Houston, TX 77070 · CMS Certification Number 450844. 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 | — | — | — | $12,048 |
| Shoulder replacement | — | — | — | $16,704 |
| Hip replacement after a fracture (DRG 522) | $15,667 | $164,416 | 10.5× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $28,554 | — | $23,614–$41,561 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| MultiPlan/PHCS (rental network) | $88,050 | — | 1 |
| UnitedHealthcare | $41,561 | — | 1 |
| BCBS TX | $28,630 | — | 1 |
| Entrust | $28,554 | — | 1 |
| Texas Annual Conference | $28,160 | — | 1 |
| Cigna | $23,614 | — | 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.
Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 358 beds
Texas has no certificate-of-need law.
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The Medicare allowed amount averaged $12,048 per outpatient hip or knee replacement case (APC 5115, 152 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Cy-Fair Surgery Center, an orthopedic surgery center 4.1 mi away, is paid about $9,060 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
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.