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Hca Houston Healthcare Northwest: what a joint replacement costs

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.

Surgery center nearby
$9,060
Northwest Surgery Center Ltd, same ZIP
Outpatient here
$12,187
Medicare allowed amount, 11 cases, APC 5115
Inpatient here
$26,865
Avg total payment (incl. patient share), 11 Medicare stays, MS-DRG 470

Medicare prices at Hca Houston Healthcare Northwest

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$26,865$272,60710.1×$12,187
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$26,6451.0×$22,439–$37,49510
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$37,4951.4×1
BCBS TX$29,9231.1×1
UnitedHealthcare$28,0501.0×1
Shared Health$27,3411.0×1
Evry Health$26,9641.0×1
Curative Administrators$26,3261.0×1
American Health Plan$23,9240.9×1
Healthcare Highways (rental network)$23,4690.9×1
Devoted Health$23,2400.9×1
Aetna$22,9470.9×1
Oscar$22,4390.8×1
Coventry National First Health (rental network)$19,9750.7×1

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: 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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Questions

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

In 2024 the average total payment to Hca Houston Healthcare Northwest for an inpatient hip or knee replacement stay was $26,865 (MS-DRG 470, 11 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, 11 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $272,607, 10.1× 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 Northwest?

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.

How does Hca Houston Healthcare Northwest compare with other Texas hospitals?

Hca Houston Healthcare Northwest's average total payment per Medicare stay is higher than 99% of the 77 Texas hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Hca Houston Healthcare Northwest 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 $26,645 across 10 insurers, ranging from $22,439 to $37,495.