Houston, TX 77090 · CMS Certification Number 450638. 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 | $26,865 | $272,607 | 10.1× | $12,187 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 423 beds
Texas has no certificate-of-need law.
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In 2024 Medicare paid Hca Houston Healthcare Northwest an average of $26,865 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $12,187 per outpatient case (APC 5115, 11 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $272,607, 10.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Northwest Surgery Center Ltd, an orthopedic surgery center same ZIP away, is paid about $9,060 by Medicare for a knee replacement (CPT 27447), $17,805 less than an inpatient stay at Hca Houston Healthcare Northwest. Not every patient is a surgery-center candidate.
Medicare paid Hca Houston Healthcare Northwest more than 99% of the 77 Texas hospitals that report inpatient hip or knee replacement.