Price AtlasInteractive atlas · All states · techysurgeon.comNorth Austin Medical Center: what a joint replacement costs
Austin, TX 78758 · CMS Certification Number 450809. 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 North Austin Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,521 | $200,255 | 13.8× | $11,483 |
| Shoulder replacement | — | — | — | $15,823 |
| Hip replacement after a fracture (DRG 522) | $16,423 | $192,543 | 11.7× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,950 | 1.6× | $14,382–$41,652 | 20 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS TX | $41,652 | 2.9× | 1 |
| Covenant Management Systems | $34,495 | 2.4× | 1 |
| Cigna | $32,272 | 2.2× | 1 |
| Evry Health | $26,573 | 1.8× | 1 |
| Curative Administrators | $26,326 | 1.8× | 1 |
| MODA Health | $26,108 | 1.8× | 1 |
| Seven Corners | $25,826 | 1.8× | 1 |
| Harbor Health Team | $25,413 | 1.8× | 1 |
| Healthcare Highways (rental network) | $24,219 | 1.7× | 1 |
| Nomi Health | $23,967 | 1.7× | 1 |
| Vista 360 | $23,407 | 1.6× | 1 |
| Sendero | $22,494 | 1.5× | 1 |
| UnitedHealthcare | $22,229 | 1.5× | 1 |
| Shared Health | $19,995 | 1.4× | 1 |
| American Health Plan of Texas | $17,912 | 1.2× | 1 |
| Imperial Insurance | $17,662 | 1.2× | 1 |
| Humana | $17,037 | 1.2× | 1 |
| Wesleyan Homes | $16,662 | 1.1× | 1 |
| Oscar | $16,506 | 1.1× | 1 |
| Aetna | $14,606 | 1.0× | 1 |
| Moda | $14,382 | 1.0× | 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: 3.7% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 511 beds
Texas has no certificate-of-need law.
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Questions
How much does Medicare pay North Austin Medical Center for a knee or hip replacement?
In 2024 the average total payment to North Austin Medical Center for an inpatient hip or knee replacement stay was $14,521 (MS-DRG 470, 17 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,483 per outpatient case (APC 5115, 344 cases).
What is North Austin Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $200,255, 13.8× 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 North Austin Medical Center?
Yes for Medicare facility payments. North Austin Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,747 by Medicare for a knee replacement (CPT 27447), $5,774 less than an inpatient stay at North Austin Medical Center. Not every patient is a surgery-center candidate.
How does North Austin Medical Center compare with other Texas hospitals?
North Austin Medical Center's average total payment per Medicare stay is higher than 52% of the 77 Texas hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay North Austin 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 $22,950 across 20 insurers, ranging from $14,382 to $41,652.