Harlingen, TX 78550 · CMS Certification Number 450855. 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 | $13,739 | $100,831 | 7.3× | $11,406 |
| Shoulder replacement | — | — | — | — |
| Payer | Median negotiated, MS-DRG 470 | × Medicare | Plans |
|---|---|---|---|
| Other | $19,989 | 1.5× | 9 |
| Aetna | $19,692 | 1.4× | 1 |
| Humana | $15,376 | 1.1× | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 112 beds
Texas has no certificate-of-need law.
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In 2024 Medicare paid Harlingen Medical Center an average of $13,739 per inpatient hip or knee replacement stay (MS-DRG 470, 22 stays) and $11,406 per outpatient case (APC 5115, 28 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $100,831, 7.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Sportsortho Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,184 by Medicare for a knee replacement (CPT 27447), $5,555 less than an inpatient stay at Harlingen Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Harlingen Medical Center less than 71% of the 77 Texas hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' median negotiated rates for MS-DRG 470 range from $15,376 (Humana) to $19,989 (Other).