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Hca Houston Healthcare Conroe: what a joint replacement costs

Conroe, TX 77304 · CMS Certification Number 450222. 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 Conroe, same ZIP
Outpatient here
$11,269
Medicare allowed amount, 46 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Hca Houston Healthcare Conroe

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,269
Shoulder replacement———$16,462
Hip replacement after a fracture (DRG 522)$17,766$243,36613.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$21,314—$17,360–$28,48013
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS TX$28,480—1
UnitedHealthcare$28,050—1
Cigna$27,360—1
Evry Health$26,964—1
Curative Administrators$26,326—1
Healthcare Highways (rental network)$23,469—1
Aetna$22,947—1
Shared Health$21,314—1
Oscar$19,978—1
Coventry National First Health (rental network)$19,975—1
Imagine Health$19,137—1
American Health Plan$18,650—1
Devoted Health$18,117—1
Kelsey Seybold$17,762—1
Averde Health$17,360—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: 3.5% (no different from the national rate). Readmissions: 6.9%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 328 beds

Texas has no certificate-of-need law.

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Questions

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

The Medicare allowed amount averaged $11,269 per outpatient hip or knee replacement case (APC 5115, 46 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Hca Houston Healthcare Conroe?

Yes for Medicare facility payments. Memorial Hermann Surgery Center Conroe, an orthopedic surgery center same ZIP 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 Hca Houston Healthcare Conroe 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 $21,314 across 13 insurers, ranging from $17,360 to $28,480.