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Texas Health Presbyterian Hospital Flower Mound: what a joint replacement costs

Flower Mound, TX 75028 · CMS Certification Number 670068. 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 Orthopedic Surgery Center Flower Moun, same ZIP
Outpatient here
$11,766
Medicare allowed amount, 304 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Texas Health Presbyterian Hospital Flower Mound

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,766
Shoulder replacement———$16,025

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 · 99 beds

Texas has no certificate-of-need law.

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Questions

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

The Medicare allowed amount averaged $11,766 per outpatient hip or knee replacement case (APC 5115, 304 cases) in 2024. Inpatient stays were too few to report.

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

Yes for Medicare facility payments. Texas Health Orthopedic Surgery Center Flower Moun, 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 Flower Mound 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.