Revision of hip or knee replacement with complications in Texas
What 42 hospitals in Texas charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.
Average charge
$285,806
Hospital list price billed
Average payment
$30,561
Medicare + patient + other payers
Medicare paid
$24,654
Average per stay
State rank
#29 of 41
1 = lowest average payment
Hospitals in Texas billed an average of $285,806 for revision of hip or knee replacement with complications, about 9.4 times the average total payment of $30,561. That payment is about the same as the U.S. average of $30,673.
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 $30,561Billed $285,806
About 11¢ was paid for every $1 hospitals in Texas billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Texas:
Texas hospitals: revision of hip or knee replacement with 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 |
|---|---|---|---|---|
| Medical Center of PlanoPlano | 109 | $885,464 | $48,145 | $38,424 |
| Texas Orthopedic HospitalHouston | 89 | $370,048 | $28,375 | $19,042 |
| Methodist Hospital,TheHouston | 79 | $218,698 | $28,638 | $24,587 |
| Baylor University Medical CenterDallas | 76 | $98,366 | $31,623 | $25,741 |
| Texas Health Harris Methodist Hospital Southwest FFort Worth | 51 | $125,592 | $26,253 | $20,460 |
| Methodist HospitalSan Antonio | 41 | $236,935 | $23,223 | $21,694 |
| Baptist Medical CenterSan Antonio | 39 | $343,349 | $23,030 | $21,640 |
| Texas Health Presbyterian Hospital DallasDallas | 37 | $139,250 | $25,909 | $24,007 |
| Memorial Hermann Texas Medical CenterHouston | 36 | $168,669 | $37,568 | $29,001 |
| Medical City Dallas HospitalDallas | 36 | $471,443 | $32,010 | $23,329 |
| Texas Health Presbyterian Hospital PlanoPlano | 29 | $133,974 | $24,244 | $23,063 |
| St Davids HospitalAustin | 28 | $309,909 | $24,100 | $19,684 |
| Covenant Medical CenterLubbock | 25 | $257,031 | $28,504 | $20,299 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 22 | $196,893 | $26,688 | $25,375 |
| Las Palmas Medical CenterEl Paso | 21 | $448,925 | $28,601 | $26,341 |
| University Medical Center at BrackenridgeAustin | 21 | $244,533 | $42,203 | $37,953 |
| Methodist Sugar Land HospitalSugar Land | 19 | $249,781 | $27,624 | $21,449 |
| Scott & White Memorial HospitalTemple | 18 | $91,706 | $29,064 | $24,152 |
| Seton Medical Center AustinAustin | 18 | $219,745 | $26,214 | $24,752 |
| Bsa HospitalAmarillo | 18 | $159,069 | $25,449 | $22,605 |
| Mem Hermann Mem City HospHouston | 18 | $98,153 | $28,751 | $23,608 |
| East Texas Medical CenterTyler | 17 | $185,793 | $25,880 | $24,437 |
| Trinity Mother Frances SystTyler | 17 | $214,479 | $21,105 | $19,829 |
| North Central Surgical Center LLPDallas | 16 | $80,417 | $23,477 | $21,643 |
| Methodist Stone Oak HospitalSan Antonio | 16 | $283,532 | $25,284 | $19,117 |
| North Austin Medical CenterAustin | 15 | $204,877 | $23,153 | $18,692 |
| Baylor Orthopedic and Spine Hospital at ArlingtonArlington | 15 | $92,523 | $29,032 | $18,270 |
| Mem Hermann Southwest HospHouston | 14 | $121,583 | $31,939 | $21,662 |
| Medical Center of McKinneyMcKinney | 14 | $372,052 | $23,715 | $22,316 |
| Memorial Hermann Katy HospitalKaty | 14 | $133,845 | $31,225 | $21,214 |
| Baylor Scott & White Medical Center- College StatiCollege Station | 14 | $99,995 | $34,744 | $19,811 |
| Texas Health Harris Methodist Fort WorthFort Worth | 13 | $185,628 | $25,765 | $24,475 |
| Baylor Medical Center at CarrolltonCarrollton | 13 | $86,466 | $22,885 | $21,535 |
| Good Shepherd Medical Center MarshallMarshall | 12 | $251,061 | $26,969 | $25,388 |
| UT Southwestern University HospitalDallas | 12 | $159,778 | $45,438 | $21,242 |
| University Health SystemSan Antonio | 12 | $138,057 | $45,029 | $40,084 |
| University Medical CenterLubbock | 12 | $145,496 | $33,723 | $31,829 |
| Round Rock Medical CenterRound Rock | 12 | $434,865 | $24,865 | $23,777 |
| Texas Spine and Joint HospitalTyler | 12 | $88,585 | $27,331 | $17,560 |
| Scott & White Hospital-Round RockRound Rock | 12 | $82,887 | $24,502 | $22,961 |
| Hendrick Health SystemAbilene | 11 | $282,904 | $26,694 | $25,786 |
| HCA Houston Healthcare PearlandPearland | 11 | $371,134 | $51,657 | $13,985 |
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.
Lowest
| Trinity Mother Frances SystTyler, TX | $21,105 |
|---|---|
| Baylor Medical Center at CarrolltonCarrollton, TX | $22,885 |
| Baptist Medical CenterSan Antonio, TX | $23,030 |
| North Austin Medical CenterAustin, TX | $23,153 |
| Methodist HospitalSan Antonio, TX | $23,223 |
Highest
| HCA Houston Healthcare PearlandPearland, TX | $51,657 |
|---|---|
| Medical Center of PlanoPlano, TX | $48,145 |
| UT Southwestern University HospitalDallas, TX | $45,438 |
| University Health SystemSan Antonio, TX | $45,029 |
| University Medical Center at BrackenridgeAustin, TX | $42,203 |
Revision of hip or knee replacement with complications in other states
Questions
How much does revision of hip or knee replacement with complications cost in Texas?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 42 hospitals in Texas was billed at $285,806 on average, while the average total payment was $30,561, of which Medicare paid $24,654. 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 9.4 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.