Austin, TX 78704 · CMS Certification Number 450713. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,475 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $15,894 | $201,982 | 12.7× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,016 | — | $14,382–$41,652 | 20 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS TX | $41,652 | — | 1 |
| Covenant Management Systems | $34,495 | — | 1 |
| Cigna | $32,272 | — | 1 |
| Evry Health | $26,573 | — | 1 |
| Curative Administrators | $26,326 | — | 1 |
| MODA Health | $26,108 | — | 1 |
| Seven Corners | $25,977 | — | 1 |
| Harbor Health Team | $25,413 | — | 1 |
| Healthcare Highways (rental network) | $24,219 | — | 1 |
| Nomi Health | $23,967 | — | 1 |
| Vista 360 | $23,407 | — | 1 |
| Sendero | $22,625 | — | 1 |
| UnitedHealthcare | $22,229 | — | 1 |
| Shared Health | $20,111 | — | 1 |
| American Health Plan of Texas | $18,016 | — | 1 |
| Imperial Insurance | $17,765 | — | 1 |
| Humana | $16,969 | — | 1 |
| Wesleyan Homes | $16,760 | — | 1 |
| Oscar | $16,506 | — | 1 |
| Aetna | $14,606 | — | 1 |
| Moda | $14,382 | — | 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.
Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 7.2%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 363 beds
Texas has no certificate-of-need law.
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The Medicare allowed amount averaged $11,475 per outpatient hip or knee replacement case (APC 5115, 105 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Surgicare of South Austin, an orthopedic surgery center 3.2 mi away, is paid about $8,747 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $23,016 across 20 insurers, ranging from $14,382 to $41,652.