Mc Kinney, TX 75071 · CMS Certification Number 670082. 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 | $14,274 | $58,112 | 4.1× | $11,549 |
| Shoulder replacement | — | — | — | $16,735 |
| Hip replacement after a fracture (DRG 522) | $13,785 | $77,635 | 5.6× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $24,917 | 1.7× | $17,711–$38,671 | 11 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $38,671 | 2.7× | 1 |
| HealthSmart (rental network) | $37,762 | 2.6× | 1 |
| MultiPlan/PHCS (rental network) | $37,529 | 2.6× | 1 |
| Humana | $37,122 | 2.6× | 1 |
| Aetna | $36,226 | 2.5× | 1 |
| Mark Cuban | $28,729 | 2.0× | 1 |
| Cigna | $28,671 | 2.0× | 1 |
| BCBS TX | $24,917 | 1.7× | 1 |
| Employers Health Network | $24,571 | 1.7× | 1 |
| Sedgwick | $21,845 | 1.5× | 1 |
| Imagine Health | $20,558 | 1.4× | 1 |
| Baylor Scott & White Health Plan | $19,368 | 1.4× | 1 |
| University of Mary Hardin-Baylor | $17,711 | 1.2× | 1 |
From the hospital's price-transparency file (2026-06-29); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-06-29); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 192 beds
Texas has no certificate-of-need law.
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In 2024 the average total payment to Baylor Scott and White Medical Center McKinney for an inpatient hip or knee replacement stay was $14,274 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,549 per outpatient case (APC 5115, 146 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $58,112, 4.1× 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. Medical City Surgery Center McKinney, an orthopedic surgery center 6.0 mi away, is paid about $8,879 by Medicare for a knee replacement (CPT 27447), $5,395 less than an inpatient stay at Baylor Scott and White Medical Center McKinney. Not every patient is a surgery-center candidate.
Baylor Scott and White Medical Center McKinney's average total payment per Medicare stay is lower than 56% 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 $24,917 across 11 insurers, ranging from $17,711 to $38,671.