Dallas, TX 75231 · CMS Certification Number 450462. 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 | $15,608 | $71,246 | 4.6× | $11,828 |
| Shoulder replacement | $18,658 | $111,822 | 6.0× | $16,735 |
| Hip replacement after a fracture (DRG 522) | $16,419 | $87,874 | 5.4× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $45,593 | 2.9× | $37,402–$50,036 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS TX | $50,036 | 3.2× | 1 |
| UnitedHealthcare | $48,280 | 3.1× | 1 |
| Cigna | $45,593 | 2.9× | 1 |
| Fort Worth Firefighters | $38,223 | 2.4× | 1 |
| Aetna | $37,402 | 2.4× | 1 |
From the hospital's price-transparency file (2026-04-21); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-21); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 2.4% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 866 beds
Texas has no certificate-of-need law.
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In 2024 the average total payment to Texas Health Presbyterian Hospital Dallas for an inpatient hip or knee replacement stay was $15,608 (MS-DRG 470, 52 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,828 per outpatient case (APC 5115, 213 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $71,246, 4.6× 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. Texas Health Surgery Center Dallas, an orthopedic surgery center same ZIP away, is paid about $8,879 by Medicare for a knee replacement (CPT 27447), $6,729 less than an inpatient stay at Texas Health Presbyterian Hospital Dallas. Not every patient is a surgery-center candidate.
Texas Health Presbyterian Hospital Dallas's average total payment per Medicare stay is higher than 66% 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 $45,593 across 5 insurers, ranging from $37,402 to $50,036.