CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Cornerstone Regional Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,795
about 1.2× the $14,044 Medicare rate · typically $14,115–$19,847
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,151
Below the fair price — a good deal
about $4,644 under the fair price · 0.9× Medicare
Medicare pays $14,044 Fair price $16,795 This hospital $12,151

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 $12,151

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 $16,795 (about 1.2× the $14,044 Medicare rate). Cornerstone Regional Hospital charges insurers about $12,151 — below the fair price — a good deal. Located in Edinburg, 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 $8,578 - $30,204 61%
Blue Cross Blue Shieldmajor $12,151 - $17,568 87%
Aetnamajor $12,151 - $22,601 87%
Cignamajor $33,323 237%
Humanamajor $12,151 - $38,029 87%
Ambetter (Centene) $12,151 87%
Molina $8,578 - $12,151 61%
WellMed $12,151 87%
+ 5 smaller / regional plans $8,578 - $17,855

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Facility Profile & Credentials

  • Address: 2302 Cornerstone Boulevard, Edinburg, TX 78539
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals