Hip or knee replacement (inpatient stay)
Facility: North Austin Medical Center
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 $14,942 (about 1.1× the $14,044 Medicare rate). North Austin Medical Center charges insurers about $18,405 — above the fair price. Located in Austin, 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 $14,942. 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 | $2,781 - $27,735 | 20% |
| Blue Cross Blue Shieldmajor | $16,731 - $56,272 | 119% |
| Aetnamajor | $3,463 - $17,903 | 25% |
| Cignamajor | $4,236 - $38,603 | 30% |
| Humanamajor | $17,903 | 127% |
| Devoted Health | $17,066 | 122% |
| Healthcare Highways | $24,219 - $24,711 | 172% |
| Independent Health | $18,572 | 132% |
| Moda Health | $14,382 - $26,630 | 102% |
| Molina | $18,237 | 130% |
| Oscar Health | $14,968 - $16,506 | 107% |
| WellCare | $18,572 | 132% |
| WellMed | $16,514 | 118% |
| + 31 smaller / regional plans | $15,058 - $31,892 |
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 North Austin Medical Center
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.