Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Knapp Medical Center: what a joint replacement costs

Weslaco, TX 78596 · CMS Certification Number 450128. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$7,974
Palm Valley Surgery Center LLC, same ZIP
Outpatient here
$11,406
Medicare allowed amount, 13 cases, APC 5115
Inpatient here
$16,568
Avg total payment (incl. patient share), 14 Medicare stays, MS-DRG 470

Medicare prices at Knapp Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,568$143,4948.7×$11,406
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$27,8971.7×$20,255–$33,6696
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Baker Benefits Administrators$33,6692.0×1
Texas Bluebonnet Health Plan$31,7451.9×1
National Healthcare Solutions, . (Nhsi) And Independent Medi$30,7831.9×1
Employer Direct Healthcare$25,0111.5×1
FRONTIER HEALTH (FKA Asserta Health)$25,0111.5×1
BCBS TX$20,2551.2×1

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 233 beds

Texas has no certificate-of-need law.

Open the interactive price tagBuild a reportAll Texas hospitals

Questions

How much does Medicare pay Knapp Medical Center for a knee or hip replacement?

In 2024 the average total payment to Knapp Medical Center for an inpatient hip or knee replacement stay was $16,568 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,406 per outpatient case (APC 5115, 13 cases).

What is Knapp Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $143,494, 8.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Knapp Medical Center?

Yes for Medicare facility payments. Palm Valley Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $7,974 by Medicare for a knee replacement (CPT 27447), $8,594 less than an inpatient stay at Knapp Medical Center. Not every patient is a surgery-center candidate.

How does Knapp Medical Center compare with other Texas hospitals?

Knapp Medical Center's average total payment per Medicare stay is higher than 77% of the 77 Texas hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Knapp Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $27,897 across 6 insurers, ranging from $20,255 to $33,669.