Price AtlasInteractive atlas · All states · techysurgeon.comHouston Methodist Hospital: what a joint replacement costs
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.
Medicare prices at Houston Methodist Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $34,825 | 1.9× | $16,981–$84,907 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| MultiPlan/PHCS (rental network) | $88,050 | 4.9× | 1 |
| Uae | $84,907 | 4.7× | 1 |
| Aetna | $60,140 | 3.3× | 1 |
| Humana | $58,162 | 3.2× | 1 |
| UnitedHealthcare | $44,589 | 2.5× | 1 |
| Entrust | $34,825 | 1.9× | 1 |
| BCBS TX | $33,967 | 1.9× | 1 |
| Cigna | $31,124 | 1.7× | 1 |
| Texas Annual Conference | $29,972 | 1.7× | 1 |
| Healthchoice | $16,981 | 0.9× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
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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Questions
How much does Medicare pay Houston Methodist Hospital for a knee or hip replacement?
In 2024 the average total payment to Houston Methodist Hospital for an inpatient hip or knee replacement stay was $18,080 (MS-DRG 470, 80 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,050 per outpatient case (APC 5115, 696 cases).
What is Houston Methodist Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $141,208, 7.8× 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 Houston Methodist Hospital?
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.
How does Houston Methodist Hospital compare with other Texas hospitals?
Houston Methodist Hospital's average total payment per Medicare stay is higher than 90% of the 77 Texas hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Houston Methodist Hospital 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 $34,825 across 9 insurers, ranging from $16,981 to $84,907.