Molina Healthcare Knee Replacement Rates in Dallas-Fort Worth

Published Molina Healthcare negotiated rates for Knee Replacement at 4 hospitals in Dallas-Fort Worth, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$45.49

Parkland Health & Hospital System

all plan types

Highest Rate

$12,638.29

Baylor University Medical Center

all plan types

Rate Spread

278x

across all plan types

Hospitals

with Molina Healthcare data

Molina Healthcare knee replacement rates in Dallas-Fort Worth vary dramatically, with a 278x spread between the lowest rate of $45.49 at Parkland Health and the highest at $12,638.29 at Baylor University Medical. The lowest rate reflects Molina's CHIP plan, while the median rate across 4 hospitals sits at $8,775.86.

Why the range is so wide: Molina Healthcare 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.

Molina Healthcare Knee Replacement Rates by Hospital

Hospital	Lowest Molina Healthcare Rate	Plan Type	Highest Rate	Plans
Parkland Health & Hospital System	$45.49	MOLINA CHIP [138201]	$25,930.32	34
BSW Medical Center Centennial	$12,638.29	Medicare Advantage	$12,638.29	1
BSW Medical Center Lake Pointe	$12,638.29	Medicare Advantage	$12,638.29	1
Baylor University Medical Center	$12,638.29	Medicare Advantage	$12,638.29	1

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

A negotiated rate is the price Molina Healthcare 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 Molina Healthcare 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 Humana $12,036.47 - $30,359 26 hospitals ProCare Advantage $10,952.81 - $12,678.58 25 hospitals

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

Frequently Asked Questions

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

The lowest Molina Healthcare negotiated rate for Knee Replacement in Dallas-Fort Worth is $45.49 at Parkland Health & Hospital System, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $12,638.29 at Baylor University Medical Center, a 278x difference. Commercial plan rates typically fall between these extremes.

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

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

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

4 hospitals in the Dallas-Fort Worth area have published Molina Healthcare 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 Molina Healthcare directly.

Does Molina Healthcare require prior authorization for knee replacement?

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