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Medical City McKinney: what a joint replacement costs

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.

Surgery center nearby
$8,879
Medical City Surgery Center McKinney, same ZIP
Outpatient here
$11,737
Medicare allowed amount, 112 cases, APC 5115
Inpatient here
$16,842
Avg total payment (incl. patient share), 78 Medicare stays, MS-DRG 470

Medicare prices at Medical City McKinney

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,842$314,53818.7×$11,737
Shoulder replacement$18,651$541,26429.0×—
Hip replacement after a fracture (DRG 522)$15,402$330,56521.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$18,5961.1×$15,778–$76,50016
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$76,5004.5×1
Cigna$60,3483.6×1
BCBS TX$53,9163.2×1
Healthcare Highways (rental network)$42,8132.5×1
UnitedHealthcare$36,8742.2×1
Evry Health$27,2461.6×1
Curative Administrators$26,3261.6×1
Oscar$21,9551.3×1
Verda Health Plan$19,3201.1×1
Bravo Health$17,8711.1×1
American Health Plan of Texas$16,9051.0×1
Mutual of Omaha$16,7441.0×1
Devoted Health$16,4221.0×1
Texas Independent Health Plan$16,4221.0×1
Care N Care$16,2611.0×1
Integranet$16,1001.0×1
Humana$15,7780.9×1

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.

Quality

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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Questions

How much does Medicare pay Medical City McKinney for a knee or hip replacement?

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).

What is Medical City McKinney's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Medical City McKinney?

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.

How does Medical City McKinney compare with other Texas hospitals?

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.

What do commercial insurers pay Medical City McKinney 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 $18,596 across 16 insurers, ranging from $15,778 to $76,500.