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Partial knee replacement in Texas: what insurers pay

Posted commercial rates at 55 Texas hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27446

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center Austin Austin$11,4250.9×12026-01-01
Houston Methodist Hospital Houston$15,0841.2×42026-04-01
Baylor University Medical Center Dallas$17,8471.4×32026-06-29
St David's Medical Center Austin$20,5731.6×52026-09-01
Methodist Hospital San Antonio$22,5681.8×62026-09-01
Medical City Plano Plano$35,3872.7×62026-09-01
Medical City Mckinney McKinney$35,3872.7×62026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$41,8153.2×22026-04-21

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Dell Seton Med Center At The University Of Tx Austin$11,4740.8×12026-01-01
Ascension Seton Southwest Austin$11,4740.8×12026-01-01
Ascension Seton Northwest Austin$11,4740.8×12026-01-01
Cedar Park Regional Medical Center Cedar Park$11,4740.8×12026-01-01
Ascension Seton Hays Kyle$11,4740.8×12026-01-01
Ascension Seton Medical Center Austin Austin$12,5590.9×12026-01-01
Mission Regional Medical Center Mission$14,0421.0×12026-09-01
Chi St Luke's Health Brazosport Lake Jackson$14,4451.1×22026-02-28
Harlingen Medical Center Harlingen$17,5341.3×22026-09-01
St David's Medical Center Austin$19,3681.4×62026-09-01
Round Rock Medical Center Round Rock$19,3681.4×62026-09-01
St David's South Austin Medical Center Austin$19,6001.4×62026-09-01
North Austin Medical Center Austin$19,6341.4×62026-09-01
Knapp Medical Center Weslaco$20,2551.5×12026-09-01
St. Luke's Health The Woodlands Hospital The Woodlands$22,0501.6×52026-02-28
St. Luke's Health Sugar Land Hospital Sugar Land$22,7231.6×52026-02-28
Valley Regional Medical Center Brownsville$23,2621.7×62026-09-01
Methodist Mansfield Medical Center Mansfield$24,3381.8×42026-03-21
Hca Houston Healthcare Clear Lake Webster$25,4031.8×52026-09-01
Baylor St. Luke's Medical Center Houston$26,1331.9×52026-02-28
Doctors Hospital at Renaissance Edinburg$26,3811.9×32026-04-01
Hca Houston Healthcare Conroe Conroe$27,3602.0×52026-09-01
Hca Houston Healthcare Medical Center Houston$27,3602.0×52026-09-01
Hca Houston Healthcare Tomball Tomball$27,3602.0×52026-09-01
Cornerstone Regional Hospital Edinburg$27,9622.0×42026-09-01
Hca Houston Healthcare Southeast Pasadena$28,0502.0×52026-09-01
Hca Houston Healthcare Northwest Houston$28,0502.0×52026-09-01
Hca Houston Healthcare Kingwood Kingwood$28,0502.0×52026-09-01
Methodist Hospital San Antonio$28,5832.1×52026-09-01
Methodist Hospital Stone Oak San Antonio$28,5832.1×52026-09-01
Houston Methodist Sugar Land Hospital Sugar Land$28,6302.1×42026-04-01
Houston Methodist West Hospital Houston$28,6302.1×42026-04-01
Houston Methodist The Woodlands Hospital The Woodlands$28,6302.1×42026-04-01
University Health System San Antonio$29,6502.1×22025-10-14
Rio Grande Regional Hospital McAllen$31,1682.3×52026-09-01
Houston Methodist Baytown Hospital Baytown$32,7102.4×42026-04-01
Scott & White Hospital-Round Rock Round Rock$34,7202.5×62026-06-13
Baylor Scott & White Medical Center ? Pflugerville Pflugerville$34,7202.5×62026-06-13
Baylor Scott & White Medical Center- Austin Austin$34,7202.5×62026-06-13
Baylor University Medical Center Dallas$36,2262.6×62026-06-29
Baylor Scott & White Medical Center - Irving Irving$36,2262.6×62026-06-29
Baylor Scott And White Medical Center Uptown Dallas$36,2262.6×62026-06-29
Baylor Scott & White Medical Center - Grapevine Grapevine$36,2262.6×62026-06-29
Baylor Scott & White Medical Center - Lake Pointe Rowlett$36,2262.6×62026-06-29
Baylor Scott & White Medical Center - McKinney Mc Kinney$36,2262.6×62026-06-29
Medical City Plano Plano$44,1903.2×62026-09-01
Medical City Dallas Dallas$44,1903.2×62026-09-01
Houston Methodist Hospital Houston$44,5893.2×62026-04-01
Medical City Mckinney McKinney$45,3953.3×62026-09-01
UT Southwestern William P. Clements Jr. University Hospital Dallas$46,4083.4×42026-03-10
Medical City Weatherford Weatherford$46,7303.4×62026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$46,9363.4×42026-04-21
Texas Health Presbyterian Hospital Plano Plano$46,9363.4×42026-04-21
Medical City Fort Worth Fort Worth$48,0383.5×62026-09-01
Medical City Denton Denton$48,6113.5×62026-09-01

Questions

How much do insurers pay for partial knee replacement in Texas?

55 Texas hospitals post usable commercial rates for partial knee replacement in their federal price-transparency files. For CPT 27446, hospital outpatient, the median across 8 hospitals is $21,571, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.