,909 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $14,366 | $214,152 | 14.9× | — |
Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 150 beds
Texas has no certificate-of-need law.
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In 2024 Medicare paid Nacogdoches Medical Center an average of $13,887 per inpatient hip or knee replacement stay (MS-DRG 470, 29 stays) and $10,909 per outpatient case (APC 5115, 59 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $168,043, 12.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Nacogdoches Surgery Center, an orthopedic surgery center 13.8 mi away, is paid about $8,280 by Medicare for a knee replacement (CPT 27447), $5,607 less than an inpatient stay at Nacogdoches Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Nacogdoches Medical Center less than 69% of the 77 Texas hospitals that report inpatient hip or knee replacement.