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Hca Houston Healthcare Southeast: what a joint replacement costs

Pasadena, TX 77504 · CMS Certification Number 450097. 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
$9,060
Doctors United Surgery Center, same ZIP
Outpatient here
$12,187
Medicare allowed amount, 31 cases, APC 5115
Inpatient here
$22,894
Avg total payment (incl. patient share), 19 Medicare stays, MS-DRG 470

Medicare prices at Hca Houston Healthcare Southeast

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$22,894$257,57711.3×$12,187
Shoulder replacement———$17,243

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$24,1511.1×$17,360–$37,49516
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$37,4951.6×1
BCBS TX$29,9231.3×1
UnitedHealthcare$28,0501.2×1
Evry Health$26,9641.2×1
Shared Health$26,3461.2×1
Verda Health Plan$26,3461.2×1
Curative Administrators$26,3261.1×1
Kindred Hospital$25,2491.1×1
Healthcare Highways (rental network)$23,4691.0×1
American Health Plan$23,0531.0×1
Aetna$22,9471.0×1
Devoted Health$22,3941.0×1
Oscar$22,0331.0×1
CHC Harris Health$21,9551.0×1
Kelsey Seybold$21,9551.0×1
Coventry National First Health (rental network)$19,9750.9×1
Imagine Health$19,1370.8×1
Averde Health$17,3600.8×1

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 481 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Hca Houston Healthcare Southeast for a knee or hip replacement?

In 2024 the average total payment to Hca Houston Healthcare Southeast for an inpatient hip or knee replacement stay was $22,894 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,187 per outpatient case (APC 5115, 31 cases).

What is Hca Houston Healthcare Southeast's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $257,577, 11.3× 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 Hca Houston Healthcare Southeast?

Yes for Medicare facility payments. Doctors United Surgery Center, an orthopedic surgery center same ZIP away, is paid about $9,060 by Medicare for a knee replacement (CPT 27447), $13,834 less than an inpatient stay at Hca Houston Healthcare Southeast. Not every patient is a surgery-center candidate.

How does Hca Houston Healthcare Southeast compare with other Texas hospitals?

Hca Houston Healthcare Southeast's average total payment per Medicare stay is higher than 97% of the 77 Texas hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Hca Houston Healthcare Southeast 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 $24,151 across 16 insurers, ranging from $17,360 to $37,495.