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South Texas Spine and Surgical Hospital: what a joint replacement costs

San Antonio, TX 78258 · CMS Certification Number 450856. 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.

Surgery center nearby
$8,437
Christus Santa Rosa Physicians ASC Stone Oak, same ZIP
Outpatient here
$11,023
Medicare allowed amount, 51 cases, APC 5115
Inpatient here
$13,256
Avg total payment (incl. patient share), 187 Medicare stays, MS-DRG 470

Medicare prices at South Texas Spine and Surgical Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,256$59,1584.5×$11,023
Shoulder replacement———$16,137

Quality

Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 5.2%. Physician-owned · Acute · 30 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay South Texas Spine and Surgical Hospital for a knee or hip replacement?

In 2024 the average total payment to South Texas Spine and Surgical Hospital for an inpatient hip or knee replacement stay was $13,256 (MS-DRG 470, 187 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,023 per outpatient case (APC 5115, 51 cases).

What is South Texas Spine and Surgical Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $59,158, 4.5× 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 South Texas Spine and Surgical Hospital?

Yes for Medicare facility payments. Christus Santa Rosa Physicians ASC Stone Oak, an orthopedic surgery center same ZIP away, is paid about $8,437 by Medicare for a knee replacement (CPT 27447), $4,819 less than an inpatient stay at South Texas Spine and Surgical Hospital. Not every patient is a surgery-center candidate.

How does South Texas Spine and Surgical Hospital compare with other Texas hospitals?

South Texas Spine and Surgical Hospital's average total payment per Medicare stay is lower than 82% of the 77 Texas hospitals that report inpatient hip or knee replacement.