Price AtlasInteractive atlas · All states · techysurgeon.comHouston Methodist Sugarland Hospital: what a joint replacement costs
Sugar Land, TX 77479 · CMS Certification Number 450820. 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.
Medicare prices at Houston Methodist Sugarland Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,983 | $167,382 | 12.0× | $11,942 |
| Shoulder replacement | — | — | — | $17,243 |
| Hip replacement after a fracture (DRG 522) | $15,267 | $167,131 | 10.9× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $28,554 | 2.0× | $23,614–$41,561 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| MultiPlan/PHCS (rental network) | $88,050 | 6.3× | 1 |
| UnitedHealthcare | $41,561 | 3.0× | 1 |
| BCBS TX | $28,630 | 2.0× | 1 |
| Entrust | $28,554 | 2.0× | 1 |
| Texas Annual Conference | $26,436 | 1.9× | 1 |
| Cigna | $23,614 | 1.7× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 5.2% (no different from the national rate). Readmissions: 7.1%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 340 beds
Texas has no certificate-of-need law.
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Questions
How much does Medicare pay Houston Methodist Sugarland Hospital for a knee or hip replacement?
In 2024 the average total payment to Houston Methodist Sugarland Hospital for an inpatient hip or knee replacement stay was $13,983 (MS-DRG 470, 26 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,942 per outpatient case (APC 5115, 432 cases).
What is Houston Methodist Sugarland Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $167,382, 12.0× 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 Houston Methodist Sugarland Hospital?
Yes for Medicare facility payments. Memorial Hermann Surgery Center Sugarland, an orthopedic surgery center same ZIP away, is paid about $9,060 by Medicare for a knee replacement (CPT 27447), $4,923 less than an inpatient stay at Houston Methodist Sugarland Hospital. Not every patient is a surgery-center candidate.
How does Houston Methodist Sugarland Hospital compare with other Texas hospitals?
Houston Methodist Sugarland Hospital's average total payment per Medicare stay is lower than 68% of the 77 Texas hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Houston Methodist Sugarland Hospital 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 $28,554 across 5 insurers, ranging from $23,614 to $41,561.