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Updated: Nov 11, 2025

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Decreased costs with maintained patient satisfaction after total joint arthroplasty in a physician-owned hospital
Dorian S Wood1, Shawna L Watson1, Tara M Eckel2
1Baylor Univeristy Medical Center, Department of Orthopaedic Surgery, 3500 Gaston Ave, Dallas, TX, 75246, USA.
Objective:
Comparing total joint arthroplasty (TJA) costs and patient-reported outcomes between a physician-owned hospital (POH) and a non-POH.
Methods:
Costs for each 90-day TJA episode at both facilities were determined, and patients were asked to complete a patient satisfaction questionnaire.
Results:
Average TJA episode cost was $19,039 at the POH, compared to $21,302 at the non-POH, a difference of $2,263 (p = 0.03), largely driven by decreased skilled nursing facility utilization in the POH group. There were no differences between groups for patient satisfaction.
Conclusion:
TJA can be performed at reduced cost with comparable patient satisfaction at POHs, compared to non-POH facilities.
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