CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: HCA Houston Healthcare West

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,252
about 1.4× the $14,044 Medicare rate · typically $15,671–$21,807
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,841
About the fair price
about $1,589 over the fair price · 1.5× Medicare
Medicare pays $14,044 Fair price $19,252 This hospital $20,841

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 $20,841

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 $19,252 (about 1.4× the $14,044 Medicare rate). HCA Houston Healthcare West charges insurers about $20,841 — 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.

5 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 $2,591 - $33,000 18%
Blue Cross Blue Shieldmajor $20,473 - $41,936 146%
Aetnamajor $13,211 - $27,933 94%
Cignamajor $16,562 - $47,378 118%
Humanamajor $19,799 - $28,297 141%
Amerigroup $20,432 145%
Devoted Health $20,841 148%
Fidelis Care $22,271 159%
Healthcare Highways $23,469 167%
Independent Health $20,636 147%
Molina $22,271 - $30,081 159%
Oscar Health $20,023 - $22,549 143%
WellCare $20,636 147%
WellMed $20,268 144%
+ 16 smaller / regional plans $17,360 - $31,670
Government programs also on file: Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals