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Baylor Scott & White Texas Spine & Joint Hospital: what a joint replacement costs

Tyler, TX 75701 · CMS Certification Number 450864. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,311
Medicare allowed amount, 620 cases, APC 5115
Inpatient here
$12,040
Avg total payment (incl. patient share), 157 Medicare stays, MS-DRG 470

Medicare prices at Baylor Scott & White Texas Spine & Joint Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,040$57,9534.8×$11,311
Shoulder replacement———$15,441

Quality

Complications after hip or knee replacement: 5.3% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 5 of 5 stars. Physician-owned · Acute · 18 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Baylor Scott & White Texas Spine & Joint Hospital for a knee or hip replacement?

In 2024 the average total payment to Baylor Scott & White Texas Spine & Joint Hospital for an inpatient hip or knee replacement stay was $12,040 (MS-DRG 470, 157 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,311 per outpatient case (APC 5115, 620 cases).

What is Baylor Scott & White Texas Spine & Joint Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $57,953, 4.8× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Baylor Scott & White Texas Spine & Joint Hospital compare with other Texas hospitals?

Baylor Scott & White Texas Spine & Joint Hospital's average total payment per Medicare stay is lower than 97% of the 77 Texas hospitals that report inpatient hip or knee replacement.