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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,568 | $143,494 | 8.7× | $11,406 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $27,897 | 1.7× | $20,255–$33,669 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Baker Benefits Administrators | $33,669 | 2.0× | 1 |
| Texas Bluebonnet Health Plan | $31,745 | 1.9× | 1 |
| National Healthcare Solutions, . (Nhsi) And Independent Medi | $30,783 | 1.9× | 1 |
| Employer Direct Healthcare | $25,011 | 1.5× | 1 |
| FRONTIER HEALTH (FKA Asserta Health) | $25,011 | 1.5× | 1 |
| BCBS TX | $20,255 | 1.2× | 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.
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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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).
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.
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.
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.
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.