CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: South Texas Health System

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,608
about 1.3× the $14,044 Medicare rate · typically $14,166–$21,854
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,931
Below the fair price — a good deal
about $2,677 under the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $17,608 This hospital $14,931

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $8,277 Priciest $14,931

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $17,608 (about 1.3× the $14,044 Medicare rate). South Texas Health System charges insurers about $14,931 — below the fair price — a good deal. Located in Edinburg, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $14,615 - $28,194 104%
Blue Cross Blue Shieldmajor $14,473 - $21,581 103%
Aetnamajor $14,615 - $15,099 104%
Cignamajor $14,615 - $35,717 104%
Humanamajor $14,189 - $38,653 101%
Molina $14,899 - $19,156 106%
WellMed $14,479 103%
+ 3 smaller / regional plans $14,189 - $27,372

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Facility Profile & Credentials

  • Address: 1102 W Trenton Road, Edinburg, TX 78539
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals