Price AtlasInteractive atlas · All states · techysurgeon.comTexas Health Presbyterian Hospital Allen: what a joint replacement costs
Allen, TX 75013 · CMS Certification Number 450840. 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 Allen
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,828 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $15,366 | $80,066 | 5.2× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $45,593 | — | $37,402–$50,036 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS TX | $50,036 | — | 1 |
| UnitedHealthcare | $48,280 | — | 1 |
| Cigna | $45,593 | — | 1 |
| Fort Worth Firefighters | $38,223 | — | 1 |
| Aetna | $37,402 | — | 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
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 29 beds
Texas has no certificate-of-need law.
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Questions
How much does Medicare pay Texas Health Presbyterian Hospital Allen for a knee or hip replacement?
The Medicare allowed amount averaged $11,828 per outpatient hip or knee replacement case (APC 5115, 29 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Texas Health Presbyterian Hospital Allen?
Yes for Medicare facility payments. Medical City Surgery Center of Allen, an orthopedic surgery center same ZIP away, is paid about $8,879 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Texas Health Presbyterian Hospital Allen 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.