CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Baylor Scott & White Texas Spine & Joint Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$14,602
about 1.0× the $14,044 Medicare rate · typically $12,743–$18,183
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,698
Below the fair price — a good deal
about $1,904 under the fair price · 0.9× Medicare
Medicare pays $14,044 Fair price $14,602 This hospital $12,698

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 $12,698

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 $14,602 (about 1.0× the $14,044 Medicare rate). Baylor Scott & White Texas Spine & Joint Hospital charges insurers about $12,698 — below the fair price — a good deal. Located in Tyler, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $12,637 - $16,181 90%
Blue Cross Blue Shieldmajor $11,265 - $18,259 80%
+ 1 smaller / regional plan $12,637

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Facility Profile & Credentials

  • Address: 1814 Roseland Boulevard, Tyler, TX 75701
  • CMS Rating: ★★★★★
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals