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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,920 | $221,817 | 17.2× | $12,098 |
| Shoulder replacement | $18,016 | $274,190 | 15.2× | $17,078 |
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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In 2024 the average total payment to Texas Orthopedic Hospital for an inpatient hip or knee replacement stay was $12,920 (MS-DRG 470, 43 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,098 per outpatient case (APC 5115, 1066 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $221,817, 17.2× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Texas Orthopedic Hospital's average total payment per Medicare stay is lower than 86% of the 77 Texas hospitals that report inpatient hip or knee replacement.