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Baylor Scott & White Medical Center- Austin: what a joint replacement costs

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.

Surgery center nearby
$8,747
Advanced Surgical Center - Austin, 3.7 mi
Outpatient here
$11,344
Medicare allowed amount, 44 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Baylor Scott & White Medical Center- Austin

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,344
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$27,574—$17,711–$36,2268
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
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.

Quality

Nonprofit · Acute · 16 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Baylor Scott & White Medical Center- Austin for a knee or hip replacement?

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.

Is a knee replacement cheaper at a surgery center near Baylor Scott & White Medical Center- Austin?

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.

What do commercial insurers pay Baylor Scott & White Medical Center- Austin 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 $27,574 across 8 insurers, ranging from $17,711 to $36,226.