Austin, TX 78737 · CMS Certification Number 450865. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,439 |
| Shoulder replacement | — | — | — | $16,369 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $12,085 | — | $9,063–$21,149 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Sendero Idealcare | $21,149 | — | 1 |
| Occunet | $16,919 | — | 1 |
| Tx Independence Hp | $12,689 | — | 1 |
| Addr Cancer Together | $12,085 | — | 1 |
| Covid Hrsa | $12,085 | — | 1 |
| Cshcn Cidc | $12,085 | — | 1 |
| Smarthealth | $12,085 | — | 1 |
| Sendero Chap | $11,964 | — | 1 |
| UnitedHealthcare | $11,474 | — | 1 |
| Whole Foods | $9,063 | — | 1 |
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
Nonprofit · Acute · 28 beds
Texas has no certificate-of-need law.
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The Medicare allowed amount averaged $11,439 per outpatient hip or knee replacement case (APC 5115, 76 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Advanced Surgical Center - Austin, an orthopedic surgery center 6.6 mi away, is paid about $8,747 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $12,085 across 10 insurers, ranging from $9,063 to $21,149.