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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $22,894 | $257,577 | 11.3× | $12,187 |
| Shoulder replacement | — | — | — | $17,243 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $24,151 | 1.1× | $17,360–$37,495 | 16 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $37,495 | 1.6× | 1 |
| BCBS TX | $29,923 | 1.3× | 1 |
| UnitedHealthcare | $28,050 | 1.2× | 1 |
| Evry Health | $26,964 | 1.2× | 1 |
| Shared Health | $26,346 | 1.2× | 1 |
| Verda Health Plan | $26,346 | 1.2× | 1 |
| Curative Administrators | $26,326 | 1.1× | 1 |
| Kindred Hospital | $25,249 | 1.1× | 1 |
| Healthcare Highways (rental network) | $23,469 | 1.0× | 1 |
| American Health Plan | $23,053 | 1.0× | 1 |
| Aetna | $22,947 | 1.0× | 1 |
| Devoted Health | $22,394 | 1.0× | 1 |
| Oscar | $22,033 | 1.0× | 1 |
| CHC Harris Health | $21,955 | 1.0× | 1 |
| Kelsey Seybold | $21,955 | 1.0× | 1 |
| Coventry National First Health (rental network) | $19,975 | 0.9× | 1 |
| Imagine Health | $19,137 | 0.8× | 1 |
| Averde Health | $17,360 | 0.8× | 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.
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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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).
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.
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.
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.
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.