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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $26,865 | $272,607 | 10.1× | $12,187 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $26,645 | 1.0× | $22,439–$37,495 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $37,495 | 1.4× | 1 |
| BCBS TX | $29,923 | 1.1× | 1 |
| UnitedHealthcare | $28,050 | 1.0× | 1 |
| Shared Health | $27,341 | 1.0× | 1 |
| Evry Health | $26,964 | 1.0× | 1 |
| Curative Administrators | $26,326 | 1.0× | 1 |
| American Health Plan | $23,924 | 0.9× | 1 |
| Healthcare Highways (rental network) | $23,469 | 0.9× | 1 |
| Devoted Health | $23,240 | 0.9× | 1 |
| Aetna | $22,947 | 0.9× | 1 |
| Oscar | $22,439 | 0.8× | 1 |
| Coventry National First Health (rental network) | $19,975 | 0.7× | 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.
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 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).
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.
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.
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.
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.