Addison, TX 75001 · CMS Certification Number 670073. 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 | — | — | — | $11,741 |
| Shoulder replacement | — | — | — | $16,256 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $20,997 | — | $13,998–$33,328 | 12 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Evry Health | $33,328 | — | 1 |
| Velocity | $33,328 | — | 1 |
| Friday Health Plan | $22,663 | — | 1 |
| 90 Degree Benefit | $21,997 | — | 1 |
| Allied National | $21,997 | — | 1 |
| Entrust/90 Degree | $21,997 | — | 1 |
| Sana Benefits | $19,997 | — | 1 |
| Bright Healthcare | $19,502 | — | 1 |
| Oscar | $18,664 | — | 1 |
| Alternative Service Concepts | $16,664 | — | 1 |
| Imperial Insurance Companies | $14,264 | — | 1 |
| Globalhealth | $13,998 | — | 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: 4.1% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 32 beds
Texas has no certificate-of-need law.
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The Medicare allowed amount averaged $11,741 per outpatient hip or knee replacement case (APC 5115, 232 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Dallas Joint and Spine Center LLC, 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.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $20,997 across 12 insurers, ranging from $13,998 to $33,328.