Houston, TX 77090 · CMS Certification Number 450774. 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 | $15,332 | $65,492 | 4.3× | $12,107 |
| Shoulder replacement | — | — | — | $17,243 |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.9%. Physician-owned · Acute · 15 beds
Texas has no certificate-of-need law.
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In 2024 Medicare paid Tops Surgical Specialty Hospital an average of $15,332 per inpatient hip or knee replacement stay (MS-DRG 470, 43 stays) and $12,107 per outpatient case (APC 5115, 132 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $65,492, 4.3× 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), $6,272 less than an inpatient stay at Tops Surgical Specialty Hospital. Not every patient is a surgery-center candidate.
Medicare paid Tops Surgical Specialty Hospital more than 65% of the 77 Texas hospitals that report inpatient hip or knee replacement.