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Methodist McKinney Hospital: what a joint replacement costs

McKinney, TX 75070 · CMS Certification Number 670069. 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
Stonebridge Surgery Center, same ZIP
Outpatient here
$11,388
Medicare allowed amount, 175 cases, APC 5115
Inpatient here
$13,367
Avg total payment (incl. patient share), 52 Medicare stays, MS-DRG 470

Medicare prices at Methodist McKinney Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,367$51,6933.9×$11,388
Shoulder replacement———$16,332

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$21,9301.6×$13,955–$33,22716
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Evry Health$33,2272.5×1
Velocity$33,2272.5×1
Aetna$32,1782.4×1
BCBS TX$27,2202.0×1
Imperial Insurance Companies$23,9231.8×1
Friday Health Plan$22,5941.7×1
90 Degree Benefit$21,9301.6×1
Allied National$21,9301.6×1
Entrust/90 Degree$21,9301.6×1
Cigna$21,6831.6×1
Web TPA$21,6831.6×1
Sana Benefits$19,9361.5×1
Bright Healthcare$19,5021.5×1
Oscar$18,6071.4×1
Alternative Service Concepts$16,6131.2×1
Globalhealth$13,9551.0×1

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.

Quality

Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 6.3%. Physician-owned · Acute · 23 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Methodist McKinney Hospital for a knee or hip replacement?

In 2024 the average total payment to Methodist McKinney Hospital for an inpatient hip or knee replacement stay was $13,367 (MS-DRG 470, 52 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,388 per outpatient case (APC 5115, 175 cases).

What is Methodist McKinney Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $51,693, 3.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Methodist McKinney Hospital?

Yes for Medicare facility payments. Stonebridge Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,879 by Medicare for a knee replacement (CPT 27447), $4,488 less than an inpatient stay at Methodist McKinney Hospital. Not every patient is a surgery-center candidate.

How does Methodist McKinney Hospital compare with other Texas hospitals?

Methodist McKinney Hospital's average total payment per Medicare stay is lower than 79% of the 77 Texas hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Methodist McKinney Hospital 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 $21,930 across 16 insurers, ranging from $13,955 to $33,227.