CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: HCA Houston Healthcare Tomball

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,582
about 1.4× the $14,044 Medicare rate · typically $16,160–$23,903
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,123
About the fair price
about $1,459 under the fair price · 1.3× Medicare
Medicare pays $14,044 Fair price $19,582 This hospital $18,123

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 $18,123

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 $19,582 (about 1.4× the $14,044 Medicare rate). HCA Houston Healthcare Tomball charges insurers about $18,123 — about the fair price. Located in Tomball, 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 $16,626 - $41,790 118%
Aetnamajor $13,211 - $27,933 94%
Cignamajor $16,460 - $47,378 117%
Humanamajor $16,111 - $28,297 115%
Amerigroup $16,626 118%
Devoted Health $16,959 121%
Healthcare Highways $23,469 167%
Independent Health $16,793 120%
Molina $18,123 - $27,817 129%
Oscar Health $16,294 - $22,549 116%
WellCare $16,793 120%
WellMed $16,460 117%
+ 11 smaller / regional plans $16,626 - $26,964
Government programs also on file: Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 605 Holderrieth, Tomball, TX 77375
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals