The Woodlands, TX 77385 · CMS Certification Number 670122. 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 | $13,547 | $152,150 | 11.2× | $11,898 |
| Shoulder replacement | — | — | — | $17,243 |
| Hip replacement after a fracture (DRG 522) | $18,310 | $180,435 | 9.9× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $28,276 | 2.1× | $23,614–$41,561 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| MultiPlan/PHCS (rental network) | $88,050 | 6.5× | 1 |
| UnitedHealthcare | $41,561 | 3.1× | 1 |
| BCBS TX | $28,630 | 2.1× | 1 |
| Entrust | $28,554 | 2.1× | 1 |
| Advanced Medical Pricing Solutions | $27,997 | 2.1× | 1 |
| Texas Annual Conference | $24,707 | 1.8× | 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.
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 293 beds
Texas has no certificate-of-need law.
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In 2024 the average total payment to Houston Methodist the Woodlands Hospital for an inpatient hip or knee replacement stay was $13,547 (MS-DRG 470, 30 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,898 per outpatient case (APC 5115, 292 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $152,150, 11.2× 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 Woodlands Parkway, an orthopedic surgery center 4.2 mi away, is paid about $9,060 by Medicare for a knee replacement (CPT 27447), $4,487 less than an inpatient stay at Houston Methodist the Woodlands Hospital. Not every patient is a surgery-center candidate.
Houston Methodist the Woodlands Hospital's average total payment per Medicare stay is lower than 75% of the 77 Texas hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $28,276 across 6 insurers, ranging from $23,614 to $41,561.