CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Memorial Hermann - Texas Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,246
about 1.4× the $14,044 Medicare rate · typically $16,363–$24,215
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,510
Above the fair price
about $4,264 over the fair price · 1.7× Medicare
Medicare pays $14,044 Fair price $19,246 This hospital $23,510

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $8,277 Priciest $23,510

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $19,246 (about 1.4× the $14,044 Medicare rate). Memorial Hermann - Texas Medical Center charges insurers about $23,510 — above the fair price. Located in Houston, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19,246. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $23,510 - $37,616 167%
Blue Cross Blue Shieldmajor $23,510 - $37,616 167%
Aetnamajor $23,510 - $38,792 167%
Cignamajor $23,510 167%
Humanamajor $23,510 167%
Kaiser Permanentemajor $23,510 167%
Devoted Health $23,510 167%
Molina $25,861 - $45,375 184%
Oscar Health $23,510 - $37,616 167%
WellCare $23,510 167%
+ 8 smaller / regional plans $22,805 - $44,669
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 6411 Fannin, Houston, TX 77030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals