CMS Price Transparency Data

Total knee replacement

Facility: Tops Surgical Specialty Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$12,693
about 1.0× the $13,117 Medicare rate · typically $6,132–$16,686
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,745
Below the fair price — a good deal
about $7,948 under the fair price · 0.4× Medicare
Medicare pays $13,117 Fair price $12,693 This hospital $4,745 Cash price $3,691 Hospital's list price $10,545

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 $2,404 Priciest $4,745

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

A fair price for a Total knee replacement is about $12,693 (about 1.0× the $13,117 Medicare rate). Tops Surgical Specialty Hospital charges insurers about $4,745, or about $3,691 in cash — below the fair price — a good deal. 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 $11,664 - $19,468 89%
Blue Cross Blue Shieldmajor $4,745 - $5,589 36%
Aetnamajor $2,659 - $9,897 20%
Cignamajor $5,137 - $5,394 39%
Humanamajor $3,937 - $7,909 30%
Ambetter (Centene) $1,841 - $4,848 14%
Health Net $2,154 - $8,963 16%
Oscar Health $1,608 - $3,824 12%

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Facility Profile & Credentials

  • Address: 17080 Red Oak Drive, Houston, TX 77090
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals