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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,945 | $64,206 | 3.6× | $11,008 |
| Shoulder replacement | — | — | — | $15,374 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,629 | 1.3× | $17,649–$27,099 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Healthsmart (rental network) | $28,934 | 1.6× | 1 |
| UnitedHealthcare | $27,099 | 1.5× | 1 |
| BCBS TX | $26,381 | 1.5× | 1 |
| Independent Medical Systems | $23,629 | 1.3× | 1 |
| CL Frates | $20,253 | 1.1× | 1 |
| Cigna | $17,649 | 1.0× | 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.
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 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).
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.
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.
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.
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.