▸ Texas · MS-DRG 469
Major joint replacement w MCC in Texas
What Texas hospitals charge for major joint replacement w mcc (MS-DRG 469). Rates sourced from federally-mandated machine-readable files.
Hospitals
68
Rate rows
1,489
Neg. median
$31,328
Min
$4.64
Max
$116,130
Cash median
$84,787
Across 68 Texas hospitals, the negotiated rate for Major joint replacement w MCC ranges from $4.64 to $116,130, with a median of $31,328. The interquartile range is $24,417 to $44,293. Cash-pay patients typically pay $84,787; gross charges median $141,311.
By payer in Texas
Top 30 payers for Major joint replacement w MCC in Texas.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 54 | 269 | $34,770 |
| UnitedHealthcare | 48 | 126 | $40,640 |
| Humana | 48 | 94 | $27,531 |
| Aetna | 43 | 56 | $36,470 |
| Cigna | 40 | 71 | $38,139 |
| american health plan | 25 | 25 | $25,900 |
| procare advantage | 24 | 24 | $25,805 |
| university of mary hardin-baylor | 23 | 23 | $28,127 |
| baylor scott & white health plan | 23 | 134 | $29,616 |
| private health care system | 23 | 23 | $35,742 |
| Ambetter | 21 | 21 | $51,020 |
| superior health plan | 21 | 21 | $25,127 |
| triwest | 21 | 21 | $24,485 |
| corvel | 20 | 20 | $26,296 |
| prime health services | 20 | 22 | $26,453 |
| healthsmart | 20 | 40 | $47,736 |
| healthspring | 19 | 19 | $24,831 |
| employers health network | 14 | 14 | $45,565 |
| Medicare | 10 | 38 | $22,116 |
| commercial | entrust | all plans | 8 | 8 | $48,947 |
| sedgwick | 8 | 8 | $33,160 |
| commercial | community health choice | exchange | 7 | 7 | $29,669 |
| wellmed | 7 | 7 | $23,663 |
| commercial | phcs | all plans | 6 | 6 | $58,019 |
| Molina | 6 | 8 | $29,746 |
| amerigroup | 6 | 6 | $31,528 |
| wellpoint | 6 | 6 | $31,946 |
| commercial | renaissance | all plans | 5 | 5 | $16,080 |
| commercial | superior health plan | all plans | 5 | 5 | $33,500 |
| commercial | kelseycare | exchange | 5 | 5 | $30,150 |
Hospital comparison — Major joint replacement w MCC in Texas
Sorted by lowest negotiated median rate. Up to 100 hospitals.