Price AtlasInteractive atlas · All states · techysurgeon.comBaylor 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.
Medicare prices at Baylor Scott and White Medical Center Lake Pointe
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,161 | $58,586 | 3.9× | $11,737 |
| Shoulder replacement | — | — | — | $16,735 |
| Hip replacement after a fracture (DRG 522) | $16,386 | $74,194 | 4.5× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $24,571 | 1.6× | $17,711–$38,671 | 11 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $38,671 | 2.6× | 1 |
| HealthSmart (rental network) | $37,762 | 2.5× | 1 |
| MultiPlan/PHCS (rental network) | $37,529 | 2.5× | 1 |
| Humana | $37,122 | 2.4× | 1 |
| Aetna | $36,226 | 2.4× | 1 |
| Mark Cuban | $28,729 | 1.9× | 1 |
| Cigna | $28,671 | 1.9× | 1 |
| Employers Health Network | $24,571 | 1.6× | 1 |
| BCBS TX | $23,176 | 1.5× | 1 |
| Imagine Health | $20,558 | 1.4× | 1 |
| Sedgwick | $19,804 | 1.3× | 1 |
| Baylor Scott & White Health Plan | $18,382 | 1.2× | 1 |
| University of Mary Hardin-Baylor | $17,711 | 1.2× | 1 |
From the hospital's price-transparency file (2026-06-29); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-06-29); commercial plans, dollar-amount contracts only.
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.
Open the interactive price tagBuild a reportAll Texas hospitals
Questions
How much does Medicare pay Baylor Scott and White Medical Center Lake Pointe for a knee or hip replacement?
In 2024 the average total payment to Baylor Scott and White Medical Center Lake Pointe for an inpatient hip or knee replacement stay was $15,161 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Baylor Scott and White Medical Center Lake Pointe's average total payment per Medicare stay is higher than 61% of the 77 Texas hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Baylor Scott and White Medical Center Lake Pointe 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 $24,571 across 11 insurers, ranging from $17,711 to $38,671.