Austin, TX 78735 · CMS Certification Number 670136. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,344 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $27,574 | — | $17,711–$36,226 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| 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 |
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.
Nonprofit · Acute · 16 beds
Texas has no certificate-of-need law.
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The Medicare allowed amount averaged $11,344 per outpatient hip or knee replacement case (APC 5115, 44 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Advanced Surgical Center - Austin, an orthopedic surgery center 3.7 mi away, is paid about $8,747 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $27,574 across 8 insurers, ranging from $17,711 to $36,226.