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Round Rock Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,747
Oakwood Surgery Center, same ZIP
Outpatient here
$11,147
Medicare allowed amount, 47 cases, APC 5115
Inpatient here
$14,416
Avg total payment (incl. patient share), 14 Medicare stays, MS-DRG 470

Medicare prices at Round Rock Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,416$344,84723.9×$11,147
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$14,825$245,13416.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$22,2291.5×$14,382–$41,65219
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS TX$41,6522.9×1
Covenant Management Systems$34,4952.4×1
Cigna$32,2722.2×1
Evry Health$26,5731.8×1
Curative Administrators$26,3261.8×1
MODA Health$26,1081.8×1
Harbor Health Team$25,4131.8×1
Healthcare Highways (rental network)$24,2191.7×1
Nomi Health$23,9671.7×1
Vista 360$23,4071.6×1
UnitedHealthcare$22,2291.5×1
Sendero$20,7201.4×1
Shared Health$18,4181.3×1
Oscar$16,5061.1×1
American Health Plan of Texas$16,4991.1×1
Imperial Insurance$16,2691.1×1
Humana$15,4631.1×1
Wesleyan Homes$15,3481.1×1
Aetna$14,6061.0×1
Moda$14,3821.0×1

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.

Quality

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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Questions

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

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).

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

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.

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

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.

How does Round Rock Medical Center compare with other Texas hospitals?

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.

What do commercial insurers pay Round Rock 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 $22,229 across 19 insurers, ranging from $14,382 to $41,652.