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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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In 2024 Medicare paid Baylor Scott & White Medical Center - Marble Falls an average of $14,190 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $12,213 per outpatient case (APC 5115, 117 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $63,298, 4.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Baylor Scott & White Medical Center - Marble Falls less than 57% of the 77 Texas hospitals that report inpatient hip or knee replacement.