Richardson, TX 75082 · CMS Certification Number 450537. 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 | — | — | — | $11,603 |
| Shoulder replacement | — | — | — | $15,876 |
| Hip replacement after a fracture (DRG 522) | $15,381 | $72,895 | 4.7× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,700 | — | $16,215–$50,945 | 21 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Velocity | $50,945 | — | 1 |
| BCBS TX | $44,434 | — | 1 |
| Dart Member Care | $43,779 | — | 1 |
| Healthscope Benefits | $43,779 | — | 1 |
| Evry Health | $40,536 | — | 1 |
| Medical Cost Containment Professionals | $40,536 | — | 1 |
| Friday Health Plan | $34,643 | — | 1 |
| Aetna | $33,012 | — | 1 |
| Imperial Insurance Companies | $29,186 | — | 1 |
| Sana Benefits | $24,322 | — | 1 |
| Oscar | $22,700 | — | 1 |
| Cigna | $21,683 | — | 1 |
| Web TPA | $21,683 | — | 1 |
| 90 Degree Benefit | $20,378 | — | 1 |
| Allied National | $20,378 | — | 1 |
| Entrust/90 Degree | $20,378 | — | 1 |
| Alternative Service Concepts | $20,268 | — | 1 |
| Bright Healthcare | $19,502 | — | 1 |
| Coralvita | $19,457 | — | 1 |
| Globalhealth | $17,025 | — | 1 |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $16,215 | — | 1 |
From the hospital's price-transparency file (2026-03-21); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-21); commercial plans, dollar-amount contracts only.
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 518 beds
Texas has no certificate-of-need law.
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The Medicare allowed amount averaged $11,603 per outpatient hip or knee replacement case (APC 5115, 69 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Breckenridge Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,879 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $22,700 across 21 insurers, ranging from $16,215 to $50,945.