Price AtlasInteractive atlas · All states · techysurgeon.comHouston Healthcare: what a joint replacement costs
Warner Robins, GA 31093 · CMS Certification Number 110069. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
Medicare prices at Houston Healthcare
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,960 | $49,894 | 3.6× | $10,905 |
| Shoulder replacement | $17,959 | $53,378 | 3.0× | $15,883 |
| Hip replacement after a fracture (DRG 522) | $15,583 | $52,171 | 3.3× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $37,378 | 2.7× | $36,454–$40,029 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $40,029 | 2.9× | 1 |
| Cigna | $37,652 | 2.7× | 1 |
| Aetna | $37,105 | 2.7× | 1 |
| Elevance/Anthem/Empire | $36,454 | 2.6× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 186 beds
Georgia requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Houston Healthcare for a knee or hip replacement?
In 2024 the average total payment to Houston Healthcare for an inpatient hip or knee replacement stay was $13,960 (MS-DRG 470, 49 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,905 per outpatient case (APC 5115, 105 cases).
What is Houston Healthcare's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $49,894, 3.6× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Houston Healthcare?
Yes for Medicare facility payments. Houston Orthopedic Surgery Center, an orthopedic surgery center same ZIP away, is paid about $7,977 by Medicare for a knee replacement (CPT 27447), $5,983 less than an inpatient stay at Houston Healthcare. Not every patient is a surgery-center candidate.
How does Houston Healthcare compare with other Georgia hospitals?
Houston Healthcare's average total payment per Medicare stay is lower than 85% of the 27 Georgia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Houston Healthcare for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $37,378 across 4 insurers, ranging from $36,454 to $40,029.