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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,739 | $100,831 | 7.3× | $11,406 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $19,989 | 1.5× | $15,376–$26,909 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Baker Benefits Administrators | $26,909 | 2.0× | 1 |
| Texas BlueBonnett Health Plan | $25,371 | 1.8× | 1 |
| Asserta Health | $19,989 | 1.5× | 1 |
| Employer Direct Healthcare | $19,989 | 1.5× | 1 |
| Friday Health Plan | $19,989 | 1.5× | 1 |
| Magic Valley Electric Cooperative | $19,989 | 1.5× | 1 |
| Aetna | $19,692 | 1.4× | 1 |
| Humana | $15,376 | 1.1× | 1 |
| San Benito Medical Associates | $15,376 | 1.1× | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
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.
Open the interactive price tagBuild a reportAll Texas hospitals
In 2024 the average total payment to Harlingen Medical Center for an inpatient hip or knee replacement stay was $13,739 (MS-DRG 470, 22 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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.
Harlingen Medical Center's average total payment per Medicare stay is lower than 71% of the 77 Texas hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $19,989 across 9 insurers, ranging from $15,376 to $26,909.