CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Hill Country Memorial Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,589
about 1.4× the $14,044 Medicare rate · typically $15,203–$27,768
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,428
Above the fair price
about $5,839 over the fair price · 1.8× Medicare
Medicare pays $14,044 Fair price $19,589 This hospital $25,428

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 $25,428

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 $19,589 (about 1.4× the $14,044 Medicare rate). Hill Country Memorial Hospital charges insurers about $25,428 — above the fair price. Located in Fredericksburg, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19,589. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $2,988 - $33,779 21%
Blue Cross Blue Shieldmajor $15,971 - $50,280 114%
Aetnamajor $2,775 - $15,763 20%
Cignamajor $4,062 - $38,382 29%
Healthcare Highways $25,461 181%
Molina $25,394 181%
WellCare $16,290 116%
WellMed $15,396 110%
+ 4 smaller / regional plans $15,811 - $26,326
Government programs also on file: Medicaid, Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1020 South State Highway 16, Fredericksburg, TX 78624
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals