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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,945 | $64,206 | 3.6× | $11,008 |
| Shoulder replacement | — | — | — | $15,374 |
| Payer | Median negotiated, MS-DRG 470 | × Medicare | Plans |
|---|---|---|---|
| UnitedHealthcare | $27,099 | 1.5× | 1 |
| BCBS TX | $26,381 | 1.5× | 1 |
| Other | $23,629 | 1.3× | 3 |
| Cigna | $17,649 | 1.0× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
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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In 2024 Medicare paid Doctors Hosptal at Renaissance an average of $17,945 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $11,008 per outpatient case (APC 5115, 42 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $64,206, 3.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Doctors Hosptal at Renaissance more than 88% of the 77 Texas hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' median negotiated rates for MS-DRG 470 range from $17,649 (Cigna) to $27,099 (UnitedHealthcare).