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Texas 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.

Surgery center nearby
$8,879
Ascent Surgery Center, same ZIP
Outpatient here
$11,759
295 Medicare cases, APC 5115
Inpatient here
$14,167
24 Medicare stays, MS-DRG 470

Medicare prices at Texas Health Presbyterian Hospital Plano

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,167$87,4966.2×$11,759
Shoulder replacement$20,650$114,2155.5×$16,735
Hip replacement after a fracture (DRG 522)$16,543$87,7465.3×—

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 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).

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× what Medicare paid. 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?

Medicare paid Texas Health Presbyterian Hospital Plano less than 60% of the 77 Texas hospitals that report inpatient hip or knee replacement.