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Baylor Scott and White Medical Center Lake Pointe: what a joint replacement costs

Rowlett, TX 75088 · CMS Certification Number 450742. 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
$8,879
Texas Health Surgery Center Rockwall, 6.8 mi
Outpatient here
$11,737
112 Medicare cases, APC 5115
Inpatient here
$15,161
19 Medicare stays, MS-DRG 470

Medicare prices at Baylor Scott and White Medical Center Lake Pointe

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,161$58,5863.9×$11,737
Shoulder replacement———$16,735
Hip replacement after a fracture (DRG 522)$16,386$74,1944.5×—

Quality

Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 148 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Baylor Scott and White Medical Center Lake Pointe for a knee or hip replacement?

In 2024 Medicare paid Baylor Scott and White Medical Center Lake Pointe an average of $15,161 per inpatient hip or knee replacement stay (MS-DRG 470, 19 stays) and $11,737 per outpatient case (APC 5115, 112 cases).

What is Baylor Scott and White Medical Center Lake Pointe's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $58,586, 3.9× what Medicare paid. 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 Baylor Scott and White Medical Center Lake Pointe?

Yes for Medicare facility payments. Texas Health Surgery Center Rockwall, an orthopedic surgery center 6.8 mi away, is paid about $8,879 by Medicare for a knee replacement (CPT 27447), $6,282 less than an inpatient stay at Baylor Scott and White Medical Center Lake Pointe. Not every patient is a surgery-center candidate.

How does Baylor Scott and White Medical Center Lake Pointe compare with other Texas hospitals?

Medicare paid Baylor Scott and White Medical Center Lake Pointe more than 61% of the 77 Texas hospitals that report inpatient hip or knee replacement.