Southlake, TX 76092 · CMS Certification Number 670132. 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 | — | — | — | $11,866 |
| Shoulder replacement | — | — | — | $15,466 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,971 | — | $14,506–$40,788 | 22 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS TX | $40,788 | — | 1 |
| Dart Member Care | $37,301 | — | 1 |
| Healthscope Benefits | $37,301 | — | 1 |
| Evry Health | $34,538 | — | 1 |
| Health Plans | $34,538 | — | 1 |
| Medical Cost Containment Professionals | $34,538 | — | 1 |
| Velocity | $34,538 | — | 1 |
| Aetna | $28,112 | — | 1 |
| Imperial Insurance Companies | $24,867 | — | 1 |
| Friday Health Plan | $23,486 | — | 1 |
| Kempton Group Administrators, Tower Extrusions | $23,147 | — | 1 |
| 90 Degree Benefit | $22,795 | — | 1 |
| Allied National | $22,795 | — | 1 |
| Entrust/90 Degree | $22,795 | — | 1 |
| UnitedHealthcare | $22,260 | — | 1 |
| Cigna | $21,683 | — | 1 |
| Web TPA | $21,683 | — | 1 |
| Sana Benefits | $20,723 | — | 1 |
| Bright Healthcare | $19,502 | — | 1 |
| Oscar | $19,341 | — | 1 |
| Alternative Service Concepts | $17,269 | — | 1 |
| Globalhealth | $14,506 | — | 1 |
From the hospital's price-transparency file (2026-03-23); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-23); commercial plans, dollar-amount contracts only.
For-profit · Acute · 54 beds
Texas has no certificate-of-need law.
Open the interactive price tagBuild a reportAll Texas hospitals
The Medicare allowed amount averaged $11,866 per outpatient hip or knee replacement case (APC 5115, 50 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Baylor Scott and White Surgicare Southlake, an orthopedic surgery center same ZIP away, is paid about $8,908 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 $22,971 across 22 insurers, ranging from $14,506 to $40,788.