CMS Price Transparency Data
Hip or knee replacement (inpatient stay)
Facility: Texas Health Specialty Hospital Forth Worth
Billing Code: 470 (MS-DRG)
The BaseRate · fair price medium confidence
A fair price for this
$25,744
about 1.8× the $14,044 Medicare rate · typically $12,479–$49,171
modeled estimate · not a bill or quote
Medicare pays $14,044 Fair price $25,744
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 | $106,368 - $108,285 | 757% |
| Blue Cross Blue Shieldmajor | $95,827 | 682% |
| Humanamajor | $99,660 | 710% |
| Amerigroup | $100,618 | 716% |
| Cigna HealthSpring | $97,744 | 696% |
| Molina | $100,618 | 716% |
| WellCare | $100,618 - $105,410 | 716% |
| + 1 smaller / regional plan | $95,827 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Texas Health Specialty Hospital Forth Worth
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
- 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
- Ascension Seton Edgar B Davis · Luling $11,474
Insurance negotiated median for the same procedure, sorted lowest first.