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Chi St Luke's Health Baylor College of Medicine Me: what a joint replacement costs

Houston, TX 77030 · CMS Certification Number 450193. 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
Memorial Hermann Surgery Center Katy Llp, 2.2 mi
Outpatient here
$12,187
Medicare allowed amount, 67 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Chi St Luke's Health Baylor College of Medicine Me

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,187
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$23,904—$11,582–$52,27912
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
NX Health$52,279—1
MultiPlan/PHCS (rental network)$34,840—1
UnitedHealthcare$28,184—1
Cigna$28,137—1
Centene/Superior/Ambetter$24,129—1
Community Health Choice$24,129—1
Harris Health$24,129—1
Independent Med System$23,680—1
Employer Direct$22,520—1
Humana$22,437—1
Bright Health$21,691—1
Healthsmart (rental network)$15,273—1
Tch$13,544—1
Renaissance$11,582—1

From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 7.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 881 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Chi St Luke's Health Baylor College of Medicine Me for a knee or hip replacement?

The Medicare allowed amount averaged $12,187 per outpatient hip or knee replacement case (APC 5115, 67 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Chi St Luke's Health Baylor College of Medicine Me?

Yes for Medicare facility payments. Memorial Hermann Surgery Center Katy Llp, an orthopedic surgery center 2.2 mi away, is paid about $9,060 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Chi St Luke's Health Baylor College of Medicine Me 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 $23,904 across 12 insurers, ranging from $11,582 to $52,279.