ProCare Advantage Knee Replacement Rates in Dallas-Fort Worth

Published ProCare Advantage negotiated rates for Knee Replacement at 25 hospitals in Dallas-Fort Worth, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$10,952.81

Parkland Health & Hospital System

all plan types

Highest Rate

$12,678.58

BSW Medical Center Waxahachie

all plan types

Rate Spread

across all plan types

Hospitals

with ProCare Advantage data

Knee replacement rates under ProCare Advantage plans vary from $10,953 at Parkland Health to $12,679 at BSW Medical Center Waxahachie across 25 Dallas-Fort Worth hospitals. The median rate sits at $12,000, though lowest rates often reflect government-sponsored coverage rather than commercial plans.

Why the range is so wide: ProCare Advantage 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.

ProCare Advantage Knee Replacement Rates by Hospital

Hospital	Lowest ProCare Advantage Rate	Plan Type	Highest Rate	Plans
Parkland Health & Hospital System	$10,952.81	PROCARE ADVANTAGE [210400]	$18,324.09	4
Medical City Alliance	$12,000	MCR	$12,000	1
Medical City Argyle	$12,000	MCR	$12,000	1
Medical City Arlington	$12,000	MCR	$12,000	1
Medical City Dallas	$12,000	MCR	$12,000	1
Medical City Denton	$12,000	MCR	$12,000	1
Medical City Fort Worth	$12,000	MCR	$12,000	1
Medical City Frisco	$12,000	MCR	$12,000	1
Medical City Heart Spine	$12,000	MCR	$12,000	1
Medical City Las Colinas	$12,000	MCR	$12,000	1
Medical City Lewisville	$12,000	MCR	$12,000	1
Medical City McKinney	$12,000	MCR	$12,000	1
Medical City North Hills	$12,000	MCR	$12,000	1
Medical City Plano	$12,000	MCR	$12,000	1
Medical City Spine Hospital	$12,000	MCR	$12,000	1
Medical City Weatherford	$12,000	MCR	$12,000	1
BSW Medical Center Centennial	$12,638.29	Medicare Advantage	$12,638.29	1
BSW Medical Center Irving	$12,638.29	Medicare Advantage	$12,638.29	1
BSW Medical Center Lake Pointe	$12,638.29	Medicare Advantage	$12,638.29	1
BSW Medical Center McKinney	$12,638.29	Medicare Advantage	$12,638.29	1
BSW Medical Center Plano	$12,638.29	Medicare Advantage	$12,638.29	1
Baylor University Medical Center	$12,638.29	Medicare Advantage	$12,638.29	1
BSW All Saints Fort Worth	$12,678.58	Medicare Advantage	$12,678.58	1
BSW Medical Center Grapevine	$12,678.58	Medicare Advantage	$12,678.58	1
BSW Medical Center Waxahachie	$12,678.58	Medicare Advantage	$12,678.58	2

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

A negotiated rate is the price ProCare Advantage 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 ProCare Advantage 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 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 ProCare Advantage Knee Replacement in Dallas-Fort Worth?

The lowest ProCare Advantage negotiated rate for Knee Replacement in Dallas-Fort Worth is $10,952.81 at Parkland Health & Hospital System, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $12,678.58 at BSW Medical Center Waxahachie. Commercial plan rates typically fall between these extremes.

Is the ProCare Advantage negotiated rate what I'll pay?

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

How many Dallas-Fort Worth hospitals have published ProCare Advantage rates?

25 hospitals in the Dallas-Fort Worth area have published ProCare Advantage 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 ProCare Advantage directly.

Does ProCare Advantage require prior authorization for knee replacement?

Almost all ProCare Advantage plans require prior authorization for knee replacement surgery. Without authorization, ProCare Advantage 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 ProCare Advantage 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 ProCare Advantage 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 ProCare Advantage website: www.procareadv.com