Price AtlasInteractive atlas · All states · techysurgeon.comAscension Seton Hays: what a joint replacement costs
Kyle, TX 78640 · CMS Certification Number 670056. 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.
Medicare prices at Ascension Seton Hays
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,442 |
| Shoulder replacement | — | — | — | $15,386 |
| Hip replacement after a fracture (DRG 522) | $15,956 | $181,653 | 11.4× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $12,167 | — | $9,063–$21,292 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Sendero Idealcare | $21,292 | — | 1 |
| Occunet | $17,033 | — | 1 |
| Tx Independence Hp | $12,775 | — | 1 |
| Addr Cancer Together | $12,167 | — | 1 |
| Covid Hrsa | $12,167 | — | 1 |
| Cshcn Cidc | $12,167 | — | 1 |
| Smarthealth | $12,167 | — | 1 |
| Sendero Chap | $12,045 | — | 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.
Quality
Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 154 beds
Texas has no certificate-of-need law.
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Questions
How much does Medicare pay Ascension Seton Hays for a knee or hip replacement?
The Medicare allowed amount averaged $11,442 per outpatient hip or knee replacement case (APC 5115, 78 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Ascension Seton Hays?
Yes for Medicare facility payments. Hays Surgery Center LLC, 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.
What do commercial insurers pay Ascension Seton Hays 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 $12,167 across 10 insurers, ranging from $9,063 to $21,292.