facebook tracking Major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Texas: 77 hospitals compared (DRG 470)

Major hip and knee joint replacement or reattachment of lower extremity without major complications in Texas

What 77 hospitals in Texas charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.

DRG 470 Inpatient 2024 Medicare data
Average charge $112,676 Hospital list price billed
Average payment $14,714 Medicare + patient + other payers
Medicare paid $11,600 Average per stay
State rank #18 of 48 1 = lowest average payment

Hospitals in Texas billed an average of $112,676 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 7.7 times the average total payment of $14,714. That payment is 15% below the U.S. average of $17,318.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $14,714Billed $112,676

About 13¢ was paid for every $1 hospitals in Texas billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Texas:

Texas hospitals: major hip and knee joint replacement or reattachment of lower extremity without major complications

Every Texas hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Baylor Orthopedic and Spine Hospital at ArlingtonArlington 409 $60,892 $14,495 $9,843
North Central Surgical Center LLPDallas 199 $41,423 $12,485 $10,810
South Texas Spine and Surgical HospitalSan Antonio 187 $59,158 $13,256 $9,338
Methodist HospitalSan Antonio 162 $146,742 $14,724 $11,904
Texas Spine and Joint HospitalTyler 157 $57,953 $12,040 $10,440
Houston Physicians' HospitalWebster 153 $81,400 $13,132 $10,441
East Texas Medical CenterTyler 152 $92,796 $14,617 $12,865
Physicians Centre,TheBryan 117 $38,018 $11,963 $9,683
Hendrick Health SystemAbilene 105 $188,167 $16,290 $12,331
Methodist Hospital,TheHouston 80 $141,208 $18,080 $14,020
Baptist Medical CenterSan Antonio 79 $200,997 $14,934 $12,269
Medical Center of McKinneyMcKinney 78 $314,538 $16,842 $11,887
Seton Medical Center AustinAustin 77 $207,284 $17,047 $13,846
Paris Regional Medical CenterParis 77 $85,442 $14,121 $11,544
Medical Center of PlanoPlano 67 $341,612 $16,916 $14,674
CHRISTUS St Michael Health SystemTexarkana 55 $106,269 $13,698 $12,074
Texas Health Presbyterian Hospital DallasDallas 52 $71,246 $15,608 $13,215
Methodist McKinney HospitalMcKinney 52 $51,693 $13,367 $10,098
Quail Creek Surgical HospitalAmarillo 47 $60,655 $12,046 $10,518
Baylor University Medical CenterDallas 46 $68,363 $19,039 $13,517
St Davids HospitalAustin 43 $205,599 $17,416 $11,890
Tops Surgical Specialty HospitalHouston 43 $65,492 $15,332 $10,250
Texas Orthopedic HospitalHouston 43 $221,817 $12,920 $11,326
Methodist Stone Oak HospitalSan Antonio 43 $163,145 $12,913 $11,133
Texas Institute for Surgery at Presbyterian HospitDallas 40 $53,871 $14,152 $10,466
Scott & White Memorial HospitalTemple 39 $58,817 $19,891 $13,372
Baylor Surgical Hospital at las ColinasIrving 37 $49,888 $13,809 $10,116
Cedar Park Regional Medical CenterCedar Park 36 $134,786 $14,585 $10,442
Hillcrest Baptist Med CenterWaco 35 $59,885 $16,032 $13,504
Brownwood Regional Medical CenterBrownwood 34 $134,465 $14,177 $12,737
Memorial Hermann Surgical Hospital KingwoodKingwood 34 $37,846 $12,430 $10,809
Sierra Medical CenterEl Paso 33 $211,937 $13,512 $10,977
Plaza Medical Center of Fort WorthFort Worth 31 $297,192 $18,832 $12,297
UT Southwestern University HospitalDallas 30 $73,717 $15,247 $13,204
Baylor Medical Center at FriscoFrisco 30 $67,551 $13,670 $10,247
