CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Texas Health Hospital Frisco

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$22,489
about 1.6× the $14,044 Medicare rate · typically $15,519–$33,057
modeled estimate · not a bill or quote
What this hospital charges insurers
$32,059
Above the fair price
about $9,570 over the fair price · 2.3× Medicare
Medicare pays $14,044 Fair price $22,489 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 $22,489 (about 1.6× the $14,044 Medicare rate). Texas Health Hospital Frisco charges insurers about $32,059 — above the fair price. Located in Frisco, 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 $22,489. 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 $15,400 - $65,689 110%
Blue Cross Blue Shieldmajor $13,874 - $156,625 99%
Aetnamajor $32,059 - $42,744 228%
Cignamajor $45,593 - $63,081 325%
Humanamajor $14,429 103%
Amerigroup $14,567 104%
Cigna HealthSpring $14,151 101%
Molina $14,567 104%
WellCare $14,567 - $15,261 104%
+ 2 smaller / regional plans $13,874 - $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: 12400 N Dallas Parkway, Frisco, TX 75033
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals