Revision of hip or knee replacement without complications in Texas
What 31 hospitals in Texas charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.
Average charge
$224,440
Hospital list price billed
Average payment
$24,862
Medicare + patient + other payers
Medicare paid
$19,420
Average per stay
State rank
#31 of 42
1 = lowest average payment
Hospitals in Texas billed an average of $224,440 for revision of hip or knee replacement without complications, about 9.0 times the average total payment of $24,862. That payment is 4% above the U.S. average of $23,925.
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 $24,862Billed $224,440
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 without 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 | 58 | $600,082 | $39,358 | $26,842 |
| Texas Health Harris Methodist Hospital Southwest FFort Worth | 39 | $113,555 | $22,505 | $16,613 |
| Mem Hermann Mem City HospHouston | 31 | $88,591 | $24,273 | $18,177 |
| St Davids HospitalAustin | 30 | $263,369 | $26,179 | $16,677 |
| Baptist Medical CenterSan Antonio | 29 | $288,966 | $21,095 | $16,548 |
| Methodist Hospital,TheHouston | 22 | $219,773 | $28,908 | $20,394 |
| Texas Health Presbyterian Hospital PlanoPlano | 22 | $91,462 | $19,335 | $17,777 |
| Quail Creek Surgical HospitalAmarillo | 22 | $103,756 | $18,086 | $16,603 |
| CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi | 21 | $224,290 | $24,454 | $22,859 |
| Texas Health Presbyterian Hospital DallasDallas | 21 | $111,160 | $20,441 | $19,047 |
| Methodist HospitalSan Antonio | 20 | $181,964 | $21,033 | $16,869 |
| Medical City Dallas HospitalDallas | 20 | $365,522 | $20,454 | $18,501 |
| Baylor University Medical CenterDallas | 19 | $80,348 | $22,851 | $20,565 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 16 | $184,132 | $27,618 | $17,178 |
| Methodist Stone Oak HospitalSan Antonio | 16 | $307,215 | $17,867 | $16,235 |
| Houston Methodist West HospitalHouston | 16 | $225,933 | $22,664 | $21,133 |
| Legent Orthopedic + SpineSan Antonio | 16 | $144,646 | $18,090 | $14,403 |
| Seton Medical Center AustinAustin | 15 | $248,317 | $21,307 | $18,835 |
| Mem Hermann Southwest HospHouston | 15 | $85,512 | $24,408 | $19,594 |
| Baylor Medical Center at FriscoFrisco | 15 | $87,072 | $21,664 | $15,099 |
| Medical Center of McKinneyMcKinney | 14 | $407,055 | $20,595 | $17,075 |
| Texas Orthopedic HospitalHouston | 14 | $414,509 | $20,583 | $15,633 |
| Las Palmas Medical CenterEl Paso | 13 | $294,590 | $18,778 | $17,329 |
| University Medical CenterLubbock | 13 | $412,980 | $60,466 | $58,956 |
| Kell West Regional HospitalWichita Falls | 13 | $31,722 | $16,927 | $15,672 |
| Lubbock Heart Hospital LpLubbock | 13 | $93,667 | $16,536 | $15,657 |
| North Central Surgical Center LLPDallas | 13 | $44,866 | $22,179 | $14,858 |
| Scott & White Memorial HospitalTemple | 12 | $62,139 | $26,235 | $19,564 |
| Memorial Hermann Texas Medical CenterHouston | 12 | $149,546 | $44,984 | $17,430 |
| Baylor Orthopedic and Spine Hospital at ArlingtonArlington | 12 | $83,918 | $17,611 | $16,115 |
| East Texas Medical CenterTyler | 11 | $169,177 | $20,831 | $16,816 |
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
| Lubbock Heart Hospital LpLubbock, TX | $16,536 |
|---|---|
| Kell West Regional HospitalWichita Falls, TX | $16,927 |
| Baylor Orthopedic and Spine Hospital at ArlingtonArlington, TX | $17,611 |
| Methodist Stone Oak HospitalSan Antonio, TX | $17,867 |
| Quail Creek Surgical HospitalAmarillo, TX | $18,086 |
Highest
| University Medical CenterLubbock, TX | $60,466 |
|---|---|
| Memorial Hermann Texas Medical CenterHouston, TX | $44,984 |
| Medical Center of PlanoPlano, TX | $39,358 |
| Methodist Hospital,TheHouston, TX | $28,908 |
| CHRISTUS Santa Rosa HospitalSan Antonio, TX | $27,618 |
Revision of hip or knee replacement without complications in other states
Questions
How much does revision of hip or knee replacement without complications cost in Texas?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 31 hospitals in Texas was billed at $224,440 on average, while the average total payment was $24,862, of which Medicare paid $19,420. 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 9.0 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.