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Texas Orthopedic Hospital: what a joint replacement costs

Houston, TX 77030 · CMS Certification Number 450804. 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
Memorial Hermann Surgery Center Katy Llp, 2.2 mi
Outpatient here
$12,098
1066 Medicare cases, APC 5115
Inpatient here
$12,920
43 Medicare stays, MS-DRG 470

Medicare prices at Texas Orthopedic Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,920$221,81717.2×$12,098
Shoulder replacement$18,016$274,19015.2×$17,078

Quality

Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 4.7%. Nonprofit · Acute · 42 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Texas Orthopedic Hospital for a knee or hip replacement?

In 2024 Medicare paid Texas Orthopedic Hospital an average of $12,920 per inpatient hip or knee replacement stay (MS-DRG 470, 43 stays) and $12,098 per outpatient case (APC 5115, 1066 cases).

What is Texas Orthopedic Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $221,817, 17.2× what Medicare paid. 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 Texas Orthopedic Hospital?

Yes for Medicare facility payments. Memorial Hermann Surgery Center Katy Llp, an orthopedic surgery center 2.2 mi away, is paid about $9,060 by Medicare for a knee replacement (CPT 27447), $3,860 less than an inpatient stay at Texas Orthopedic Hospital. Not every patient is a surgery-center candidate.

How does Texas Orthopedic Hospital compare with other Texas hospitals?

Medicare paid Texas Orthopedic Hospital less than 86% of the 77 Texas hospitals that report inpatient hip or knee replacement.