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Baylor Scott and White Orthopedic and Spine Hospi: what a joint replacement costs

Arlington, TX 76015 · CMS Certification Number 670067. 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
$8,908
Methodist Mansfield Ambulatory Surgery Center LLC, 8.4 mi
Outpatient here
$11,432
Medicare allowed amount, 118 cases, APC 5115
Inpatient here
$14,495
Avg total payment (incl. patient share), 409 Medicare stays, MS-DRG 470

Medicare prices at Baylor Scott and White Orthopedic and Spine Hospi

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,495$60,8924.2×$11,432
Shoulder replacement$17,203$87,4045.1×$16,266

Quality

Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 4.8%. For-profit · Acute · 24 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Baylor Scott and White Orthopedic and Spine Hospi for a knee or hip replacement?

In 2024 the average total payment to Baylor Scott and White Orthopedic and Spine Hospi for an inpatient hip or knee replacement stay was $14,495 (MS-DRG 470, 409 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,432 per outpatient case (APC 5115, 118 cases).

What is Baylor Scott and White Orthopedic and Spine Hospi's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $60,892, 4.2× 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 Baylor Scott and White Orthopedic and Spine Hospi?

Yes for Medicare facility payments. Methodist Mansfield Ambulatory Surgery Center LLC, an orthopedic surgery center 8.4 mi away, is paid about $8,908 by Medicare for a knee replacement (CPT 27447), $5,587 less than an inpatient stay at Baylor Scott and White Orthopedic and Spine Hospi. Not every patient is a surgery-center candidate.

How does Baylor Scott and White Orthopedic and Spine Hospi compare with other Texas hospitals?

Baylor Scott and White Orthopedic and Spine Hospi's average total payment per Medicare stay is higher than 51% of the 77 Texas hospitals that report inpatient hip or knee replacement.