Aetna Knee Replacement Rates in Dallas-Fort Worth
Published Aetna negotiated rates for Knee Replacement at 27 hospitals in Dallas-Fort Worth, TX. Data from CMS-mandated hospital transparency files.
Lowest Rate
$43.42
Parkland Health & Hospital System
all plan types
Highest Rate
$16,721
BSW Medical Center Lake Pointe
all plan types
Rate Spread
385x
across all plan types
Hospitals
27
with Aetna data
Aetna knee replacement rates across 27 Dallas-Fort Worth hospitals show a dramatic 385x price spread, from $43 at Parkland Health to $16,721 at BSW Medical Center Lake Pointe. The lowest rate comes from a Medicaid plan, while commercial rates typically run higher. The median price stands at $3,682.
Aetna Knee Replacement Rates by Hospital
| Hospital | Lowest Aetna Rate |
|---|---|
| Parkland Health & Hospital System | $43.42 |
| Medical City Alliance | $2,513 |
| Medical City Argyle | $2,513 |
| Medical City Arlington | $2,513 |
| Medical City Dallas | $2,513 |
| Medical City Decatur | $2,513 |
| Medical City Denton | $2,513 |
| Medical City Fort Worth | $2,513 |
| Medical City Frisco | $2,513 |
| Medical City Heart Spine | $2,513 |
| Medical City Las Colinas | $2,513 |
| Medical City Lewisville | $2,513 |
| Medical City McKinney | $2,513 |
| Medical City North Hills | $2,513 |
| Medical City Plano | $2,513 |
| Medical City Sachse | $2,513 |
| Medical City Spine Hospital | $2,513 |
| Medical City Weatherford | $2,513 |
| BSW Medical Center Irving | $12,036.47 |
| BSW Medical Center McKinney | $12,036.47 |
| BSW Medical Center Plano | $12,036.47 |
| Baylor University Medical Center | $12,036.47 |
| BSW All Saints Fort Worth | $12,074.84 |
| BSW Medical Center Grapevine | $12,074.84 |
| BSW Medical Center Waxahachie | $12,074.84 |
| BSW Medical Center Centennial | $16,721 |
| BSW Medical Center Lake Pointe | $16,721 |
Rates shown are Aetna's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Aetna plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.
Understanding Aetna Negotiated Rates
A negotiated rate is the price Aetna has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.
The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all Aetna plan types at each facility.
Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.
Compare Other Insurers for Knee Replacement in Dallas-Fort Worth
Frequently Asked Questions
Where is the lowest-cost Aetna Knee Replacement in Dallas-Fort Worth?
The lowest Aetna negotiated rate for Knee Replacement in Dallas-Fort Worth is $43.42 at Parkland Health & Hospital System, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $16,721 at BSW Medical Center Lake Pointe, a 385x difference. Commercial plan rates typically fall between these extremes.
Is the Aetna negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Aetna has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact Aetna for a pre-service cost estimate specific to your plan.
How many Dallas-Fort Worth hospitals have published Aetna rates?
27 hospitals in the Dallas-Fort Worth area have published Aetna negotiated rates for Knee Replacement in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Aetna directly.
Does Aetna require prior authorization for knee replacement?
Almost all Aetna plans require prior authorization for knee replacement surgery. Without authorization, Aetna can deny the claim entirely. Start the approval process well before your planned surgery date and confirm what documentation your plan requires.
We are not affiliated with Aetna or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact Aetna or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.
Visit the official Aetna website: www.aetna.com