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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,040 | $57,953 | 4.8× | $11,311 |
| Shoulder replacement | — | — | — | $15,441 |
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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In 2024 Medicare paid Baylor Scott & White Texas Spine & Joint Hospital an average of $12,040 per inpatient hip or knee replacement stay (MS-DRG 470, 157 stays) and $11,311 per outpatient case (APC 5115, 620 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $57,953, 4.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Medicare paid Baylor Scott & White Texas Spine & Joint Hospital less than 97% of the 77 Texas hospitals that report inpatient hip or knee replacement.