CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Valley Regional Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,597
about 1.3× the $14,044 Medicare rate · typically $14,869–$20,125
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,092
About the fair price
about $2,495 over the fair price · 1.5× Medicare
Medicare pays $14,044 Fair price $18,597 This hospital $21,092

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 $21,092

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 $18,597 (about 1.3× the $14,044 Medicare rate). Valley Regional Medical Center charges insurers about $21,092 — about the fair price. Located in Brownsville, 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 $2,533 - $41,688 18%
Blue Cross Blue Shieldmajor $17,577 - $51,584 125%
Aetnamajor $12,976 - $27,933 92%
Cignamajor $17,401 - $40,088 124%
Humanamajor $16,786 - $46,693 120%
Independent Health $18,456 131%
Molina $19,159 - $25,975 136%
Oscar Health $24,015 171%
WellMed $17,928 128%
+ 10 smaller / regional plans $17,577 - $27,244
Government programs also on file: Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 100 A Alton Gloor, Brownsville, TX 78526
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals