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Texas: one knee, three prices

What Medicare pays Texas hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$8,879
Median Medicare knee rate, 191 orthopedic surgery centers
Hospital, same day
$11,622
Median Medicare allowed amount
Hospital, overnight
$14,495
Median avg total payment (incl. patient share), 77 hospitals

Texas has no certificate-of-need law.

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Lowest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Physicians Centre,TheBryan$11,963$38,018$11,270
Baylor Scott & White Texas Spine & Joint HospitalTyler$12,040$57,953$11,311
Quail Creek Surgical HospitalAmarillo$12,046$60,655$11,270
Baylor Scott and White Surgical Hospital FortworthFort Worth$12,352$54,050$11,445
Memorial Hermann Surgical Hospital KingwoodKingwood$12,430$37,846$12,187
Baylor Scott & White Medical Center GrapevineGrapevine$12,453$64,270$11,520
Baylor Scott and White Medical Center UptownDallas$12,463$47,897$11,595
North Central Surgical Center LlpDallas$12,485$41,423$11,616
Baylor Medical Center at Trophy ClubTrophy Club$12,494$48,489$11,515
Methodist Hospital Stone OakSan Antonio$12,913$163,145$11,406

Highest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Dell Seton Med Center at The University of TxAustin$28,493$238,932$11,570
Hca Houston Healthcare NorthwestHouston$26,865$272,607$12,187
Hca Houston Healthcare SoutheastPasadena$22,894$257,577$12,187
Medical City WeatherfordWeatherford$21,069$234,282$11,866
Memorial Hermann Memorial City Medical CenterHouston$20,932$75,559$12,037
Baylor Scott & White Medical Center - TempleTemple$19,891$58,817$11,813
Baylor University Medical CenterDallas$19,039$68,363$10,652
Medical City Fort WorthFort Worth$18,832$297,192$11,457
Houston Methodist HospitalHouston$18,080$141,208$12,050
Doctors Hosptal at RenaissanceEdinburg$17,945$64,206$11,008

Every Texas hospital (192)

Orthopedic surgery centers (191)

Questions

How much does Medicare pay for a knee replacement in Texas?

In 2024 the median average total payment to Texas hospitals was $14,495 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 77 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $11,622 per outpatient case. An orthopedic surgery center is paid about $8,879 for a knee.

Which Texas hospitals have the lowest Medicare payment for a joint replacement?

Physicians Centre,The ($11,963), Baylor Scott & White Texas Spine & Joint Hospital ($12,040), Quail Creek Surgical Hospital ($12,046) (average total payment per inpatient stay, patient share included).

What do Texas hospitals list for a joint replacement?

The median list (chargemaster) price is $88,649, about 6.1× the median average total payment for a Medicare stay.

Does Texas have a certificate-of-need law?

Texas has no certificate-of-need law. No certificate of need program; the state repealed its CON law in 1985.