Price AtlasInteractive atlas · All states · techysurgeon.comMedical City Plano: what a joint replacement costs
Plano, TX 75075 · CMS Certification Number 450651. 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.
Medicare prices at Medical City Plano
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,916 | $341,612 | 20.2× | $11,754 |
| Shoulder replacement | $26,692 | $566,682 | 21.2× | $16,735 |
| Hip replacement after a fracture (DRG 522) | $16,524 | $283,039 | 17.1× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $18,607 | 1.1× | $15,787–$76,500 | 16 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $76,500 | 4.5× | 1 |
| Cigna | $67,826 | 4.0× | 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 | 1.6× | 1 |
| Oscar | $21,955 | 1.3× | 1 |
| Verda Health Plan | $19,332 | 1.1× | 1 |
| Bravo Health | $17,882 | 1.1× | 1 |
| American Health Plan of Texas | $16,915 | 1.0× | 1 |
| Devoted Health | $16,432 | 1.0× | 1 |
| Mutual of Omaha | $16,432 | 1.0× | 1 |
| Texas Independent Health Plan | $16,432 | 1.0× | 1 |
| Care N Care | $16,271 | 1.0× | 1 |
| Integranet | $16,110 | 1.0× | 1 |
| Humana | $15,787 | 0.9× | 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: 3.6% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 611 beds
Texas has no certificate-of-need law.
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Questions
How much does Medicare pay Medical City Plano for a knee or hip replacement?
In 2024 the average total payment to Medical City Plano for an inpatient hip or knee replacement stay was $16,916 (MS-DRG 470, 67 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,754 per outpatient case (APC 5115, 276 cases).
What is Medical City Plano's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $341,612, 20.2× 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 Plano?
Yes for Medicare facility payments. Preston Road Surgery Center, an orthopedic surgery center 3.2 mi away, is paid about $8,879 by Medicare for a knee replacement (CPT 27447), $8,037 less than an inpatient stay at Medical City Plano. Not every patient is a surgery-center candidate.
How does Medical City Plano compare with other Texas hospitals?
Medical City Plano's average total payment per Medicare stay is higher than 79% of the 77 Texas hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Medical City Plano 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 $18,607 across 16 insurers, ranging from $15,787 to $76,500.