Hip or knee replacement (inpatient stay)
Facility: Memorial Medical Center
Billing Code: 470 (MS-DRG)
This hospital's typical commercial price is $9,356 compared to the $18,355 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.51× fair market pricing.
A typical price — 5 charge more and 3 charge less, among the 9 TX hospitals compared.
Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Hip or knee replacement (inpatient stay) is about $18,355 (about 1.3× the $14,044 Medicare rate). Memorial Medical Center charges insurers about $9,356, or about $34,208 in cash — below the fair price — a good deal. Located in Port Lavaca, TX.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 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 | $7,523 - $32,742 | 54% |
| Blue Cross Blue Shieldmajor | $9,082 - $10,092 | 65% |
| Aetnamajor | $32,909 | 234% |
| Humanamajor | $39,094 | 278% |
| Amerigroup | $32,742 | 233% |
| Health Net | $39,094 | 278% |
| Healthcare Highways | $25,843 | 184% |
| Molina | $32,742 | 233% |
| + 8 smaller / regional plans | $32,742 - $41,538 |
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 Memorial 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
- Columbus Community Hospital · Columbus $9,241
- 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
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Memorial Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $17,739
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $17,739).
Self-Pay Cash Rate ($34,208) Beats Your Bill
Memorial Medical Center's published 45 CFR § 180 self-pay cash rate is $34,208 (vs. $9,356 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $18,355 Fair BaseRate ($14,044 Medicare)
Your bill ($48,868) is $30,513 above the denoised Fair BaseRate ($18,355) and 3.5× the $14,044 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.