CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Baylor Scott & White Medical Center- Austin

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,938
about 1.2× the $14,044 Medicare rate · typically $11,596–$21,910
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,874
Above the fair price
about $3,936 over the fair price · 1.5× Medicare
Medicare pays $14,044 Fair price $16,938 This hospital $20,874

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $8,277 Priciest $20,874

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $16,938 (about 1.2× the $14,044 Medicare rate). Baylor Scott & White Medical Center- Austin charges insurers about $20,874 — above the fair price. Located in Austin, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $16,938. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $14,958 - $35,161 107%
Blue Cross Blue Shieldmajor $19,538 - $25,456 139%
Aetnamajor $34,763 248%
Cignamajor $18,700 - $22,000 133%
Humanamajor $13,007 - $34,953 93%
Baylor Scott & White $12,357 - $23,413 88%
Cigna HealthSpring $13,657 97%
+ 4 smaller / regional plans $13,657 - $35,742
Government programs also on file: Medicaid, Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 5245 W Us 290, Austin, TX 78735
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals