Frisco, TX 75034 · CMS Certification Number 450853. 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 | $13,670 | $67,551 | 4.9× | $11,727 |
| Shoulder replacement | $16,596 | $83,500 | 5.0× | $16,735 |
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 6.8%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 25 beds
Texas has no certificate-of-need law.
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In 2024 Medicare paid Baylor Medical Center at Frisco an average of $13,670 per inpatient hip or knee replacement stay (MS-DRG 470, 30 stays) and $11,727 per outpatient case (APC 5115, 303 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $67,551, 4.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Baylor Scott and White Sports Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,879 by Medicare for a knee replacement (CPT 27447), $4,791 less than an inpatient stay at Baylor Medical Center at Frisco. Not every patient is a surgery-center candidate.
Medicare paid Baylor Medical Center at Frisco less than 74% of the 77 Texas hospitals that report inpatient hip or knee replacement.