CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Houston Methodist West Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,747
about 1.3× the $14,044 Medicare rate · typically $16,155–$23,164
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,134
About the fair price
about $387 over the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $18,747 This hospital $19,134

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 $19,134

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 $18,747 (about 1.3× the $14,044 Medicare rate). Houston Methodist West Hospital charges insurers about $19,134 — 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 $16,284 - $41,561 116%
Blue Cross Blue Shieldmajor $16,284 - $28,630 116%
Aetnamajor $16,529 118%
Cignamajor $16,773 - $24,998 119%
Humanamajor $16,284 116%
Devoted Health $17,424 - $20,355 124%
Molina $17,099 - $32,569 122%
Oscar Health $17,099 122%
+ 5 smaller / regional plans $17,424 - $81,422
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 18500 Katy Freeway, Houston, TX 77094
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals