CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Shriners Hospitals for Children

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$18,630
about 1.3× the $14,044 Medicare rate · typically $9,174–$40,323
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,205
About the fair price
about $1,575 over the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $18,630 This hospital $20,205

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 $20,205

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 $18,630 (about 1.3× the $14,044 Medicare rate). Shriners Hospitals for Children charges insurers about $20,205 — about the fair price. Located in Galveston, 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✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 $20,205 144%
Aetnamajor $2,061 15%
Ambetter (Centene) $2,061 - $2,765 15%
AmeriHealth $2,061 15%
Providence Health Plan $14,943 106%
+ 1 smaller / regional plan $24,704
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 815 Market Street, Galveston, TX 77550
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens