San Antonio, TX 78258 · CMS Certification Number 670055. 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 | $12,913 | $163,145 | 12.6× | $11,406 |
| Shoulder replacement | $19,621 | $208,462 | 10.6× | $16,137 |
| Hip replacement after a fracture (DRG 522) | $14,070 | $167,207 | 11.9× | — |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 287 beds
Texas has no certificate-of-need law.
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In 2024 Medicare paid Methodist Hospital Stone Oak an average of $12,913 per inpatient hip or knee replacement stay (MS-DRG 470, 43 stays) and $11,406 per outpatient case (APC 5115, 122 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $163,145, 12.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Christus Santa Rosa Physicians ASC Stone Oak, an orthopedic surgery center same ZIP away, is paid about $8,437 by Medicare for a knee replacement (CPT 27447), $4,476 less than an inpatient stay at Methodist Hospital Stone Oak. Not every patient is a surgery-center candidate.
Medicare paid Methodist Hospital Stone Oak less than 87% of the 77 Texas hospitals that report inpatient hip or knee replacement.