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Texoma Medical Center: what a joint replacement costs

Denison, TX 75020 · CMS Certification Number 450324. 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
$8,278
North Texas Surgery Center LLC, 12.1 mi
Outpatient here
$11,828
Medicare allowed amount, 73 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Texoma Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,828
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$15,195$166,59211.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$27,736—$23,130–$42,4048
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Pnoa Ruiz Foods$42,404—1
City Of Sherman$32,382—1
Cigna$29,451—1
BCBS TX$28,152—1
Aetna$27,321—1
Healthchoice$25,272—1
UnitedHealthcare$25,182—1
Prominence$23,130—1
Healthsmart (rental network)$17,185—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: 3.7% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 414 beds

Texas has no certificate-of-need law.

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Questions

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

The Medicare allowed amount averaged $11,828 per outpatient hip or knee replacement case (APC 5115, 73 cases) in 2024. Inpatient stays were too few to report.

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

Yes for Medicare facility payments. North Texas Surgery Center LLC, an orthopedic surgery center 12.1 mi away, is paid about $8,278 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Texoma 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 $27,736 across 8 insurers, ranging from $23,130 to $42,404.