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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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.
Open the interactive price tagBuild a reportAll Texas hospitals
In 2024 Medicare paid North Austin Medical Center an average of $14,521 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays) and $11,483 per outpatient case (APC 5115, 344 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $200,255, 13.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. 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.
Medicare paid North Austin Medical Center more than 52% of the 77 Texas hospitals that report inpatient hip or knee replacement.