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Baylor Medical Center at Frisco: what a joint replacement costs

Frisco, TX 75034 · CMS Certification Number 450853. 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
Baylor Scott and White Sports Surgery Center, same ZIP
Outpatient here
$11,727
Medicare allowed amount, 303 cases, APC 5115
Inpatient here
$13,670
Avg total payment (incl. patient share), 30 Medicare stays, MS-DRG 470

Medicare prices at Baylor Medical Center at Frisco

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,670$67,5514.9×$11,727
Shoulder replacement$16,596$83,5005.0×$16,735

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$24,9171.8×$17,711–$38,6719
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$38,6712.8×1
HealthSmart (rental network)$37,7622.8×1
MultiPlan/PHCS (rental network)$37,5292.7×1
Humana$37,1222.7×1
Aetna$36,2262.7×1
Cigna$28,6712.1×1
BCBS TX$24,9171.8×1
Employers Health Network$24,5711.8×1
Imagine Health$20,5581.5×1
Baylor Scott & White Health Plan$19,3681.4×1
University of Mary Hardin-Baylor$17,7111.3×1

From the hospital's price-transparency file (2026-06-29); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-06-29); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 6.8%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 25 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Baylor Medical Center at Frisco for a knee or hip replacement?

In 2024 the average total payment to Baylor Medical Center at Frisco for an inpatient hip or knee replacement stay was $13,670 (MS-DRG 470, 30 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,727 per outpatient case (APC 5115, 303 cases).

What is Baylor Medical Center at Frisco's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $67,551, 4.9× 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 Baylor Medical Center at Frisco?

Yes for Medicare facility payments. Baylor Scott and White Sports Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,879 by Medicare for a knee replacement (CPT 27447), $4,791 less than an inpatient stay at Baylor Medical Center at Frisco. Not every patient is a surgery-center candidate.

How does Baylor Medical Center at Frisco compare with other Texas hospitals?

Baylor Medical Center at Frisco's average total payment per Medicare stay is lower than 74% of the 77 Texas hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Baylor Medical Center at Frisco 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 $24,917 across 9 insurers, ranging from $17,711 to $38,671.