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St Luke's Sugar Land Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,060
Sugar Land Surgery Center, same ZIP
Outpatient here
$12,187
Medicare allowed amount, 14 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at St Luke's Sugar Land Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,187
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$23,591—$11,324–$51,1149
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
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.

Quality

Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 100 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay St Luke's Sugar Land Hospital for a knee or hip replacement?

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.

Is a knee replacement cheaper at a surgery center near St Luke's Sugar Land Hospital?

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.

What do commercial insurers pay St Luke's Sugar Land 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 $23,591 across 9 insurers, ranging from $11,324 to $51,114.