▸ Compare · PriceTransparency
Major joint replacement w/o MCC
MS-DRG 470 · negotiated-rate distribution across hospitals in TX
Hospitals
70
Min
$7,172.00
Median
$19,100
Max
$98,725
Range multiplier
13.8×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 56 | 277 | $6,672.00 | $20,430 | $78,065 | 11.7× |
| baylor scott & white health plan | 23 | 134 | $12,162 | $17,375 | $31,549 | 2.6× |
| UnitedHealthcare | 49 | 128 | $2.95 | $25,271 | $69,658 | 23612.9× |
| Humana | 49 | 95 | $6,672.00 | $16,535 | $69,658 | 10.4× |
| Cigna | 42 | 73 | $65.00 | $23,356 | $141,035 | 2169.8× |
| Aetna | 44 | 58 | $6,672.00 | $23,833 | $69,658 | 10.4× |
| healthsmart | 20 | 40 | $34,290 | $35,159 | $36,028 | 1.1× |
| Medicare | 10 | 38 | $10,964 | $14,064 | $17,642 | 1.6× |
| american health plan | 25 | 25 | $13,442 | $15,203 | $78,065 | 5.8× |
| procare advantage | 24 | 24 | $13,442 | $15,203 | $78,065 | 5.8× |
| prime health services | 21 | 23 | $13,411 | $15,373 | $98,725 | 7.4× |
| private health care system | 23 | 23 | $35,742 | $35,742 | $35,742 | 1.0× |
| university of mary hardin-baylor | 23 | 23 | $16,225 | $16,225 | $16,225 | 1.0× |
| triwest | 21 | 21 | $12,802 | $14,479 | $17,527 | 1.4× |
| superior health plan | 21 | 21 | $12,893 | $14,744 | $40,507 | 3.1× |
| Ambetter | 21 | 21 | $21,017 | $29,430 | $38,867 | 1.8× |
| corvel | 20 | 20 | $13,411 | $15,360 | $77,886 | 5.8× |
| healthspring | 19 | 19 | $13,442 | $14,744 | $18,058 | 1.3× |
| employers health network | 14 | 14 | $25,749 | $25,749 | $25,749 | 1.0× |
| Anthem BCBS | 2 | 14 | $11,641 | $15,894 | $19,867 | 1.7× |
| Molina | 7 | 10 | $7,339.00 | $18,033 | $101,004 | 13.8× |
| baylor scott and white | 3 | 9 | $20,555 | $27,483 | $69,658 | 3.4× |
| commercial | entrust | all plans | 8 | 8 | $27,478 | $31,607 | $37,776 | 1.4× |
| sedgwick | 8 | 8 | $16,279 | $20,181 | $92,339 | 5.7× |
| wellmed | 8 | 8 | $6,672.00 | $14,123 | $69,658 | 10.4× |
| commercial | community health choice | exchange | 7 | 7 | $15,828 | $18,270 | $22,075 | 1.4× |
| wellpoint | 7 | 7 | $6,672.00 | $19,066 | $30,058 | 4.5× |
| amerigroup | 6 | 6 | $14,730 | $22,414 | $73,489 | 5.0× |
| commercial | phcs | all plans | 6 | 6 | $35,114 | $36,372 | $36,372 | 1.0× |
| superior | 3 | 6 | $6,672.00 | $21,069 | $25,487 | 3.8× |
| commercial | harris health | ers | 5 | 5 | $17,465 | $21,545 | $22,075 | 1.3× |
| scott and white health plan | 2 | 5 | $21,618 | $24,161 | $119,880 | 5.5× |
| wellpoint (fka amerigroup) | 5 | 5 | $14,733 | $15,929 | $17,714 | 1.2× |
| careworks fka rockport | 5 | 5 | $18,198 | $21,769 | $92,339 | 5.1× |
| 90 degree benefits | 5 | 5 | $6,672.00 | $35,308 | $35,308 | 5.3× |
| injury management organization | 5 | 5 | $18,198 | $21,769 | $92,339 | 5.1× |
| commercial | superior health plan | all plans | 5 | 5 | $17,465 | $21,545 | $22,075 | 1.3× |
| commercial | renaissance | all plans | 5 | 5 | $8,383.11 | $10,342 | $10,596 | 1.3× |
| commercial | nxhealth | all plans | 5 | 5 | $38,732 | $47,138 | $47,780 | 1.2× |
| commercial | kelseycare | exchange | 5 | 5 | $15,718 | $19,391 | $19,867 | 1.3× |
| commercial | independent med system | all plans | 5 | 5 | $27,766 | $27,766 | $27,766 | 1.0× |
| city of san angelo | 4 | 4 | $9,983.72 | $9,983.72 | $9,983.72 | 1.0× |
| kempton group | 4 | 4 | $28,246 | $28,246 | $28,246 | 1.0× |
| advantage 360 | 2 | 4 | $11,500 | $11,850 | $12,200 | 1.1× |
