How much does major joint replacement, lower extremity, w/ MCC cost in Texas?
CPT 469 — the fair price, every hospital's price, and the Medicare benchmark for Texas.
Estimates only. Educational estimates from public Medicare
benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
469 Major joint replacement, lower extremity, w/ MCC
⚠ bare numeric assumed MS-DRG; verify
Ask to pay
$32,706
This is the local cash / self-pay price — usually the best rate you can ask for.
Typical
$31,282
Ask $32,706
$19,750 lowboxed = typical rangehigh $80,089
What Medicare paysⓘ
no data
Typical price near you
$31,282
Cash / self-pay price
$32,706
Prices near you — 70 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Ascension Seton Medical Center Austin lowest | Hospital | $19,750negotiated | — | ★★★★★ |
| Dell Seton Medical Center at UT (Austin) | Hospital | $19,830negotiated | — | ★★★★★ |
| Doctors Hospital at Renaissance (Edinburg) | Hospital | $20,039cash | — | — |
| CHRISTUS Santa Rosa Hospital – Westover Hills (San Antonio) | Hospital | $20,230negotiated | — | — |
| CHRISTUS Santa Rosa Hospital – Alamo Heights (San Antonio) | Hospital | $20,230negotiated | — | — |
| CHRISTUS Mother Frances Hospital – Tyler | Hospital | $20,370negotiated | — | ★★★★★ |
| CHRISTUS Spohn Hospital Corpus Christi – Shoreline | Hospital | $20,981negotiated | — | ★★★★★ |
| CHRISTUS Spohn Hospital Corpus Christi – South | Hospital | $20,981negotiated | — | — |
| University Medical Center of El Paso | Hospital | $22,072negotiated | — | ★★★★★ |
| Methodist Hospital Texsan (San Antonio) | Hospital | $22,531negotiated | — | — |
| Methodist Hospital Stone Oak (San Antonio) | Hospital | $22,531negotiated | — | ★★★★★ |
| Houston Methodist The Woodlands Hospital (The Woodlands) | Hospital | $24,214negotiated | — | ★★★★★ |
| St. David's Round Rock Medical Center (Round Rock) | Hospital | $24,262negotiated | — | — |
| Methodist Hospital Metropolitan (San Antonio) | Hospital | $24,398negotiated | — | — |
| Methodist Hospital (San Antonio) | Hospital | $24,398negotiated | — | ★★★★★ |
| St. David's Medical Center (Austin) | Hospital | $24,481negotiated | — | ★★★★★ |
| HCA Houston Healthcare Medical Center (Houston) | Hospital | $25,124negotiated | — | ★★★★★ |
| Houston Methodist Sugar Land Hospital (Sugar Land) | Hospital | $25,289negotiated | — | ★★★★★ |
| Memorial Hermann Memorial City Medical Center (Houston) | Hospital | $25,921negotiated | — | ★★★★★ |
| St. David's South Austin Medical Center (Austin) | Hospital | $25,955negotiated | — | ★★★★★ |
| St. David's North Austin Medical Center (Austin) | Hospital | $26,009negotiated | — | — |
| Medical City Frisco | Hospital | $26,440negotiated | — | — |
| Medical City Plano | Hospital | $26,925negotiated | — | ★★★★★ |
| Harris Health Ben Taub Hospital (Houston) | Hospital | $27,139negotiated | — | — |
| Harris Health Lyndon B. Johnson Hospital (Houston) | Hospital | $27,139negotiated | — | — |
| St. Luke's Health–The Woodlands Hospital (The Woodlands) | Hospital | $27,142negotiated | — | ★★★★★ |
| The Hospitals of Providence Sierra Campus (El Paso) | Hospital | $27,381negotiated | — | — |
| The Hospitals of Providence Memorial Campus (El Paso) | Hospital | $27,418negotiated | — | ★★★★★ |
| Medical City Dallas Hospital (Dallas) | Hospital | $27,526negotiated | — | ★★★★★ |
| Memorial Hermann The Woodlands Medical Center (The Woodlands) | Hospital | $27,578negotiated | — | — |
| HCA Houston Healthcare Clear Lake (Webster) | Hospital | $27,759negotiated | — | ★★★★★ |
| Houston Methodist Hospital (Houston) | Hospital | $28,570negotiated | — | ★★★★★ |
| UMC Health System – University Medical Center (Lubbock) | Hospital | $28,633negotiated | — | ★★★★★ |
| Medical City Fort Worth | Hospital | $28,942negotiated | — | ★★★★★ |
| Baylor Scott & White Medical Center – Round Rock | Hospital | $30,749negotiated | — | ★★★★★ |
| HCA Houston Healthcare Northwest (Houston) | Hospital | $31,814negotiated | — | ★★★★★ |
| HCA Houston Healthcare West (Houston) | Hospital | $31,978negotiated | — | ★★★★★ |
| Baylor St. Luke's Medical Center (Houston) | Hospital | $32,426negotiated | — | ★★★★★ |
| Methodist Dallas Medical Center (Dallas) | Hospital | $32,706cash | — | ★★★★★ |
| Memorial Hermann–Texas Medical Center (Houston) | Hospital | $33,579negotiated | — | ★★★★★ |
