McKinney, TX 75069 · CMS Certification Number 450403. 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 | $16,842 | $314,538 | 18.7× | $11,737 |
| Shoulder replacement | $18,651 | $541,264 | 29.0× | — |
| Hip replacement after a fracture (DRG 522) | $15,402 | $330,565 | 21.5× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $18,596 | 1.1× | $15,778–$76,500 | 16 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $76,500 | 4.5× | 1 |
| Cigna | $60,348 | 3.6× | 1 |
| BCBS TX | $53,916 | 3.2× | 1 |
| Healthcare Highways (rental network) | $42,813 | 2.5× | 1 |
| UnitedHealthcare | $36,874 | 2.2× | 1 |
| Evry Health | $27,246 | 1.6× | 1 |
| Curative Administrators | $26,326 | 1.6× | 1 |
| Oscar | $21,955 | 1.3× | 1 |
| Verda Health Plan | $19,320 | 1.1× | 1 |
| Bravo Health | $17,871 | 1.1× | 1 |
| American Health Plan of Texas | $16,905 | 1.0× | 1 |
| Mutual of Omaha | $16,744 | 1.0× | 1 |
| Devoted Health | $16,422 | 1.0× | 1 |
| Texas Independent Health Plan | $16,422 | 1.0× | 1 |
| Care N Care | $16,261 | 1.0× | 1 |
| Integranet | $16,100 | 1.0× | 1 |
| Humana | $15,778 | 0.9× | 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: 3.2% (no different from the national rate). Readmissions: 7%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 225 beds
Texas has no certificate-of-need law.
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In 2024 the average total payment to Medical City McKinney for an inpatient hip or knee replacement stay was $16,842 (MS-DRG 470, 78 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,737 per outpatient case (APC 5115, 112 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $314,538, 18.7× 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. Medical City Surgery Center McKinney, an orthopedic surgery center same ZIP away, is paid about $8,879 by Medicare for a knee replacement (CPT 27447), $7,963 less than an inpatient stay at Medical City McKinney. Not every patient is a surgery-center candidate.
Medical City McKinney's average total payment per Medicare stay is higher than 78% 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 $18,596 across 16 insurers, ranging from $15,778 to $76,500.