Texarkana, TX 75503 · CMS Certification Number 450801. 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 | $13,698 | $106,269 | 7.8× | $11,196 |
| Shoulder replacement | — | — | — | $16,137 |
| Hip replacement after a fracture (DRG 522) | $15,026 | $107,831 | 7.2× | — |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 724 beds
Texas has no certificate-of-need law.
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In 2024 Medicare paid Christus St Michael Health System an average of $13,698 per inpatient hip or knee replacement stay (MS-DRG 470, 55 stays) and $11,196 per outpatient case (APC 5115, 93 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $106,269, 7.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgery Center of Northeast Texas, an orthopedic surgery center same ZIP away, is paid about $8,585 by Medicare for a knee replacement (CPT 27447), $5,113 less than an inpatient stay at Christus St Michael Health System. Not every patient is a surgery-center candidate.
Medicare paid Christus St Michael Health System less than 73% of the 77 Texas hospitals that report inpatient hip or knee replacement.