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Houston 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.

Surgery center nearby
$7,977
Houston Orthopedic Surgery Center, same ZIP
Outpatient here
$10,905
105 Medicare cases, APC 5115
Inpatient here
$13,960
49 Medicare stays, MS-DRG 470

Medicare prices at Houston Healthcare

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,960$49,8943.6×$10,905
Shoulder replacement$17,959$53,3783.0×$15,883
Hip replacement after a fracture (DRG 522)$15,583$52,1713.3×—

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 Medicare paid Houston Healthcare an average of $13,960 per inpatient hip or knee replacement stay (MS-DRG 470, 49 stays) and $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× what Medicare paid. 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?

Medicare paid Houston Healthcare less than 85% of the 27 Georgia hospitals that report inpatient hip or knee replacement.