Price AtlasInteractive atlas · All states · techysurgeon.comTexas Health Presbyterian Hospital Plano: what a joint replacement costs
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.
Medicare prices at Texas Health Presbyterian Hospital Plano
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $45,593 | 3.2× | $37,402–$50,036 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS TX | $50,036 | 3.5× | 1 |
| UnitedHealthcare | $48,280 | 3.4× | 1 |
| Cigna | $45,593 | 3.2× | 1 |
| Fort Worth Firefighters | $38,223 | 2.7× | 1 |
| Aetna | $37,402 | 2.6× | 1 |
From the hospital's price-transparency file (2026-04-21); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-21); commercial plans, dollar-amount contracts only.
Quality
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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Questions
How much does Medicare pay Texas Health Presbyterian Hospital Plano for a knee or hip replacement?
In 2024 the average total payment to Texas Health Presbyterian Hospital Plano for an inpatient hip or knee replacement stay was $14,167 (MS-DRG 470, 24 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,759 per outpatient case (APC 5115, 295 cases).
What is Texas Health Presbyterian Hospital Plano's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $87,496, 6.2× 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 Texas Health Presbyterian Hospital Plano?
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.
How does Texas Health Presbyterian Hospital Plano compare with other Texas hospitals?
Texas Health Presbyterian Hospital Plano's average total payment per Medicare stay is lower than 60% of the 77 Texas hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Texas Health Presbyterian Hospital 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 $45,593 across 5 insurers, ranging from $37,402 to $50,036.