DRG 470 · Musculoskeletal

Hip & Knee Replacement Cost in Texas — Compare All Hospitals

Major joint replacement or reattachment of the lower extremity — most commonly elective hip or knee replacement surgery.

State average
$79,006
gross charge · DRG 470
Hospitals
31
with published pricing
Price range
$10,446 – $166,580
low to high
Lowest $10,446 Highest $166,580

31 Texas hospitals publish gross charges for hip & knee replacement (DRG 470). Prices range from $10,446 to $166,580 — roughly 16×. The cheapest is Yoakum Community Hospital in Yoakum; the most expensive is Hill Regional Hospital in Hillsboro. The state average sits at $79,006.

The number you see is each hospital's published "list price" — the gross charge for the facility component of hip & knee replacement. Insurance plans negotiate substantial discounts, Medicare and Medicaid pay fixed federal rates, and uninsured patients can usually qualify for a cash-pay discount. But the gross charge still works as a useful benchmark: a hospital that lists hip & knee replacement at twice the price of another typically negotiates higher rates with insurers too, and quotes more for uninsured patients.

If you're scheduling hip & knee replacement in Texas, sort the list below by price, then click each hospital name to see its quality profile — CMS overall star rating, surgical-safety measures, readmission rates, patient-experience scores. The cheapest hospital isn't always the right call. Teaching hospitals often charge more because they take complex cases, and a higher-rated community hospital may deliver equivalent outcomes for a straightforward case at a lower price. Use the price column to narrow the field; use the quality data to make the final call.

Pricing comes from each hospital's Machine-Readable File (MRF), published under the federal Hospital Price Transparency Rule. Texas hospitals missing from the list either don't perform hip & knee replacement in volume, haven't published a usable price for DRG 470 in their most recent MRF, or fell below our data-quality thresholds (we filter out clearly erroneous entries like $0 charges). The list refreshes as hospitals update their files.

What this hospital charge usually covers

The gross-charge number above is the hospital's facility bill for hip & knee replacement. Here's what's typically inside that price (typical inpatient stay: 1–3 days):

Included in the hospital bill

  • Operating room time and surgical-team facility fees
  • Inpatient room, nursing, and routine medications during the stay
  • Implant-related facility charges (varies by hospital — sometimes itemized separately)
  • Recovery-room and immediate post-op monitoring
  • On-site physical therapy started during admission

Usually billed separately

  • Surgeon and anesthesiologist professional fees (billed separately, often by an unaffiliated practice)
  • Pre-surgical imaging (MRI/X-ray) and lab work
  • Outpatient physical therapy after discharge
  • Home health visits or skilled nursing facility stays if needed

Quality signals to check before picking a hospital

Price alone won't tell you which hospital does hip & knee replacement best. These are the CMS quality measures that matter most for this specific procedure. Click any hospital below for its full profile, then look for these:

Hip/Knee Complications

Tracks how often patients have a serious surgical or medical complication within 90 days — the single most direct quality signal for this surgery.

Hip/Knee Readmissions

How often patients return to the hospital within 30 days of discharge. Lower means better recovery planning and follow-up.

Surgical-Site Infection (SSI)

Joint replacements carry a real infection risk because implants can't fight bacteria the way native tissue can. Lower SIR is better.

Patient Experience (HCAHPS)

Communication with nurses, pain control, and discharge planning directly affect recovery for major orthopedic surgery.

When the cheapest hospital may not be the best fit

The list below sorts by price. For hip & knee replacement, the lowest price isn't automatically the best fit — these are situations where it's worth weighing additional factors against price. None of the below is medical advice; talk to your doctor about what applies to your specific situation.

Questions to ask your hospital or insurer

The gross charge is the starting point. These are the procedure-specific questions to ask before you commit:

Hospitals ranked by gross charge

  1. 1
    Gross charge $10,446
    Cash pay $6,790
  2. 2

    Wilson N Jones Regional Medical Center

    Sherman, TX

    Gross charge $18,340
    Cash pay $5,502
  3. 3
    Gross charge $30,883
    Cash pay $20,074
  4. 4

    Guadalupe Regional Medical Center

    Seguin, TX

    Gross charge $42,410
  5. 5

    United Regional Health Care System

    Wichita Falls, TX

    Gross charge $44,737
    Cash pay $42,500
  6. 6

    Midland Memorial Hospital

    Midland, TX

    Gross charge $48,602
    Cash pay $12,150
  7. 7

    Methodist Hospital for Surgery

    Addison, TX

    Gross charge $52,087
    Cash pay $31,252
  8. 8

    Hunt Regional Medical Center

    Greenville, TX

    Gross charge $57,939
    Cash pay $37,661
  9. 9

    Methodist Dallas Medical Center

    Dallas, TX

    Gross charge $75,878
    Cash pay $37,939
  10. 10

    Methodist Richardson Medical Center

    Richardson, TX

    Gross charge $75,878
    Cash pay $37,939
  11. 11

    Methodist Charlton Medical Center

    Dallas, TX

    Gross charge $75,878
    Cash pay $37,939
  12. 12

    Methodist Mansfield Medical Center

    Mansfield, TX

    Gross charge $75,878
    Cash pay $37,939
  13. 13

    Methodist Southlake Medical Center

    Southlake, TX

    Gross charge $75,878
    Cash pay $37,939
  14. 14

    Methodist Midlothian Medical Center

    Midlothian, TX

    Gross charge $75,878
    Cash pay $37,939
  15. 15
    Gross charge $75,878
    Cash pay $37,939
  16. 16

