▸ Compare · PriceTransparency
Major joint replacement w MCC
MS-DRG 469 · negotiated-rate distribution across hospitals in TX
Hospitals
68
Min
$13,833
Median
$32,019
Max
$80,089
Range multiplier
5.8×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 54 | 269 | $18,566 | $34,770 | $95,672 | 5.2× |
| baylor scott & white health plan | 23 | 134 | $21,083 | $29,616 | $52,210 | 2.5× |
| UnitedHealthcare | 48 | 126 | $4.64 | $40,640 | $110,041 | 23715.7× |
| Humana | 48 | 94 | $13,469 | $27,531 | $80,089 | 5.9× |
| Cigna | 40 | 71 | $65 | $38,139 | $100,180 | 1541.2× |
| Aetna | 43 | 56 | $11,231 | $36,470 | $80,089 | 7.1× |
| healthsmart | 20 | 40 | $36,028 | $47,736 | $59,445 | 1.6× |
| Medicare | 10 | 38 | $17,800 | $22,116 | $27,009 | 1.5× |
| american health plan | 25 | 25 | $23,303 | $25,900 | $78,065 | 3.4× |
| procare advantage | 24 | 24 | $23,303 | $25,805 | $78,065 | 3.4× |
| university of mary hardin-baylor | 23 | 23 | $28,127 | $28,127 | $28,127 | 1.0× |
| private health care system | 23 | 23 | $35,742 | $35,742 | $35,742 | 1.0× |
| prime health services | 20 | 22 | $23,249 | $26,453 | $91,980 | 4.0× |
| Ambetter | 21 | 21 | $32,092 | $51,020 | $63,243 | 2.0× |
| superior health plan | 21 | 21 | $22,350 | $25,127 | $63,697 | 2.8× |
| triwest | 21 | 21 | $22,193 | $24,485 | $29,005 | 1.3× |
| corvel | 20 | 20 | $23,249 | $26,296 | $77,886 | 3.4× |
| healthspring | 19 | 19 | $23,303 | $24,831 | $29,383 | 1.3× |
| employers health network | 14 | 14 | $45,565 | $45,565 | $45,565 | 1.0× |
| Anthem BCBS | 2 | 14 | $11,641 | $15,894 | $19,867 | 1.7× |
| baylor scott and white | 3 | 9 | $28,701 | $47,642 | $80,089 | 2.8× |
| commercial | entrust | all plans | 8 | 8 | $44,609 | $48,947 | $59,196 | 1.3× |
| Molina | 6 | 8 | $25,127 | $29,746 | $116,130 | 4.6× |
| sedgwick | 8 | 8 | $28,220 | $33,160 | $92,339 | 3.3× |
| commercial | community health choice | exchange | 7 | 7 | $23,684 | $29,669 | $33,855 | 1.4× |
| wellmed | 7 | 7 | $23,663 | $23,663 | $80,089 | 3.4× |
| wellpoint | 6 | 6 | $31,946 | $31,946 | $55,675 | 1.7× |
| amerigroup | 6 | 6 | $25,537 | $31,528 | $84,494 | 3.3× |
| commercial | phcs | all plans | 6 | 6 | $57,021 | $58,019 | $58,019 | 1.0× |
| commercial | harris health | ers | 5 | 5 | $28,353 | $33,500 | $33,855 | 1.2× |
| wellpoint (fka amerigroup) | 5 | 5 | $24,649 | $26,761 | $28,823 | 1.2× |
| careworks fka rockport | 5 | 5 | $30,636 | $36,025 | $92,339 | 3.0× |
| injury management organization | 5 | 5 | $31,547 | $36,025 | $92,339 | 2.9× |
