Denton, TX 76210 · CMS Certification Number 450634. 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 | $15,254 | $291,745 | 19.1× | $11,866 |
| Shoulder replacement | — | — | — | $16,789 |
| Hip replacement after a fracture (DRG 522) | $16,039 | $314,173 | 19.6× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $19,870 | 1.3× | $16,860–$76,500 | 16 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $76,500 | 5.0× | 1 |
| BCBS TX | $62,459 | 4.1× | 1 |
| Cigna | $60,348 | 4.0× | 1 |
| Healthcare Highways (rental network) | $42,813 | 2.8× | 1 |
| UnitedHealthcare | $36,874 | 2.4× | 1 |
| Evry Health | $27,246 | 1.8× | 1 |
| Curative Administrators | $26,326 | 1.7× | 1 |
| Oscar | $21,955 | 1.4× | 1 |
| Verda Health Plan | $20,645 | 1.4× | 1 |
| Bravo Health | $19,096 | 1.3× | 1 |
| Mutual of Omaha | $18,236 | 1.2× | 1 |
| American Health Plan of Texas | $18,064 | 1.2× | 1 |
| Devoted Health | $17,548 | 1.2× | 1 |
| Texas Independent Health Plan | $17,548 | 1.2× | 1 |
| Care N Care | $17,376 | 1.1× | 1 |
| Integranet | $17,204 | 1.1× | 1 |
| Humana | $16,860 | 1.1× | 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: 3.3% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 208 beds
Texas has no certificate-of-need law.
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In 2024 the average total payment to Medical City Denton for an inpatient hip or knee replacement stay was $15,254 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,866 per outpatient case (APC 5115, 157 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $291,745, 19.1× 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. Baylor Scott and White Surgicare Denton, an orthopedic surgery center 3.5 mi away, is paid about $8,879 by Medicare for a knee replacement (CPT 27447), $6,375 less than an inpatient stay at Medical City Denton. Not every patient is a surgery-center candidate.
Medical City Denton's average total payment per Medicare stay is higher than 64% 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 $19,870 across 16 insurers, ranging from $16,860 to $76,500.