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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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
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).
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.
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.
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.