Kingwood, TX 77325 · CMS Certification Number 450775. 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 | $16,188 | $237,931 | 14.7× | $12,187 |
| Shoulder replacement | — | — | — | $17,243 |
| Hip replacement after a fracture (DRG 522) | $18,970 | $331,675 | 17.5× | — |
Complications after hip or knee replacement: 3% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 620 beds
Texas has no certificate-of-need law.
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In 2024 Medicare paid Hca Houston Healthcare Kingwood an average of $16,188 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $12,187 per outpatient case (APC 5115, 143 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $237,931, 14.7× 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 11.5 mi away, is paid about $9,060 by Medicare for a knee replacement (CPT 27447), $7,128 less than an inpatient stay at Hca Houston Healthcare Kingwood. Not every patient is a surgery-center candidate.
Medicare paid Hca Houston Healthcare Kingwood more than 71% of the 77 Texas hospitals that report inpatient hip or knee replacement.