Healthcare Highways Knee Replacement Rates in Dallas-Fort Worth

Published Healthcare Highways negotiated rates for Knee Replacement at 16 hospitals in Dallas-Fort Worth, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$9,359

Medical City Heart Spine

all plan types

Highest Rate

$9,733

Medical City Sachse

all plan types

Rate Spread

1x

across all plan types

Hospitals

16

with Healthcare Highways data

Healthcare Highways knee replacement rates across 16 Dallas-Fort Worth hospitals range from $9,359 to $9,733, showing remarkably tight pricing with just a 1x spread. The lowest rate of $9,359 is available at Medical City Heart Spine, though this reflects a narrow network plan rather than standard commercial rates.

Why the range is so wide: Healthcare Highways negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Healthcare Highways Knee Replacement Rates by Hospital

Hospital Lowest Healthcare Highways Rate
Medical City Heart Spine $9,359
Medical City Spine Hospital $9,359
Medical City Alliance $9,733
Medical City Argyle $9,733
Medical City Arlington $9,733
Medical City Dallas $9,733
Medical City Decatur $9,733
Medical City Denton $9,733
Medical City Fort Worth $9,733
Medical City Frisco $9,733
Medical City Las Colinas $9,733
Medical City Lewisville $9,733
Medical City McKinney $9,733
Medical City North Hills $9,733
Medical City Plano $9,733
Medical City Sachse $9,733

Rates shown are Healthcare Highways's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Healthcare Highways 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 Healthcare Highways Negotiated Rates

A negotiated rate is the price Healthcare Highways 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 Healthcare Highways 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

View all Knee Replacement prices in Dallas-Fort Worth (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Healthcare Highways Knee Replacement in Dallas-Fort Worth?

The lowest Healthcare Highways negotiated rate for Knee Replacement in Dallas-Fort Worth is $9,359 at Medical City Heart Spine, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $9,733 at Medical City Sachse. Commercial plan rates typically fall between these extremes.

Is the Healthcare Highways negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Healthcare Highways 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 Healthcare Highways for a pre-service cost estimate specific to your plan.

How many Dallas-Fort Worth hospitals have published Healthcare Highways rates?

16 hospitals in the Dallas-Fort Worth area have published Healthcare Highways 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 Healthcare Highways directly.

Does Healthcare Highways require prior authorization for knee replacement?

Almost all Healthcare Highways plans require prior authorization for knee replacement surgery. Without authorization, Healthcare Highways 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 Healthcare Highways 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 Healthcare Highways 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 Healthcare Highways website: www.healthcarehighways.com