▸ 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 | $65.00 | $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 |
| Acuity Hospital Of South Texas | San Antonio | TX | 20 | — | — | $55,675 | $55,675 | $83,512 |
| Hospitals Of Providence East Campus | El Paso | TX | 14 | — | — | $70.00 | $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 | — | — | $65.00 | $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.