| Shannon Medical Center (San Angelo) | Hospital | $34,955negotiated | — | ★★★★★ |
| Baylor Scott & White Medical Center – College Station | Hospital | $35,391negotiated | — | ★★★★★ |
| Baylor University Medical Center (Dallas) | Hospital | $35,448negotiated | — | ★★★★★ |
| Baylor Scott & White All Saints Medical Center (Fort Worth) | Hospital | $35,448negotiated | — | ★★★★★ |
| Baylor Scott & White Medical Center – Temple | Hospital | $35,762negotiated | — | ★★★★★ |
| Baylor Scott & White Medical Center – Plano | Hospital | $36,285negotiated | — | ★★★★★ |
| Hendrick Medical Center (Abilene) | Hospital | $37,151negotiated | — | ★★★★★ |
| Parkland Health (Dallas) | Hospital | $37,370cash | — | ★★★★★ |
| Covenant Medical Center (Lubbock) | Hospital | $41,073negotiated | — | ★★★★★ |
| Valley Baptist Medical Center – Brownsville | Hospital | $41,705negotiated | — | ★★★★★ |
| University Hospital - University Health (San Antonio) | Hospital | $51,665negotiated | — | — |
| UT Southwestern William P. Clements Jr. University Hospital (Dallas) | Hospital | $53,771negotiated | — | ★★★★★ |
| Texas Health Presbyterian Hospital Kaufman | Hospital | $55,574negotiated | — | — |
| Texas Health Harris Methodist Hospital Cleburne | Hospital | $55,574negotiated | — | — |
| Texas Health Harris Methodist Hospital Azle | Hospital | $55,574negotiated | — | — |
| Texas Health Harris Methodist Hospital Stephenville | Hospital | $55,574negotiated | — | — |
| Texas Health Harris Methodist Hospital Fort Worth | Hospital | $55,578negotiated | — | — |
| Texas Health Presbyterian Hospital Flower Mound | Hospital | $55,578negotiated | — | — |
| Texas Health Presbyterian Hospital Denton | Hospital | $55,578negotiated | — | — |
| Texas Health Harris Methodist Hospital Southlake | Hospital | $55,578negotiated | — | — |
| Texas Health Hospital Frisco | Hospital | $55,578negotiated | — | — |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Hospital | $55,578negotiated | — | — |
| Texas Health Presbyterian Hospital Dallas | Hospital | $55,578negotiated | — | — |
| Texas Health Arlington Memorial Hospital (Arlington) | Hospital | $55,578negotiated | — | — |
| Texas Health Hospital Rockwall | Hospital | $55,578negotiated | — | — |
| Texas Health Presbyterian Hospital Allen | Hospital | $55,578negotiated | — | — |
| Texas Health Presbyterian Hospital Plano | Hospital | $55,578negotiated | — | — |
| Texas Health Harris Methodist Hospital Alliance (Fort Worth) | Hospital | $55,578negotiated | — | — |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Hospital | $55,578negotiated | — | — |
| JPS Health Network – John Peter Smith Hospital (Fort Worth) | Hospital | $80,089negotiated | — | ★★★★★ |
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges.
💬 What to say — negotiation scripts
- No Medicare benchmark on file for 469 (Major joint replacement, lower extremity, w/ MCC) — I can't anchor to Medicare here. Please send your pricing methodology for this code.
- Your own published cash / self-pay price for 469 is $32,706.20, and negotiated rates at nearby facilities run $25,247.93–$55,574.31. Please apply a rate in that range to my bill rather than the gross charge.
- Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
- Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
See major joint replacement, lower extremity, w/ MCC prices in another area
What should 469 cost in Texas?
For major joint replacement, lower extremity, w/ MCC (CPT 469) in Texas, a fair self-pay price is around $31,282, with hospitals ranging from $25,248 to $55,574 across 70 facilities. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does major joint replacement, lower extremity, w/ MCC cost in Texas?
A fair self-pay price for major joint replacement, lower extremity, w/ MCC (CPT 469) in Texas is around $31,282, with hospital prices ranging from $25,248 to $55,574 across 70 facilities. These are estimates from hospital-published prices, not a guarantee.
Can I negotiate the price of major joint replacement, lower extremity, w/ MCC?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Got a bill for this?
If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.
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Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.