▸ Texas · MS-DRG 470
Major joint replacement w/o MCC in Texas
What Texas hospitals charge for major joint replacement w/o mcc (MS-DRG 470). Rates sourced from federally-mandated machine-readable files.
Hospitals
70
Rate rows
1,534
Neg. median
$19,538
Min
$2.95
Max
$239,760
Cash median
$33,588
Across 70 Texas hospitals, the negotiated rate for Major joint replacement w/o MCC ranges from $2.95 to $239,760, with a median of $19,538. The interquartile range is $14,974 to $28,246. Cash-pay patients typically pay $33,588; gross charges median $66,432.
By payer in Texas
Top 30 payers for Major joint replacement w/o MCC in Texas.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 56 | 277 | $20,430 |
| Humana | 49 | 95 | $16,535 |
| UnitedHealthcare | 49 | 128 | $25,271 |
| Aetna | 44 | 58 | $23,833 |
| Cigna | 42 | 73 | $23,356 |
| american health plan | 25 | 25 | $15,203 |
| procare advantage | 24 | 24 | $15,203 |
| baylor scott & white health plan | 23 | 134 | $17,375 |
| private health care system | 23 | 23 | $35,742 |
| university of mary hardin-baylor | 23 | 23 | $16,225 |
| triwest | 21 | 21 | $14,479 |
| Ambetter | 21 | 21 | $29,430 |
| superior health plan | 21 | 21 | $14,744 |
| prime health services | 21 | 23 | $15,373 |
| healthsmart | 20 | 40 | $35,159 |
| corvel | 20 | 20 | $15,360 |
| healthspring | 19 | 19 | $14,744 |
| employers health network | 14 | 14 | $25,749 |
| Medicare | 10 | 38 | $14,064 |
| commercial | entrust | all plans | 8 | 8 | $31,607 |
| wellmed | 8 | 8 | $14,123 |
| sedgwick | 8 | 8 | $20,181 |
| commercial | community health choice | exchange | 7 | 7 | $18,270 |
| Molina | 7 | 10 | $18,033 |
| wellpoint | 7 | 7 | $19,066 |
| commercial | phcs | all plans | 6 | 6 | $36,372 |
| amerigroup | 6 | 6 | $22,414 |
| commercial | renaissance | all plans | 5 | 5 | $10,342 |
| commercial | superior health plan | all plans | 5 | 5 | $21,545 |
| commercial | kelseycare | exchange | 5 | 5 | $19,391 |
Hospital comparison — Major joint replacement w/o MCC in Texas
Sorted by lowest negotiated median rate. Up to 100 hospitals.