Plano, TX 75093 · CMS Certification Number 450771. 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 | $14,167 | $87,496 | 6.2× | $11,759 |
| Shoulder replacement | $20,650 | $114,215 | 5.5× | $16,735 |
| Hip replacement after a fracture (DRG 522) | $16,543 | $87,746 | 5.3× | — |
Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 339 beds
Texas has no certificate-of-need law.
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In 2024 Medicare paid Texas Health Presbyterian Hospital Plano an average of $14,167 per inpatient hip or knee replacement stay (MS-DRG 470, 24 stays) and $11,759 per outpatient case (APC 5115, 295 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $87,496, 6.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Ascent Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,879 by Medicare for a knee replacement (CPT 27447), $5,288 less than an inpatient stay at Texas Health Presbyterian Hospital Plano. Not every patient is a surgery-center candidate.
Medicare paid Texas Health Presbyterian Hospital Plano less than 60% of the 77 Texas hospitals that report inpatient hip or knee replacement.