Price AtlasInteractive atlas · All states · techysurgeon.comBaylor Scott & White Medical Center - Marble Falls: what a joint replacement costs
Marble Falls, TX 78654 · CMS Certification Number 670108. 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 Baylor Scott & White Medical Center - Marble Falls
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,190 | $63,298 | 4.5× | $12,213 |
| Shoulder replacement | — | — | — | $17,280 |
| Hip replacement after a fracture (DRG 522) | $15,631 | $68,643 | 4.4× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $25,166 | 1.8× | $10,609–$36,226 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| HealthSmart (rental network) | $37,762 | 2.7× | 1 |
| MultiPlan/PHCS (rental network) | $37,529 | 2.6× | 1 |
| Aetna | $36,226 | 2.6× | 1 |
| Humana | $34,882 | 2.5× | 1 |
| UnitedHealthcare | $34,720 | 2.4× | 1 |
| Mark Cuban | $28,729 | 2.0× | 1 |
| BCBS TX | $26,420 | 1.9× | 1 |
| Cigna | $23,911 | 1.7× | 1 |
| Baylor Scott & White Health Plan | $21,515 | 1.5× | 1 |
| Sedgwick | $20,727 | 1.5× | 1 |
| University of Mary Hardin-Baylor | $17,711 | 1.2× | 1 |
| BlueBell Creameries | $10,609 | 0.7× | 1 |
From the hospital's price-transparency file (2026-06-13); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-06-13); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 46 beds
Texas has no certificate-of-need law.
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Questions
How much does Medicare pay Baylor Scott & White Medical Center - Marble Falls for a knee or hip replacement?
In 2024 the average total payment to Baylor Scott & White Medical Center - Marble Falls for an inpatient hip or knee replacement stay was $14,190 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,213 per outpatient case (APC 5115, 117 cases).
What is Baylor Scott & White Medical Center - Marble Falls's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $63,298, 4.5× 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 & White Medical Center - Marble Falls?
Yes for Medicare facility payments. Muve-Lakeway Ambulatory Surgical Center LLC, an orthopedic surgery center 22.6 mi away, is paid about $8,747 by Medicare for a knee replacement (CPT 27447), $5,443 less than an inpatient stay at Baylor Scott & White Medical Center - Marble Falls. Not every patient is a surgery-center candidate.
How does Baylor Scott & White Medical Center - Marble Falls compare with other Texas hospitals?
Baylor Scott & White Medical Center - Marble Falls's average total payment per Medicare stay is lower than 57% of the 77 Texas hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Baylor Scott & White Medical Center - Marble Falls 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 $25,166 across 10 insurers, ranging from $10,609 to $36,226.