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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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.
Open the interactive price tagBuild a reportAll Texas hospitals
In 2024 Medicare paid Medical City Plano an average of $16,916 per inpatient hip or knee replacement stay (MS-DRG 470, 67 stays) and $11,754 per outpatient case (APC 5115, 276 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $341,612, 20.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Medical City Plano more than 79% of the 77 Texas hospitals that report inpatient hip or knee replacement.