CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Texas Health Harris Methodist Hospital Southlake

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$22,500
about 1.6× the $14,044 Medicare rate · typically $15,312–$32,425
modeled estimate · not a bill or quote
What this hospital charges insurers
$32,059
Above the fair price
about $9,559 over the fair price · 2.3× Medicare
Medicare pays $14,044 Fair price $22,500 This hospital $32,059

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 $32,059

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 $22,500 (about 1.6× the $14,044 Medicare rate). Texas Health Harris Methodist Hospital Southlake charges insurers about $32,059 — above the fair price. Located in Southlake, 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 $22,500. 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

✓ 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 $14,908 - $65,689 106%
Blue Cross Blue Shieldmajor $13,430 - $156,625 96%
Aetnamajor $32,059 - $42,744 228%
Cignamajor $45,593 - $63,081 325%
Humanamajor $13,968 99%
Amerigroup $14,102 100%
Cigna HealthSpring $13,699 98%
Molina $14,102 100%
WellCare $14,102 - $14,774 100%
+ 2 smaller / regional plans $13,430 - $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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1545 E Southlake Blvd, Southlake, TX 76092
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals