CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Memorial Hermann Hospital System

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,208
about 1.4× the $14,044 Medicare rate · typically $16,221–$23,797
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,150
About the fair price
about $58 under the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $19,208 This hospital $19,150

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 $19,150

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 $19,208 (about 1.4× the $14,044 Medicare rate). Memorial Hermann Hospital System charges insurers about $19,150 — about the fair price. Located in Houston, TX.

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 $19,150 - $30,640 136%
Blue Cross Blue Shieldmajor $19,150 - $30,640 136%
Aetnamajor $19,150 - $31,598 136%
Cignamajor $19,150 136%
Humanamajor $19,150 136%
Kaiser Permanentemajor $19,150 136%
Devoted Health $19,150 136%
Molina $21,065 - $36,960 150%
Oscar Health $30,640 218%
WellCare $19,150 136%
+ 8 smaller / regional plans $18,576 - $36,385
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 1635 North Loop West, Houston, TX 77008
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals