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Hca Houston Healthcare Kingwood: what a joint replacement costs

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.

Surgery center nearby
$9,060
Northwest Surgery Center Ltd, 11.5 mi
Outpatient here
$12,187
Medicare allowed amount, 143 cases, APC 5115
Inpatient here
$16,188
Avg total payment (incl. patient share), 12 Medicare stays, MS-DRG 470

Medicare prices at Hca Houston Healthcare Kingwood

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,188$237,93114.7×$12,187
Shoulder replacement———$17,243
Hip replacement after a fracture (DRG 522)$18,970$331,67517.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$20,4061.3×$17,360–$38,87915
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$38,8792.4×1
BCBS TX$29,9231.8×1
UnitedHealthcare$28,0501.7×1
Evry Health$26,9641.7×1
Curative Administrators$26,3261.6×1
Healthcare Highways (rental network)$23,4691.4×1
Aetna$22,9471.4×1
Shared Health$21,5951.3×1
Kelsey Care (Boon-Chapman)$20,4061.3×1
Oscar$20,0921.2×1
Coventry National First Health (rental network)$19,9751.2×1
Imagine Health$19,1371.2×1
American Health Plan$18,8951.2×1
Devoted Health$18,3561.1×1
CHC Harris Health$17,9961.1×1
Kelsey Seybold$17,9961.1×1
Averde Health$17,3601.1×1

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% (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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Questions

How much does Medicare pay Hca Houston Healthcare Kingwood for a knee or hip replacement?

In 2024 the average total payment to Hca Houston Healthcare Kingwood for an inpatient hip or knee replacement stay was $16,188 (MS-DRG 470, 12 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, 143 cases).

What is Hca Houston Healthcare Kingwood's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $237,931, 14.7× 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 Hca Houston Healthcare Kingwood?

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.

How does Hca Houston Healthcare Kingwood compare with other Texas hospitals?

Hca Houston Healthcare Kingwood's average total payment per Medicare stay is higher than 71% of the 77 Texas hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Hca Houston Healthcare Kingwood 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 $20,406 across 15 insurers, ranging from $17,360 to $38,879.