Price AtlasInteractive atlas · All states · techysurgeon.comBaylor Scott & White Medical Center ? Pflugerville: what a joint replacement costs
Pflugerville, TX 78660 · CMS Certification Number 670128. 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 ? Pflugerville
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,570 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $26,420 | — | $17,506–$36,226 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| HealthSmart (rental network) | $37,762 | — | 1 |
| MultiPlan/PHCS (rental network) | $37,529 | — | 1 |
| Aetna | $36,226 | — | 1 |
| Humana | $34,882 | — | 1 |
| UnitedHealthcare | $34,720 | — | 1 |
| Mark Cuban | $28,729 | — | 1 |
| BCBS TX | $26,420 | — | 1 |
| Baylor Scott & White Health Plan | $21,280 | — | 1 |
| Cigna | $19,131 | — | 1 |
| University of Mary Hardin-Baylor | $17,711 | — | 1 |
| Sedgwick | $17,506 | — | 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
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 46 beds
Texas has no certificate-of-need law.
Open the interactive price tagBuild a reportAll Texas hospitals
Questions
How much does Medicare pay Baylor Scott & White Medical Center ? Pflugerville for a knee or hip replacement?
The Medicare allowed amount averaged $11,570 per outpatient hip or knee replacement case (APC 5115, 45 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Baylor Scott & White Medical Center ? Pflugerville?
Yes for Medicare facility payments. Ehi Surgery Center Austin, an orthopedic surgery center 7.4 mi 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 Baylor Scott & White Medical Center ? Pflugerville 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 $26,420 across 9 insurers, ranging from $17,506 to $36,226.