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Houston Methodist Baytown Hospital: what a joint replacement costs

Baytown, TX 77521 · CMS Certification Number 450424. 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
Doctors United Surgery Center, 17.7 mi
Outpatient here
$11,829
Medicare allowed amount, 118 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Houston Methodist Baytown Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,829
Shoulder replacement———$17,243
Hip replacement after a fracture (DRG 522)$17,825$178,26010.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$32,469—$23,614–$41,5615
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
MultiPlan/PHCS (rental network)$88,050—1
UnitedHealthcare$41,561—1
BCBS TX$32,710—1
Texas Annual Conference$32,469—1
Entrust$28,554—1
Cigna$23,614—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

Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 230 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Houston Methodist Baytown Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $11,829 per outpatient hip or knee replacement case (APC 5115, 118 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Houston Methodist Baytown Hospital?

Yes for Medicare facility payments. Doctors United Surgery Center, an orthopedic surgery center 17.7 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 Houston Methodist Baytown 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 $32,469 across 5 insurers, ranging from $23,614 to $41,561.