| commercial | renaissance | all plans | 5 | 5 | $13,610 | $16,080 | $16,250 | 1.2× |
| commercial | nxhealth | all plans | 5 | 5 | $62,880 | $73,055 | $73,151 | 1.2× |
| commercial | kelseycare | exchange | 5 | 5 | $25,518 | $30,150 | $30,469 | 1.2× |
| commercial | independent med system | all plans | 5 | 5 | $44,293 | $44,293 | $44,293 | 1.0× |
| commercial | superior health plan | all plans | 5 | 5 | $28,353 | $33,500 | $33,855 | 1.2× |
| suburban/sho | 2 | 4 | $7,939.93 | $7,939.93 | $7,939.93 | 1.0× |
| superior | 2 | 4 | $28,701 | $31,262 | $34,009 | 1.2× |
| city of san angelo | 4 | 4 | $17,308 | $17,308 | $17,308 | 1.0× |
| kempton group | 4 | 4 | $47,327 | $47,327 | $47,327 | 1.0× |
| advantage 360 | 2 | 4 | $11,500 | $11,850 | $12,200 | 1.1× |
| scott and white health plan | 1 | 4 | $21,618 | $23,526 | $25,433 | 1.2× |
| 90 degree benefits | 4 | 4 | $59,159 | $59,159 | $59,159 | 1.0× |
| insurance management services | 4 | 4 | $31,236 | $31,236 | $31,236 | 1.0× |
| optum | 2 | 4 | $54,238 | $54,238 | $54,238 | 1.0× |
| care improvement | 4 | 4 | $23,663 | $23,663 | $23,663 | 1.0× |
| pdh/texas trust | 4 | 4 | $37,862 | $37,862 | $37,862 | 1.0× |
| prohealth | 2 | 4 | $7,939.93 | $7,939.93 | $7,939.93 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| TCHD D/B/A JPS HEALTH NETWORK | FORT WORTH | TX | 13 | — | — | $28,801 | $80,089 | $116,130 |
| BAYLOR SCOTT & WHITE CONTINUING CARE | TEMPLE | TX | 8 | — | — | $36,028 | $78,065 | $92,339 |
| TEXAS SPINE AND JOINT HOSPITAL | TYLER | TX | 8 | — | — | $36,028 | $78,065 | $92,339 |
| CORPUS CHRISTI SPECIALTY HOSPITAL | CORPUS CHRISTI | TX | 17 | — | — | $61,320 | $61,320 | $91,980 |
| SAN ANTONIO-AMG SPECIALTY HOSPITAL | SAN ANTONIO | TX | 20 | — | — | $55,675 | $55,675 | $83,512 |
| HOSPITALS OF PROVIDENCE EAST CAMPUS | EL PASO | TX | 14 | — | — | $70 | $44,606 | $100,180 |
| WILSON N JONES REGIONAL MEDICAL CTR | SHERMAN | TX | 2 | — | — | $39,943 | $42,225 | $44,508 |
| SCOTT & WHITE HOSPITAL BRENHAM | BRENHAM | TX | 9 | — | — | $28,127 | $36,937 | $61,515 |
| SCOTT AND WHITE MEMORIAL HOSPITAL | TEMPLE | TX | 20 | — | — | $17,978 | $36,025 | $61,515 |
| HILLCREST BAPTIST MEDICAL CENTER | WACO | TX | 16 | — | — | $25,724 | $35,348 | $61,515 |
| SAN ANGELO COMMUNITY MEDICAL CENTER | SAN ANGELO | TX | 15 | — | — | $17,308 | $34,955 | $59,159 |
| BIG SPRING STATE HOSPITAL | BIG SPRINGS | TX | 15 | — | — | $17,308 | $34,955 | $59,159 |
| SHANNON MEDICAL CENTER | SAN ANGELO | TX | 15 | — | — | $17,308 | $34,955 | $59,159 |
