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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
13 Medicare cases, APC 5115
Inpatient here
$16,568
14 Medicare stays, MS-DRG 470

Medicare prices at Knapp Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,568$143,4948.7×$11,406
Shoulder replacement————

Commercial negotiated rates (beta)

PayerMedian negotiated, MS-DRG 470× MedicarePlans
Other$30,7831.9×5
BCBS TX$20,2551.2×1

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.

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Questions

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

In 2024 Medicare paid Knapp Medical Center an average of $16,568 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $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× what Medicare paid. 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?

Medicare paid Knapp Medical Center more 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' median negotiated rates for MS-DRG 470 range from $20,255 (BCBS TX) to $30,783 (Other).