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Texas Health Presbyterian Hospital Rockwall: what a joint replacement costs

Rockwall, TX 75032 · CMS Certification Number 670044. 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
Texas Health Surgery Center Rockwall, same ZIP
Outpatient here
$11,658
Medicare allowed amount, 118 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Texas Health Presbyterian Hospital Rockwall

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,658
Shoulder replacement———$16,735
Hip replacement after a fracture (DRG 522)$13,502$73,9635.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$45,593—$37,402–$50,0365
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
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: 5 of 5 stars. For-profit · Acute · 61 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Texas Health Presbyterian Hospital Rockwall for a knee or hip replacement?

The Medicare allowed amount averaged $11,658 per outpatient hip or knee replacement case (APC 5115, 118 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Texas Health Presbyterian Hospital Rockwall?

Yes for Medicare facility payments. Texas Health Surgery Center Rockwall, 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 Rockwall 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.