| RIVER CREST HOSPITAL | SAN ANGELO | TX | 15 | — | — | $17,308 | $34,955 | $59,159 |
| BAYLOR UNIVERSITY MEDICAL CTR | DALLAS | TX | 21 | — | — | $24,417 | $34,770 | $69,623 |
| BAYLOR S&W MEDICAL CENTER - PLANO | PLANO | TX | 19 | — | — | $21,436 | $34,770 | $69,623 |
| MID COAST MEDICAL CENTER-CENTRAL | LLANO | TX | 13 | — | — | $21,422 | $34,573 | $61,515 |
| COLLEGE STATION HOSPITAL | COLLEGE STATION | TX | 18 | — | — | $23,434 | $34,573 | $61,515 |
| BSW MEDICAL CENTER - AUSTIN | AUSTIN | TX | 13 | — | — | $21,422 | $34,573 | $61,515 |
| SCOTT AND WHITE HOSPITAL TAYLOR | TAYLOR | TX | 13 | — | — | $21,422 | $34,573 | $61,515 |
| THE HEART HOSPITAL BAYLOR DENTON | DENTON | TX | 18 | — | — | $21,446 | $34,122 | $110,041 |
| COVENANT HOSPITAL LEVELLAND | LEVELLAND | TX | 8 | — | — | $22,343 | $34,090 | $68,942 |
| BAYLOR SCOTT & WHITE - MARBLE FALLS | MARBLE FALLS | TX | 18 | — | — | $17,978 | $33,803 | $61,515 |
| BAYLOR SCOTT & WHITE - BUDA | BUDA | TX | 13 | — | — | $21,233 | $33,496 | $61,515 |
| BAYLOR SCOTT & WHITE PFLUGERVILLE | PFLUGERVILLE | TX | 17 | — | — | $21,586 | $33,496 | $61,515 |
| BAYLOR SCOTT & WHITE WMC - BRENHAM | BRENHAM | TX | 18 | — | — | $23,847 | $33,291 | $110,041 |
| THE HEART HOSPITAL BAYLOR PLANO | PLANO | TX | 18 | — | — | $23,847 | $33,291 | $110,041 |
| BAYLOR S&W MEDICAL CENTER - IRVING | IRVING | TX | 19 | — | — | $24,417 | $32,647 | $69,623 |
| BAYLOR S&W ALL SAINTS MEDICAL CENTER | FORT WORTH | TX | 19 | — | — | $24,417 | $32,313 | $69,623 |
| BAYLOR S&W MEDICAL CENTER - MCKINNEY | MCKINNEY | TX | 18 | — | — | $22,466 | $32,019 | $69,623 |
| BAYLOR MEDICAL CENTER-GRAPEVINE | GRAPEVINE | TX | 18 | — | — | $21,083 | $32,019 | $69,623 |
| ROUND ROCK HOSPITAL | ROUND ROCK | TX | 20 | — | — | $17,978 | $31,870 | $61,515 |
| BAYLOR HEART AND VASCULAR HOSPITAL | DALLAS | TX | 13 | — | — | $22,430 | $31,461 | $69,623 |
| BAYLOR SCOTT & WHITE MC- LAKE POINTE | ROWLETT | TX | 20 | — | — | $23,261 | $30,257 | $74,526 |
| CENTENNIAL MEDICAL CENTER | FRISCO | TX | 20 | — | — | $22,734 | $29,909 | $74,526 |
| MADISON ST. JOSEPH HEALTH CENTER | MADISONVILLE | TX | 2 | — | — | $22,317 | $29,761 | $41,639 |
| GRIMES ST. JOSEPH HEALTH CENTER | NAVASOTA | TX | 2 | — | — | $22,317 | $29,761 | $41,639 |
| ST. JOSEPH REGIONAL HEALTH CENTER | BRYAN | TX | 8 | — | — | $22,317 | $29,761 | $73,055 |
| COLLEGE STATION MEDICAL CENTER | COLLEGE STATION | TX | 8 | — | — | $22,317 | $29,761 | $73,055 |
| COVENANT HOSPITAL PLAINVIEW | PLAINVIEW | TX | 11 | — | — | $65 | $28,701 | $62,773 |
