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Tops Surgical Specialty Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,060
Northwest Surgery Center Ltd, same ZIP
Outpatient here
$12,107
Medicare allowed amount, 132 cases, APC 5115
Inpatient here
$15,332
Avg total payment (incl. patient share), 43 Medicare stays, MS-DRG 470

Medicare prices at Tops Surgical Specialty Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,332$65,4924.3×$12,107
Shoulder replacement———$17,243

Quality

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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Questions

How much does Medicare pay Tops Surgical Specialty Hospital for a knee or hip replacement?

In 2024 the average total payment to Tops Surgical Specialty Hospital for an inpatient hip or knee replacement stay was $15,332 (MS-DRG 470, 43 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,107 per outpatient case (APC 5115, 132 cases).

What is Tops Surgical Specialty Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $65,492, 4.3× 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 Tops Surgical Specialty Hospital?

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.

How does Tops Surgical Specialty Hospital compare with other Texas hospitals?

Tops Surgical Specialty Hospital's average total payment per Medicare stay is higher than 65% of the 77 Texas hospitals that report inpatient hip or knee replacement.