Revision of Hip or Knee Replacement with Mcc in Texas
MS-DRG 466: Revision of hip or knee replacement with mcc
$317,750typical hospital bill
$49,567typical amount paid
$38,525–$51,645range paid across 4 hospitals
Texas hospitals billed Medicare a typical $317,750 for this stay in 2024, about 6.4 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 | |
|---|---|---|---|---|---|
| Texas Health Presbyterian Hospital Dallas | Dallas | 13 | $280,779 | $38,525 | |
| Baylor University Medical Center | Dallas | 13 | $126,712 | $48,685 | |
| Houston Methodist Hospital | Houston | 12 | $354,721 | $50,449 | |
| Medical City Plano | Plano | 32 | $921,876 | $51,645 |
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.