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Houston Methodist the Woodlands Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,060
Memorial Hermann Surgery Center Woodlands Parkway, 4.2 mi
Outpatient here
$11,898
Medicare allowed amount, 292 cases, APC 5115
Inpatient here
$13,547
Avg total payment (incl. patient share), 30 Medicare stays, MS-DRG 470

Medicare prices at Houston Methodist the Woodlands Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,547$152,15011.2×$11,898
Shoulder replacement———$17,243
Hip replacement after a fracture (DRG 522)$18,310$180,4359.9×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$28,2762.1×$23,614–$41,5616
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
MultiPlan/PHCS (rental network)$88,0506.5×1
UnitedHealthcare$41,5613.1×1
BCBS TX$28,6302.1×1
Entrust$28,5542.1×1
Advanced Medical Pricing Solutions$27,9972.1×1
Texas Annual Conference$24,7071.8×1
Cigna$23,6141.7×1

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: 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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Questions

How much does Medicare pay Houston Methodist the Woodlands Hospital for a knee or hip replacement?

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).

What is Houston Methodist the Woodlands Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Houston Methodist the Woodlands Hospital?

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.

How does Houston Methodist the Woodlands Hospital compare with other Texas hospitals?

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.

What do commercial insurers pay Houston Methodist the Woodlands 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 $28,276 across 6 insurers, ranging from $23,614 to $41,561.