Dallas, TX 75230 · CMS Certification Number 450647. 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 | $17,107 | $291,873 | 17.1× | $11,828 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $16,500 | $227,474 | 13.8× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $19,106 | 1.1× | $16,282–$76,500 | 17 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $76,500 | 4.5× | 1 |
| Cigna | $60,348 | 3.5× | 1 |
| BCBS TX | $51,506 | 3.0× | 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 | 1.5× | 1 |
| Oscar | $21,955 | 1.3× | 1 |
| Verda Health Plan | $19,937 | 1.2× | 1 |
| Religious Order of Jehovah Witness | $19,106 | 1.1× | 1 |
| Bravo Health | $18,442 | 1.1× | 1 |
| American Health Plan of Texas | $17,445 | 1.0× | 1 |
| Devoted Health | $16,946 | 1.0× | 1 |
| Mutual of Omaha | $16,946 | 1.0× | 1 |
| Texas Independent Health Plan | $16,946 | 1.0× | 1 |
| Care N Care | $16,780 | 1.0× | 1 |
| Integranet | $16,614 | 1.0× | 1 |
| Humana | $16,282 | 1.0× | 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: 4% (no different from the national rate). Readmissions: 7.4%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 963 beds
Texas has no certificate-of-need law.
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In 2024 the average total payment to Medical City Dallas for an inpatient hip or knee replacement stay was $17,107 (MS-DRG 470, 21 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, 115 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $291,873, 17.1× 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. Medical City Ambulatory Surgery Center Dallas, an orthopedic surgery center same ZIP away, is paid about $8,879 by Medicare for a knee replacement (CPT 27447), $8,228 less than an inpatient stay at Medical City Dallas. Not every patient is a surgery-center candidate.
Medical City Dallas's average total payment per Medicare stay is higher than 82% 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 $19,106 across 17 insurers, ranging from $16,282 to $76,500.