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Doctors Hosptal at Renaissance: what a joint replacement costs

Edinburg, TX 78539 · CMS Certification Number 450869. 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
$7,974
Dove Pointe ASC LLC, 3.3 mi
Outpatient here
$11,008
Medicare allowed amount, 42 cases, APC 5115
Inpatient here
$17,945
Avg total payment (incl. patient share), 18 Medicare stays, MS-DRG 470

Medicare prices at Doctors Hosptal at Renaissance

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,945$64,2063.6×$11,008
Shoulder replacement———$15,374

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$23,6291.3×$17,649–$27,0995
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Healthsmart (rental network)$28,9341.6×1
UnitedHealthcare$27,0991.5×1
BCBS TX$26,3811.5×1
Independent Medical Systems$23,6291.3×1
CL Frates$20,2531.1×1
Cigna$17,6491.0×1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5%. Overall Care Compare rating: 3 of 5 stars. Physician-owned · Acute · 583 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Doctors Hosptal at Renaissance for a knee or hip replacement?

In 2024 the average total payment to Doctors Hosptal at Renaissance for an inpatient hip or knee replacement stay was $17,945 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,008 per outpatient case (APC 5115, 42 cases).

What is Doctors Hosptal at Renaissance's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $64,206, 3.6× 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 Doctors Hosptal at Renaissance?

Yes for Medicare facility payments. Dove Pointe ASC LLC, an orthopedic surgery center 3.3 mi away, is paid about $7,974 by Medicare for a knee replacement (CPT 27447), $9,971 less than an inpatient stay at Doctors Hosptal at Renaissance. Not every patient is a surgery-center candidate.

How does Doctors Hosptal at Renaissance compare with other Texas hospitals?

Doctors Hosptal at Renaissance's average total payment per Medicare stay is higher than 88% of the 77 Texas hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Doctors Hosptal at Renaissance for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $23,629 across 5 insurers, ranging from $17,649 to $27,099.