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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,367 | $51,693 | 3.9× | $11,388 |
| Shoulder replacement | — | — | — | $16,332 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $21,930 | 1.6× | $13,955–$33,227 | 16 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Evry Health | $33,227 | 2.5× | 1 |
| Velocity | $33,227 | 2.5× | 1 |
| Aetna | $32,178 | 2.4× | 1 |
| BCBS TX | $27,220 | 2.0× | 1 |
| Imperial Insurance Companies | $23,923 | 1.8× | 1 |
| Friday Health Plan | $22,594 | 1.7× | 1 |
| 90 Degree Benefit | $21,930 | 1.6× | 1 |
| Allied National | $21,930 | 1.6× | 1 |
| Entrust/90 Degree | $21,930 | 1.6× | 1 |
| Cigna | $21,683 | 1.6× | 1 |
| Web TPA | $21,683 | 1.6× | 1 |
| Sana Benefits | $19,936 | 1.5× | 1 |
| Bright Healthcare | $19,502 | 1.5× | 1 |
| Oscar | $18,607 | 1.4× | 1 |
| Alternative Service Concepts | $16,613 | 1.2× | 1 |
| Globalhealth | $13,955 | 1.0× | 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.
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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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).
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.
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.
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.
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.