    Paris Regional Health

    Paris, TX

    Gross charge $84,271
    Cash pay $29,495
  17. 17

    UT Health Jacksonville

    Jacksonville, TX

    Gross charge $87,208
    Cash pay $8,721
  18. 18

    UT Health Carthage

    Carthage, TX

    Gross charge $87,208
    Cash pay $8,721
  19. 19

    Ut Health East Texas Athens Hospital

    Athens, TX

    Gross charge $87,208
    Cash pay $8,721
  20. 20

    UT Health Henderson

    Henderson, TX

    Gross charge $87,208
    Cash pay $8,721
  21. 21

    UT Health Pittsburg

    Pittsburg, TX

    Gross charge $87,208
    Cash pay $8,721
  22. 22

    UT Health Quitman

    Quitman, TX

    Gross charge $87,208
    Cash pay $8,721
  23. 23
    Gross charge $88,104
    Cash pay $17,621
  24. 24
    Gross charge $88,104
    Cash pay $17,621
  25. 25

    Parkland Health & Hospital System

    Dallas, TX

    Gross charge $97,687
    Cash pay $39,075
  26. 26

    BMC Baytown Hospital

    Baytown, TX

    Gross charge $98,193
  27. 27
    Gross charge $98,193
  28. 28

    Baptist Beaumont Hospital

    Beaumont, TX

    Gross charge $106,820
    Cash pay $13,887
  29. 29
    Gross charge $120,375
    Cash pay $38,831
  30. 30

    Crescent Medical Center Lancaster

    Lancaster, TX

    Gross charge $141,035
    Cash pay $91,673
  31. 31

    Hill Regional Hospital

    Hillsboro, TX

    Gross charge $166,580
  32. 32
    Gross charge
  33. 33
    Gross charge
  34. 34

    Jps Health Network

    Fort Worth, TX

    Gross charge
  35. 35

    Covenant Medical Center

    Lubbock, TX

    Gross charge
  36. 36

    Ascension Providence Hospital

    Waco, TX

    Gross charge
  37. 37
    Gross charge
  38. 38
    Gross charge
  39. 39

    Ascension Seton Medical Center Austin

    Austin, TX

    Gross charge
  40. 40
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  41. 41
    Gross charge
  42. 42

    North Texas Medical Center

    Gainesville, TX

    Gross charge
  43. 43
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  44. 44
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  45. 45
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  46. 46
    Gross charge
  47. 47
    Gross charge
  48. 48

    Grace Surgical Hospital

    Lubbock, TX

    Gross charge
  49. 49
    Gross charge
  50. 50

    Hendrick Medical Center

    Abilene, TX

    Gross charge
  51. 51

    Faith Community Hospital

    Jacksboro, TX

    Gross charge
  52. 52
    Gross charge
  53. 53
    Gross charge
  54. 54
    Gross charge
  55. 55
    Gross charge
  56. 56

    Baylor Scott & White Medical Center - Grapevine

    Grapevine, TX

    Gross charge
  57. 57

    Shannon Medical Center

    San Angelo, TX

    Gross charge
  58. 58

    Hendrick Medical Center Brownwood

    Brownwood, TX

    Gross charge
  59. 59

    Doctors Hospital of Laredo

    Laredo, TX

    Gross charge
  60. 60

    Freestone Medical Center

    Fairfield, TX

    Gross charge
  61. 61

    Dallas Regional Medical Center

    Mesquite, TX

    Gross charge
    Cash pay $17,724
  62. 62

    Rio Grande Regional Hospital (Acute Care)

    Mcallen, TX

    Gross charge
  63. 63
    Gross charge
  64. 64
    Gross charge
  65. 65
    Gross charge
  66. 66
    Gross charge
  67. 67

    Harlingen Medical Center

    Harlingen, TX

    Gross charge
    Cash pay $18,353
  68. 68

    BSW Texas Spine & Joint Hospital

    Tyler, TX

    Gross charge
  69. 69
    Gross charge
  70. 70

    Ascension Seton Northwest Hospital

    Austin, TX

    Gross charge
  71. 71
    Gross charge
  72. 72
    Gross charge
  73. 73
    Gross charge
  74. 74
    Gross charge
  75. 75
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  76. 76
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  77. 77
    Gross charge
  78. 78
    Gross charge
  79. 79
    Gross charge
  80. 80
    Gross charge
  81. 81
    Gross charge
  82. 82
    Gross charge
  83. 83
    Gross charge
  84. 84
    Gross charge
  85. 85

    Ascension Seton Williamson Hospital

    Round Rock, TX

    Gross charge
  86. 86

    Ascension Seton Cedar Park Hospital

    Cedar Park, TX

    Gross charge
  87. 87

    Ascension Seton Hays

    Kyle, TX

    Gross charge
  88. 88
    Gross charge
  89. 89
    Gross charge
  90. 90
    Gross charge
  91. 91
    Gross charge
  92. 92

    Baylor Scott & White Medical Center - McKinney

    Mc Kinney, TX

    Gross charge
  93. 93

    Baylor Scott & White Medical Center - College Station

    College Station, TX

    Gross charge
  94. 94

    HCA Houston Healthcare Pearland

    Pearland, TX

    Gross charge
  95. 95

    Baylor Scott & White Medical Center - Marble Falls

    Marble Falls, TX

    Gross charge
  96. 96
    Gross charge
  97. 97
    Gross charge
  98. 98
    Gross charge

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