Houston Methodist the Woodlands HospitalThe Woodlands 30 $152,150 $13,547 $12,024
Nacogdoches Medical CenterNacogdoches 29 $168,043 $13,887 $10,985
Clear Lake Regional Medical CenterWebster 27 $154,297 $17,144 $12,371
Houston Methodist West HospitalHouston 27 $159,247 $14,946 $12,834
Methodist Sugar Land HospitalSugar Land 26 $167,382 $13,983 $12,539
Hunt Regional Medical CenterGreenville 24 $50,511 $14,666 $13,137
Texas Health Presbyterian Hospital PlanoPlano 24 $87,496 $14,167 $12,875
Baylor Medical Center at Trophy ClubRoanoke 24 $48,489 $12,494 $10,930
Scott & White Hospital-Round RockRound Rock 23 $67,894 $13,989 $12,365
St Joseph Regional Health CenterBryan 22 $114,577 $15,724 $11,833
Harlingen Medical CenterHarlingen 22 $100,831 $13,739 $12,107
University Medical Center at BrackenridgeAustin 21 $238,932 $28,493 $26,605
Medical City Dallas HospitalDallas 21 $291,873 $17,107 $12,928
Providence Health CenterWaco 20 $88,649 $16,282 $12,209
Methodist Mansfield Medical CenterMansfield 20 $44,969 $14,281 $11,802
HCA Houston Healthcare SoutheastPasadena 19 $257,577 $22,894 $15,008
Guadalupe Regional Medical CenterSeguin 19 $36,775 $14,042 $12,581
Bsa HospitalAmarillo 19 $85,189 $13,483 $11,984
Lake Pointe Medical CenterRowlett 19 $58,586 $15,161 $12,005
Baylor Scott & White Medical Center- College StatiCollege Station 19 $68,526 $15,642 $12,426
Doctors Hospital at RenaissanceEdinburg 18 $64,206 $17,945 $14,493
Baylor Scott and White Medical Center McKinneyMc Kinney 18 $58,112 $14,274 $10,762
North Austin Medical CenterAustin 17 $200,255 $14,521 $12,751
Weatherford Regional Medical CenterWeatherford 16 $234,282 $21,069 $12,455
Seton Medical Center WilliamsonRound Rock 16 $216,831 $14,421 $13,197
Mary Shiels HospitalDallas 15 $47,897 $12,463 $10,831
Denton Regional Medical CenterDenton 15 $291,745 $15,254 $13,554
Knapp Medical CenterWeslaco 14 $143,494 $16,568 $14,821
Baylor Regional Medical Center at GrapevineGrapevine 14 $64,270 $12,453 $10,937
Round Rock Medical CenterRound Rock 14 $344,847 $14,416 $11,867
Baylor Scott & White Medical Center - Marble FallsMarble Falls 14 $63,298 $14,190 $12,674
North Texas Medical CenterGainesville 13 $67,293 $16,472 $13,949
Longview Regional Medical CenterLongview 13 $198,642 $13,338 $11,957
Baylor Surgical Hospital at Fort WorthFort Worth 13 $54,050 $12,352 $10,720
Las Palmas Medical CenterEl Paso 12 $280,168 $17,530 $12,081
Mem Hermann Mem City HospHouston 12 $75,559 $20,932 $9,697
Kingwood Medical CenterKingwood 12 $237,931 $16,188 $14,383
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi 11 $114,965 $17,608 $16,053
CHI St Lukes Health Memorial LufkinLufkin 11 $129,002 $14,285 $12,931
Shannon Medical CenterSan Angelo 11 $51,933 $14,162 $11,344
Houston Northwest Medical CenterHouston 11 $272,607 $26,865 $12,900
Baylor Medical Center at CarrolltonCarrollton 11 $58,273 $13,064 $11,729
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Lowest and highest payments in Texas

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states

Questions

How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Texas?

In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 77 hospitals in Texas was billed at $112,676 on average, while the average total payment was $14,714, of which Medicare paid $11,600. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Texas, average charges were 7.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.