For the first time, Medicare is ranking how well hospitals perform hip and knee replacement surgeries.

The Affordable Care Act lays out financial incentives for doctors and hospitals to provide better care, and the newly released “best and worst” list is part of that larger effort.

Kaiser Health News explains how the list was compiled:

It evaluated how often a hospital’s patients ended up being readmitted within 30 days of discharge. It also looked at how often patients suffered a serious complication after the operation, such as a blood clot, infection, problem with the artificial joint or death.

While Medicare rated most hospitals as average, it identified 95 hospitals with rates that were higher than the national average in one of the two categories, and 97 hospitals with rates that were lower than average. Those outlier hospitals are listed in the sortable table below. A dash (—) indicates the hospital had average performance for that indicator.

Close to a million people get hip or knee replacements each year. Here’s how hospitals in Texas fared:


Baptist St Anthony’s Hospital Amarillo TX Worse
Christus Santa Rosa Hospital San Antonio TX Better
Christus St Michael Health System Texarkana TX Worse
Covenant Medical Center Lubbock TX Better
Doctors Hospital At Renaissance Edinburg TX Better
Grace Medical Center Lubbock TX Better
Houston Orthopedic And Spine Hospital Bellaire TX Worse
Peterson Regional Medical Center Kerrville TX Worse Worse
Plaza Medical Center Of Fort Worth Fort Worth TX Better
Quail Creek Surgical Hospital Amarillo TX Better
Seton Medical Center Austin Austin TX Better
Shannon Medical Center San Angelo TX Worse Worse
St Joseph Regional Health Center Bryan TX Worse
Texas Health Presbyterian Hospital Dallas Dallas TX Better
Vhs Harlingen Hospital Company Llc Harlingen TX Better Better
Woodland Heights Medical Center Lufkin TX Worse

Click here for the full list.

It seems hospitals, upon close inspection, don’t always live up to their reputations.