Price AtlasInteractive atlas · All states · techysurgeon.comHca Houston Healthcare Tomball: what a joint replacement costs
Tomball, TX 77375 · CMS Certification Number 450670. 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.
Medicare prices at Hca Houston Healthcare Tomball
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,187 |
| Shoulder replacement | — | — | — | $17,243 |
| Hip replacement after a fracture (DRG 522) | $18,765 | $215,707 | 11.5× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,947 | — | $16,494–$29,923 | 11 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS TX | $29,923 | — | 1 |
| UnitedHealthcare | $28,050 | — | 1 |
| Cigna | $27,360 | — | 1 |
| Evry Health | $26,964 | — | 1 |
| Curative Administrators | $26,326 | — | 1 |
| Healthcare Highways (rental network) | $23,469 | — | 1 |
| Aetna | $22,947 | — | 1 |
| Shared Health | $19,793 | — | 1 |
| Oscar | $19,357 | — | 1 |
| American Health Plan | $17,319 | — | 1 |
| Devoted Health | $16,824 | — | 1 |
| CHC Harris Health | $16,494 | — | 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: 3.3% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 289 beds
Texas has no certificate-of-need law.
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Questions
How much does Medicare pay Hca Houston Healthcare Tomball for a knee or hip replacement?
The Medicare allowed amount averaged $12,187 per outpatient hip or knee replacement case (APC 5115, 72 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Hca Houston Healthcare Tomball?
Yes for Medicare facility payments. Alpha Surgical Center, an orthopedic surgery center same ZIP 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 Hca Houston Healthcare Tomball 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 $22,947 across 11 insurers, ranging from $16,494 to $29,923.