Mansfield, TX 76063 · CMS Certification Number 670023. 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 | $14,281 | $44,969 | 3.1× | $11,866 |
| Shoulder replacement | — | — | — | $16,789 |
| Hip replacement after a fracture (DRG 522) | $15,410 | $68,009 | 4.4× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $26,594 | 1.9× | $16,118–$43,518 | 21 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Dart Member Care | $43,518 | 3.0× | 1 |
| Healthscope Benefits | $43,518 | 3.0× | 1 |
| BCBS TX | $40,788 | 2.9× | 1 |
| Evry Health | $40,294 | 2.8× | 1 |
| Medical Cost Containment Professionals | $40,294 | 2.8× | 1 |
| Velocity | $40,294 | 2.8× | 1 |
| Imperial Insurance Companies | $29,012 | 2.0× | 1 |
| Friday Health Plan | $27,400 | 1.9× | 1 |
| 90 Degree Benefit | $26,594 | 1.9× | 1 |
| Allied National | $26,594 | 1.9× | 1 |
| Entrust/90 Degree | $26,594 | 1.9× | 1 |
| Aetna | $26,111 | 1.8× | 1 |
| Sana Benefits | $24,177 | 1.7× | 1 |
| Kempton Group Administrators, Tower Extrusions | $23,147 | 1.6× | 1 |
| Oscar | $22,565 | 1.6× | 1 |
| Cigna | $21,683 | 1.5× | 1 |
| Web TPA | $21,683 | 1.5× | 1 |
| Alternative Service Concepts | $20,147 | 1.4× | 1 |
| Bright Healthcare | $19,502 | 1.4× | 1 |
| Globalhealth | $16,924 | 1.2× | 1 |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $16,118 | 1.1× | 1 |
From the hospital's price-transparency file (2026-03-21); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-21); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 294 beds
Texas has no certificate-of-need law.
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In 2024 the average total payment to Methodist Mansfield Medical Center for an inpatient hip or knee replacement stay was $14,281 (MS-DRG 470, 20 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,866 per outpatient case (APC 5115, 78 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $44,969, 3.1× 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. Methodist Mansfield Ambulatory Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,908 by Medicare for a knee replacement (CPT 27447), $5,373 less than an inpatient stay at Methodist Mansfield Medical Center. Not every patient is a surgery-center candidate.
Methodist Mansfield Medical Center's average total payment per Medicare stay is lower than 55% 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 $26,594 across 21 insurers, ranging from $16,118 to $43,518.