CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: The Heart Hospital Baylor Denton

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$21,217
about 1.5× the $14,044 Medicare rate · typically $16,012–$27,644
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,893
About the fair price
about $676 over the fair price · 1.6× Medicare
Medicare pays $14,044 Fair price $21,217 This hospital $21,893

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 $21,893

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 $21,217 (about 1.5× the $14,044 Medicare rate). The Heart Hospital Baylor Denton charges insurers about $21,893 — about the fair price. Located in Denton, 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 $14,975 - $63,475 107%
Blue Cross Blue Shieldmajor $13,673 - $30,493 97%
Aetnamajor $34,763 248%
Cignamajor $23,356 - $27,477 166%
Humanamajor $13,022 - $34,953 93%
Ambetter (Centene) $29,430 210%
Baylor Scott & White $12,371 - $23,440 88%
Cigna HealthSpring $13,673 97%
Health Net $25,749 183%
+ 4 smaller / regional plans $13,673 - $35,742
Government programs also on file: Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2801 South Mayhill Road, Denton, TX 76208
  • CMS Rating: ★★★★★
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals