Houston, TX 77030 · CMS Certification Number 450358. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,080 | $141,208 | 7.8× | $12,050 |
| Shoulder replacement | $23,949 | $265,556 | 11.1× | $16,928 |
| Hip replacement after a fracture (DRG 522) | $21,618 | $165,303 | 7.6× | — |
Complications after hip or knee replacement: 5.1% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 1299 beds
Texas has no certificate-of-need law.
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In 2024 Medicare paid Houston Methodist Hospital an average of $18,080 per inpatient hip or knee replacement stay (MS-DRG 470, 80 stays) and $12,050 per outpatient case (APC 5115, 696 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $141,208, 7.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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), $9,020 less than an inpatient stay at Houston Methodist Hospital. Not every patient is a surgery-center candidate.
Medicare paid Houston Methodist Hospital more than 90% of the 77 Texas hospitals that report inpatient hip or knee replacement.