CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: The Medical Center of Southeast Texas

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,637
about 1.1× the $14,044 Medicare rate · typically $13,643–$16,042
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,088
About the fair price
about $451 over the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $15,637 This hospital $16,088

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 $16,088

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 $15,637 (about 1.1× the $14,044 Medicare rate). The Medical Center of Southeast Texas charges insurers about $16,088 — about the fair price. Located in Port Arthur, 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 $3,838 - $18,827 27%
Blue Cross Blue Shieldmajor $10,396 - $16,088 74%
Aetnamajor $21,136 150%
Cignamajor $15,687 - $16,968 112%
Humanamajor $14,275 - $65,401 102%
Amerigroup $14,793 105%
Cigna HealthSpring $14,793 105%
Molina $15,089 - $20,333 107%
WellCare $15,532 111%
+ 12 smaller / regional plans $14,793 - $29,142
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals