Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota in Texas
MS-DRG 469: Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota
$244,812typical hospital bill
$22,456typical amount paid
$21,917–$24,055range paid across 5 hospitals
Texas hospitals billed Medicare a typical $244,812 for this stay in 2024, about 10.9 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Methodist Hospital Stone Oak | San Antonio | 25 | $219,181 | $21,917 | |
| Texas Orthopedic Hospital | Houston | 13 | $421,999 | $21,996 | |
| Baptist Medical Center | San Antonio | 13 | $244,812 | $22,456 | |
| Methodist Hospital | San Antonio | 19 | $230,345 | $22,703 | |
| Medical City Plano | Plano | 13 | $496,433 | $24,055 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.