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St David's South Austin Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,747
Surgicare of South Austin, 3.2 mi
Outpatient here
$11,475
Medicare allowed amount, 105 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at St David's South Austin Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,475
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$15,894$201,98212.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$23,016—$14,382–$41,65220
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
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.

Quality

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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Questions

How much does Medicare pay St David's South Austin Medical Center for a knee or hip replacement?

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.

Is a knee replacement cheaper at a surgery center near St David's South Austin Medical Center?

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.

What do commercial insurers pay St David's South Austin Medical Center 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 $23,016 across 20 insurers, ranging from $14,382 to $41,652.