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Hca Houston Healthcare Clear Lake: what a joint replacement costs

Webster, TX 77598 · CMS Certification Number 450617. 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
Kelsey Seybold ASC Bay Area, same ZIP
Outpatient here
$12,187
Medicare allowed amount, 70 cases, APC 5115
Inpatient here
$17,144
Avg total payment (incl. patient share), 27 Medicare stays, MS-DRG 470

Medicare prices at Hca Houston Healthcare Clear Lake

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,144$154,2979.0×$12,187
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$16,144$214,81413.3×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$19,9741.2×$16,966–$28,48016
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS TX$28,4801.7×1
UnitedHealthcare$28,0501.6×1
Evry Health$26,9641.6×1
Curative Administrators$26,3261.5×1
Cigna$25,4031.5×1
Healthcare Highways (rental network)$23,4691.4×1
Aetna$22,9471.3×1
Kelsey Care (Boon-Chapman)$20,4061.2×1
Shared Health$20,3591.2×1
Coventry National First Health (rental network)$19,9751.2×1
Oscar$19,5881.1×1
Kindred Hospital$19,5111.1×1
Imagine Health$19,1371.1×1
American Health Plan$17,8141.0×1
Averde Health$17,3601.0×1
Devoted Health$17,3051.0×1
CHC Harris Health$16,9661.0×1
Kelsey Seybold$16,9661.0×1

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: 5% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 528 beds

Texas has no certificate-of-need law.

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Questions

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

In 2024 the average total payment to Hca Houston Healthcare Clear Lake for an inpatient hip or knee replacement stay was $17,144 (MS-DRG 470, 27 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,187 per outpatient case (APC 5115, 70 cases).

What is Hca Houston Healthcare Clear Lake's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $154,297, 9.0× 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 Hca Houston Healthcare Clear Lake?

Yes for Medicare facility payments. Kelsey Seybold ASC Bay Area, an orthopedic surgery center same ZIP away, is paid about $9,060 by Medicare for a knee replacement (CPT 27447), $8,084 less than an inpatient stay at Hca Houston Healthcare Clear Lake. Not every patient is a surgery-center candidate.

How does Hca Houston Healthcare Clear Lake compare with other Texas hospitals?

Hca Houston Healthcare Clear Lake's average total payment per Medicare stay is higher than 83% of the 77 Texas hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Hca Houston Healthcare Clear Lake 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 $19,974 across 16 insurers, ranging from $16,966 to $28,480.