Sugar Land, TX 77478 · CMS Certification Number 670053. 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 | — | — | — | $12,187 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,591 | — | $11,324–$51,114 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| NX Health | $51,114 | — | 1 |
| MultiPlan/PHCS (rental network) | $34,840 | — | 1 |
| Cigna | $28,137 | — | 1 |
| Independent Med System | $23,680 | — | 1 |
| Centene/Superior/Ambetter | $23,591 | — | 1 |
| Community Health Choice | $23,591 | — | 1 |
| UnitedHealthcare | $21,855 | — | 1 |
| Bright Health | $21,691 | — | 1 |
| Humana | $19,986 | — | 1 |
| Healthsmart (rental network) | $15,273 | — | 1 |
| Renaissance | $11,324 | — | 1 |
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 100 beds
Texas has no certificate-of-need law.
Open the interactive price tagBuild a reportAll Texas hospitals
The Medicare allowed amount averaged $12,187 per outpatient hip or knee replacement case (APC 5115, 14 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Sugar Land Surgery Center, an orthopedic surgery center same ZIP 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 $23,591 across 9 insurers, ranging from $11,324 to $51,114.