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Nacogdoches Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,280
Nacogdoches Surgery Center, 13.8 mi
Outpatient here
$10,909
59 Medicare cases, APC 5115
Inpatient here
$13,887
29 Medicare stays, MS-DRG 470

Medicare prices at Nacogdoches Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,887$168,04312.1×$10,909
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$14,366$214,15214.9×—

Quality

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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Questions

How much does Medicare pay Nacogdoches Medical Center for a knee or hip replacement?

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).

What is Nacogdoches Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Nacogdoches Medical Center?

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.

How does Nacogdoches Medical Center compare with other Texas hospitals?

Medicare paid Nacogdoches Medical Center less than 69% of the 77 Texas hospitals that report inpatient hip or knee replacement.