CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Palestine Regional Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,449
about 1.2× the $14,044 Medicare rate · typically $13,994–$19,955
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,387
About the fair price
about $62 under the fair price · 1.2× Medicare
Medicare pays $14,044 Fair price $16,449 This hospital $16,387

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 $16,387

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 $16,449 (about 1.2× the $14,044 Medicare rate). Palestine Regional Medical Center charges insurers about $16,387 — about the fair price. Located in Palestine, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $16,387 117%
Blue Cross Blue Shieldmajor $12,571 - $16,387 90%
Humanamajor $16,387 117%
Ambetter (Centene) $16,715 - $19,664 119%
Baylor Scott & White $16,387 117%
+ 1 smaller / regional plan $16,387

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Facility Profile & Credentials

  • Address: 2900 S Loop 256, Palestine, TX 75801
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals