El Paso, TX 79902 · CMS Certification Number 450668. 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 | $13,512 | $211,937 | 15.7× | $10,676 |
| Shoulder replacement | $16,871 | $279,774 | 16.6× | — |
Complications after hip or knee replacement: 2.9% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 283 beds
Texas has no certificate-of-need law.
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In 2024 Medicare paid Sierra Medical Center an average of $13,512 per inpatient hip or knee replacement stay (MS-DRG 470, 33 stays) and $10,676 per outpatient case (APC 5115, 67 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $211,937, 15.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. El Paso Day Surgery, an orthopedic surgery center same ZIP away, is paid about $8,245 by Medicare for a knee replacement (CPT 27447), $5,267 less than an inpatient stay at Sierra Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Sierra Medical Center less than 77% of the 77 Texas hospitals that report inpatient hip or knee replacement.