Humana Knee Replacement Rates in Dallas-Fort Worth

Published Humana negotiated rates for Knee Replacement at 26 hospitals in Dallas-Fort Worth, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$12,036.47

BSW Medical Center Centennial

all plan types

Highest Rate

$30,359

Medical City Sachse

all plan types

Rate Spread

across all plan types

Hospitals

with Humana data

Humana knee replacement rates in Dallas-Fort Worth vary dramatically, with a 2.5x spread from $12,036 at BSW Medical Center Centennial (Medicare rate) to $30,359 at Medical City Sachse. The median rate across 26 hospitals is $14,000, though lowest rates often reflect Medicare or Medicaid pricing rather than commercial plans.

Why the range is so wide: Humana 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.

Humana Knee Replacement Rates by Hospital

Hospital	Lowest Humana Rate	Plan Type	Highest Rate	Plans
BSW Medical Center Centennial	$12,036.47	Medicare	$12,036.47	1
BSW Medical Center Irving	$12,036.47	Medicare	$12,036.47	1
BSW Medical Center Lake Pointe	$12,036.47	Medicare	$12,036.47	1
BSW Medical Center McKinney	$12,036.47	Medicare	$12,036.47	1
BSW Medical Center Plano	$12,036.47	Medicare	$12,036.47	1
BSW Medical Center Waxahachie	$12,036.47	Medicare	$12,036.47	2
Baylor University Medical Center	$12,036.47	Medicare	$12,036.47	1
BSW All Saints Fort Worth	$12,074.84	Medicare	$12,074.84	1
BSW Medical Center Grapevine	$12,074.84	Medicare	$12,074.84	1
Medical City Alliance	$14,000	MGMCR	$30,359	2
Medical City Argyle	$14,000	MGMCR	$30,359	2
Medical City Arlington	$14,000	MGMCR	$30,359	2
Medical City Dallas	$14,000	MGMCR	$30,359	2
Medical City Decatur	$14,000	MGMCR	$30,359	2
Medical City Denton	$14,000	MGMCR	$30,359	2
Medical City Fort Worth	$14,000	MGMCR	$30,359	2
Medical City Frisco	$14,000	MGMCR	$30,359	2
Medical City Heart Spine	$14,000	MGMCR	$30,359	2
Medical City Las Colinas	$14,000	MGMCR	$30,359	2
Medical City Lewisville	$14,000	MGMCR	$30,359	2
Medical City McKinney	$14,000	MGMCR	$30,359	2
Medical City North Hills	$14,000	MGMCR	$30,359	2
Medical City Plano	$14,000	MGMCR	$30,359	2
Medical City Spine Hospital	$14,000	MGMCR	$30,359	2
Medical City Weatherford	$14,000	MGMCR	$30,359	2
Medical City Sachse	$30,359	COMM	$30,359	1

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

A negotiated rate is the price Humana 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 Humana 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

Blue Cross Blue Shield of Texas $12,638.29 - $62,232.78 27 hospitals UnitedHealthcare $10,849.49 - $43,890 27 hospitals Aetna $43.42 - $16,721 27 hospitals Cigna $6,546 - $88,845 27 hospitals ProCare Advantage $10,952.81 - $12,678.58 25 hospitals Superior Health Plan $43.42 - $24,994.92 20 hospitals

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

Frequently Asked Questions

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

The lowest Humana negotiated rate for Knee Replacement in Dallas-Fort Worth is $12,036.47 at BSW Medical Center Centennial, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $30,359 at Medical City Sachse, a 3x difference. Commercial plan rates typically fall between these extremes.

Is the Humana negotiated rate what I'll pay?

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

How many Dallas-Fort Worth hospitals have published Humana rates?

26 hospitals in the Dallas-Fort Worth area have published Humana 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 Humana directly.

Does Humana require prior authorization for knee replacement?

Almost all Humana plans require prior authorization for knee replacement surgery. Without authorization, Humana 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 Humana 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 Humana 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 Humana website: www.humana.com