Austin, TX 78759 · CMS Certification Number 450867. 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 | — | — | — | $11,570 |
| Shoulder replacement | — | — | — | $16,369 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $12,237 | — | $9,063–$21,415 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Sendero Idealcare | $21,415 | — | 1 |
| Occunet | $17,132 | — | 1 |
| Tx Independence Hp | $12,849 | — | 1 |
| Addr Cancer Together | $12,237 | — | 1 |
| Covid Hrsa | $12,237 | — | 1 |
| Cshcn Cidc | $12,237 | — | 1 |
| Smarthealth | $12,237 | — | 1 |
| Sendero Chap | $12,115 | — | 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.
Complications after hip or knee replacement: 3.9% (no different from the national rate). Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 124 beds
Texas has no certificate-of-need law.
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The Medicare allowed amount averaged $11,570 per outpatient hip or knee replacement case (APC 5115, 123 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Northwest Surgery Center Llp, an orthopedic surgery center same ZIP 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 $12,237 across 10 insurers, ranging from $9,063 to $21,415.