Hip or knee replacement (inpatient stay)
Facility: Texas Health Presbyterian Hospital Plano
Billing Code: 470 (MS-DRG)
Highest price of the 9 TX hospitals we have prices for — worth calling around.
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 $22,489 (about 1.6× the $14,044 Medicare rate). Texas Health Presbyterian Hospital Plano charges insurers about $32,059 — above the fair price. Located in Plano, 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 $22,489. 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.
5 of 6 major insurers have a published price at this hospital
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 | $17,684 - $65,689 | 126% |
| Blue Cross Blue Shieldmajor | $15,932 - $156,625 | 113% |
| Aetnamajor | $32,059 - $42,744 | 228% |
| Cignamajor | $45,593 - $63,081 | 325% |
| Humanamajor | $16,569 | 118% |
| Amerigroup | $16,728 | 119% |
| Cigna HealthSpring | $16,251 | 116% |
| Molina | $16,728 | 119% |
| WellCare | $16,728 - $17,525 | 119% |
| + 2 smaller / regional plans | $15,932 - $38,223 |
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.
Other Procedures at Texas Health Presbyterian Hospital Plano
Compare: Hip or knee replacement (inpatient stay) at other TX hospitals
- Childrens Medical Ctr of Dallas · Dallas $8,277
- Childrens Medical Center Plano · Plano $8,277
- Yoakum Community Hospital · Yoakum $10,446
- Coon Memorial Hospital · Dalhart $11,018
- Dell Seton Med Center at the University of Tx · Austin $11,474
- Northwest Hills Surgical Hospital · Austin $11,474
- Ascension Seton Highland Lakes · Burnet $11,474
- Ascension Seton Edgar B Davis · Luling $11,474
Insurance negotiated median for the same procedure, sorted lowest first.