| scott & white | 4 | 4 | $13,425 | $13,425 | $13,425 | 1.0× |
| suburban/sho | 2 | 4 | $7,939.93 | $7,939.93 | $7,939.93 | 1.0× |
| care improvement | 4 | 4 | $14,123 | $14,123 | $14,123 | 1.0× |
| insurance management services | 4 | 4 | $18,642 | $18,642 | $18,642 | 1.0× |
| insurance services of lubbock | 4 | 4 | $18,642 | $18,642 | $18,642 | 1.0× |
| optum | 2 | 4 | $33,993 | $33,993 | $33,993 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Crescent Medical Center Lancaster | Lancaster | TX | 8 | $141,035 | $91,673 | $8,922.00 | $98,725 | $239,760 |
| Childrens Medical Center Of Plano | Plano | TX | 4 | — | — | $8,276.62 | $8,276.62 | $8,276.62 |
| Texas Spine And Joint Hospital | Tyler | TX | 8 | — | — | $34,290 | $78,065 | $92,339 |
| Baylor Scott & White Continuing Care | Temple | TX | 8 | — | — | $34,290 | $78,065 | $92,339 |
| North Texas Medical Center | Gainsville | TX | 16 | $66,432 | $16,608 | $6,672.00 | $7,172.00 | $59,789 |
| Tchd D/B/A Jps Health Network | Fort Worth | TX | 13 | — | — | $20,476 | $69,658 | $101,004 |
| Corpus Christi Specialty Hospital | Corpus Christi | TX | 17 | — | — | $33,106 | $33,106 | $49,659 |
| Acuity Hospital Of South Texas | San Antonio | TX | 20 | — | — | $30,058 | $30,058 | $45,087 |
| Hospitals Of Providence East Campus | El Paso | TX | 14 | — | — | $70.00 | $28,814 | $57,791 |
| Wilson N Jones Regional Medical Ctr | Sherman | TX | 2 | — | — | $23,631 | $24,982 | $26,332 |
| Covenant Hospital Levelland | Levelland | TX | 8 | — | — | $12,889 | $24,623 | $43,142 |
| Scott & White Hospital Brenham | Brenham | TX | 9 | — | — | $16,225 | $24,184 | $36,028 |
| Baylor Orthopedic And Spine Hospital | Arlington | TX | 5 | — | — | $17,807 | $22,890 | $34,953 |
| Scott And White Memorial Hospital | Temple | TX | 20 | — | — | $10,370 | $21,696 | $36,028 |
| Hillcrest Baptist Medical Center | Waco | TX | 16 | — | — | $15,629 | $20,874 | $36,028 |
| Baylor University Medical Ctr | Dallas | TX | 21 | — | — | $14,084 | $20,637 | $40,161 |
| Covenant Hospital Plainview | Plainview | TX | 11 | — | — | $65.00 | $20,555 | $43,140 |
| San Angelo Community Medical Center | San Angelo | TX | 15 | — | — | $9,983.72 | $20,164 | $35,308 |
| River Crest Hospital | San Angelo | TX | 15 | — | — | $9,983.72 | $20,164 | $35,308 |
| Big Spring State Hospital | Big Springs | TX | 15 | — | — | $9,983.72 | $20,164 | $35,308 |
| Shannon Medical Center | San Angelo | TX | 15 | — | — | $9,983.72 | $20,164 | $35,308 |
| Baylor Scott & White - Marble Falls | Marble Falls | TX | 18 | — | — | $10,370 | $20,033 | $36,028 |
| Baylor S&W Medical Center - Irving | Irving | TX | 19 | — | — | $14,084 | $19,726 | $40,161 |
| Baylor S&W Medical Center - Plano | Plano | TX | 19 | — | — | $12,365 | $19,649 | $40,161 |
| The Heart Hospital Baylor Denton | Denton | TX | 18 | — | — | $12,371 | $19,621 | $63,475 |
| College Station Hospital | College Station | TX | 18 | — | — | $13,939 | $19,538 | $36,028 |
| Bsw Medical Center - Austin | Austin | TX | 13 | — | — | $12,357 | $19,538 | $35,742 |
| Mid Coast Medical Center-Central | Llano | TX | 13 | — | — | $12,357 | $19,538 | $35,742 |
| Scott And White Hospital Taylor | Taylor | TX | 13 | — | — | $12,357 | $19,538 | $35,742 |
| Baylor Scott & White - Buda | Buda | TX | 13 | — | — | $12,248 | $19,119 | $35,742 |
| Baylor Scott & White Pflugerville | Pflugerville | TX | 17 | — | — | $12,451 | $19,119 | $36,028 |
| St. Joseph Regional Health Center | Bryan | TX | 8 | — | — | $14,323 | $19,100 | $47,138 |
| College Station Medical Center | College Station | TX | 8 | — | — | $14,323 | $19,100 | $47,138 |
| Madison St. Joseph Health Center | Madisonville | TX | 2 | — | — | $14,323 | $19,100 | $25,649 |
| Grimes St. Joseph Health Center | Navasota | TX | 2 | — | — | $14,323 | $19,100 | $25,649 |
| Baylor S&W All Saints Medical Center | Fort Worth | TX | 19 | — | — | $14,084 | $18,984 | $40,161 |
| The Heart Hospital Baylor Plano | Plano | TX | 18 | — | — | $13,756 | $18,813 | $63,475 |
| Baylor Scott & White Wmc - Brenham | Brenham | TX | 18 | — | — | $13,756 | $18,813 | $63,475 |
| Round Rock Hospital | Round Rock | TX | 20 | — | — | $10,370 | $18,384 | $36,028 |
| Baylor Medical Center-Grapevine | Grapevine | TX | 18 | — | — | $12,162 | $18,094 | $40,161 |
| Baylor S&W Medical Center - Mckinney | Mckinney | TX | 18 | — | — | $13,340 | $18,094 | $40,161 |
| Burleson St. Joseph Health Center | Caldwell | TX | 1 | — | — | $14,323 | $18,094 | $20,105 |
| Baylor Heart And Vascular Hospital | Dallas | TX | 13 | — | — | $12,938 | $17,953 | $40,161 |
| Baylor Scott & White Mc- Lake Pointe | Rowlett | TX | 20 | — | — | $13,940 | $17,943 | $42,989 |
| St Lukes Hospital At The Vintage | Houston | TX | 16 | — | — | $10,585 | $17,719 | $47,780 |
| Centennial Medical Center | Frisco | TX | 20 | — | — | $13,588 | $17,558 | $42,989 |
| Chi St Lukes Health Baylor Med Ctr | Houston | TX | 16 | — | — | $10,342 | $17,236 | $46,681 |
| St. Lukes Sugar Land Hospital | Sugar Land | TX | 14 | — | — | $10,596 | $16,591 | $36,372 |
| Trinity Regional Hospital Sachse | Sachse | TX | 8 | — | — | $14,412 | $16,515 | $26,332 |
| St. Lukes The Woodlands Hospital | The Woodlands | TX | 15 | — | — | $8,580.66 | $16,387 | $38,732 |
| St. Lukes Lakeside Hospital | The Woodlands | TX | 15 | — | — | $8,383.11 | $15,951 | $36,372 |
| St. Lukes Patients Medical Center | Pasadena | TX | 8 | — | — | $12,180 | $15,631 | $35,114 |
| Scott & White Cedar Park | Cedar Park | TX | 1 | — | — | $15,384 | $15,384 | $15,384 |
| St Lukes Health Memorial San August | San Augustine | TX | 2 | — | — | $12,919 | $15,192 | $17,466 |
| Brazosport Regional Health System | Lake Jackson | TX | 8 | — | — | $11,915 | $15,002 | $36,058 |
| Baylor Scott And White Mc At Sunnyva | Sunnyvale | TX | 2 | — | — | $11,265 | $14,596 | $25,040 |
| Methodist Hospital For Surgery | Addison | TX | 34 | $55,980 | $33,588 | $2.95 | $14,264 | $33,328 |
| Chi St Lukes Health Mem Livingston | Livingston | TX | 6 | — | — | $12,919 | $14,145 | $16,858 |
| 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 |
| Heritage Park Surgical Hospital | Sherman | TX | 2 | — | — | $11,265 | $12,496 | $22,151 |
| Chi St Lukes Health Memorial Lufkin | Lufkin | TX | 6 | — | — | $11,699 | $12,315 | $16,858 |
| Longview Regional Medical Center | Longview | TX | 0 | — | — | — | — | — |
| Northwest Texas Surgery Center | Amarillo | TX | 0 | — | — | — | — | — |
| Navarro Regional Hospital | Corsicana | TX | 0 | — | — | — | — | — |
| St Joseph Medical Center | Houston | TX | 0 | — | — | — | — | — |
| Laredo Medical Center | Laredo | TX | 0 | — | — | — | — | — |
| The Medical Ctr Of Southeast Texas | Port Arthur | TX | 0 | — | — | — | — | — |
| Texoma Medical Center | Denison | TX | 0 | — | — | — | — | — |
| Northwest Texas Hospital | Amarillo | 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.