Lewisville, TX 75057 · CMS Certification Number 450669. 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 | — | — | — | — |
| Shoulder replacement | — | — | — | $16,789 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $19,710 | — | $16,723–$76,500 | 16 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $76,500 | — | 1 |
| Cigna | $56,585 | — | 1 |
| BCBS TX | $51,506 | — | 1 |
| Healthcare Highways (rental network) | $42,813 | — | 1 |
| UnitedHealthcare | $36,874 | — | 1 |
| Evry Health | $27,246 | — | 1 |
| Curative Administrators | $26,326 | — | 1 |
| Oscar | $21,955 | — | 1 |
| Verda Health Plan | $20,478 | — | 1 |
| Bravo Health | $18,942 | — | 1 |
| American Health Plan of Texas | $17,918 | — | 1 |
| Mutual of Omaha | $17,577 | — | 1 |
| Devoted Health | $17,406 | — | 1 |
| Texas Independent Health Plan | $17,406 | — | 1 |
| Care N Care | $17,235 | — | 1 |
| Integranet | $17,065 | — | 1 |
| Humana | $16,723 | — | 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.
Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 202 beds
Texas has no certificate-of-need law.
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CMS suppresses the price because the hospital had fewer than 11 Medicare cases.
Yes for Medicare facility payments. Texas Health Orthopedic Surgery Center Flower Moun, an orthopedic surgery center 5.4 mi 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 $19,710 across 16 insurers, ranging from $16,723 to $76,500.