Round Rock, TX 78681 · CMS Certification Number 450718. 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 | $14,416 | $344,847 | 23.9× | $11,147 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $14,825 | $245,134 | 16.5× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,229 | 1.5× | $14,382–$41,652 | 19 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS TX | $41,652 | 2.9× | 1 |
| Covenant Management Systems | $34,495 | 2.4× | 1 |
| Cigna | $32,272 | 2.2× | 1 |
| Evry Health | $26,573 | 1.8× | 1 |
| Curative Administrators | $26,326 | 1.8× | 1 |
| MODA Health | $26,108 | 1.8× | 1 |
| Harbor Health Team | $25,413 | 1.8× | 1 |
| Healthcare Highways (rental network) | $24,219 | 1.7× | 1 |
| Nomi Health | $23,967 | 1.7× | 1 |
| Vista 360 | $23,407 | 1.6× | 1 |
| UnitedHealthcare | $22,229 | 1.5× | 1 |
| Sendero | $20,720 | 1.4× | 1 |
| Shared Health | $18,418 | 1.3× | 1 |
| Oscar | $16,506 | 1.1× | 1 |
| American Health Plan of Texas | $16,499 | 1.1× | 1 |
| Imperial Insurance | $16,269 | 1.1× | 1 |
| Humana | $15,463 | 1.1× | 1 |
| Wesleyan Homes | $15,348 | 1.1× | 1 |
| Aetna | $14,606 | 1.0× | 1 |
| Moda | $14,382 | 1.0× | 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: 3.2% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 209 beds
Texas has no certificate-of-need law.
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In 2024 the average total payment to Round Rock Medical Center for an inpatient hip or knee replacement stay was $14,416 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,147 per outpatient case (APC 5115, 47 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $344,847, 23.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Oakwood Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,747 by Medicare for a knee replacement (CPT 27447), $5,669 less than an inpatient stay at Round Rock Medical Center. Not every patient is a surgery-center candidate.
Round Rock Medical Center's average total payment per Medicare stay is lower than 52% of the 77 Texas hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $22,229 across 19 insurers, ranging from $14,382 to $41,652.