| TRINITY REGIONAL HOSPITAL SACHSE | SACHSE | TX | 8 | — | — | $24,938 | $28,607 | $44,508 |
| BURLESON ST. JOSEPH HEALTH CENTER | CALDWELL | TX | 1 | — | — | $22,317 | $28,194 | $31,328 |
| ST LUKES HOSPITAL AT THE VINTAGE | HOUSTON | TX | 16 | — | — | $16,080 | $27,497 | $72,584 |
| CHI ST LUKES HEALTH BAYLOR MED CTR | HOUSTON | TX | 16 | — | — | $16,206 | $27,009 | $73,151 |
| SCOTT & WHITE CEDAR PARK | CEDAR PARK | TX | 1 | — | — | $26,670 | $26,670 | $26,670 |
| ST. LUKES THE WOODLANDS HOSPITAL | THE WOODLANDS | TX | 15 | — | — | $13,930 | $25,890 | $62,880 |
| ST. LUKES SUGAR LAND HOSPITAL | SUGAR LAND | TX | 14 | — | — | $16,250 | $25,851 | $58,019 |
| BAYLOR ORTHOPEDIC AND SPINE HOSPITAL | ARLINGTON | TX | 5 | — | — | $17,807 | $25,433 | $37,074 |
| ST. LUKES PATIENTS MEDICAL CENTER | PASADENA | TX | 8 | — | — | $19,780 | $25,377 | $57,021 |
| BAYLOR SCOTT AND WHITE MC AT SUNNYVA | SUNNYVALE | TX | 2 | — | — | $19,039 | $25,176 | $44,310 |
| ST. LUKES LAKESIDE HOSPITAL | THE WOODLANDS | TX | 15 | — | — | $13,610 | $24,659 | $58,019 |
| ST LUKES HEALTH MEMORIAL SAN AUGUST | SAN AUGUSTINE | TX | 2 | — | — | $20,974 | $24,417 | $27,860 |
| BRAZOSPORT REGIONAL HEALTH SYSTEM | LAKE JACKSON | TX | 8 | — | — | $18,566 | $22,797 | $58,555 |
| METHODIST HOSPITAL FOR SURGERY | ADDISON | TX | 34 | $141,311 | $84,787 | $4.64 | $22,431 | $52,408 |
| CHI ST LUKES HEALTH MEM LIVINGSTON | LIVINGSTON | TX | 6 | — | — | $20,768 | $21,861 | $27,368 |
| HERITAGE PARK SURGICAL HOSPITAL | SHERMAN | TX | 2 | — | — | $19,039 | $21,628 | $39,198 |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | LUFKIN | TX | 6 | — | — | $18,018 | $18,966 | $27,368 |
| CHILDRENS MEDICAL CENTER OF PLANO | PLANO | TX | 4 | — | — | $13,986 | $13,986 | $13,986 |
| ASCENSION SETON BASTROP | BASTROP | TX | 16 | — | — | $7,939.93 | $13,833 | $19,901 |
| ASCENSION SETON SHOAL CREEK | AUSTIN | TX | 16 | — | — | $7,939.93 | $13,833 | $19,901 |
| ST JOSEPH MEDICAL CENTER | HOUSTON | TX | 0 | — | — | — | — | — |
| THE MEDICAL CTR OF SOUTHEAST TEXAS | PORT ARTHUR | TX | 0 | — | — | — | — | — |
| NORTHWEST TEXAS HOSPITAL | AMARILLO | TX | 0 | — | — | — | — | — |
| NORTHWEST TEXAS SURGERY CENTER | AMARILLO | TX | 0 | — | — | — | — | — |
| LAREDO MEDICAL CENTER | LAREDO | TX | 0 | — | — | — | — | — |
| LONGVIEW REGIONAL MEDICAL CENTER | LONGVIEW | TX | 0 | — | — | — | — | — |
| TEXOMA MEDICAL CENTER | DENISON | TX | 0 | — | — | — | — | — |
| NAVARRO REGIONAL HOSPITAL | CORSICANA | TX | 0 | — | — | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.