Hip or knee joint replacement surgery without major complications at HCA Houston Healthcare North Cypress

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 41efcec26401
Generated: October 17, 2026

Original text from hospital filings

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT

HOUSTON, TX

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How this price compares nationally

HCA Houston Healthcare North Cypress’s median price of $19.0k is 3% above the median hospital's median price ($18.5k), higher than 54% of the 2,206 hospitals reporting MS-DRG 470. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting MS-DRG 470 at HCA Houston Healthcare North Cypress

Negotiated rates from the hospital’s own file: 13 payers, 54 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	First Health comm per diem · inpatient	$1,941	$1,941	$1,941 – $1,941
2	UnitedHealthcare smallgroup per diem · inpatient	$2,591	$2,591	$2,591 – $2,591
3	UnitedHealthcare narrownetworkindivexchange per diem · inpatient	$2,636	$2,636	$2,636 – $2,636
4	UnitedHealthcare allpayerappendix per diem · inpatient	$3,702	$3,702	$3,702 – $3,702
5	Aetna qhpexchange case rate · inpatient	$13,211	$13,211	$13,211 – $13,211
6	Humana medicareadvantagehmo fee schedule · inpatient	$17,521	$17,521	$17,521 – $17,521
7	Humana medicareadvantageppopffs fee schedule · inpatient	$17,521	$17,521	$17,521 – $17,521
8	Aetna nbhmo case rate · inpatient	$17,546	$17,546	$17,546 – $17,546
9	Aetna nbpos case rate · inpatient	$17,546	$17,546	$17,546 – $17,546
10	Oscar mgmcr fee schedule · inpatient	$17,720	$17,720	$17,720 – $17,720
11	Cigna Healthspring mcrhmo fee schedule · inpatient	$17,901	$17,901	$17,901 – $17,901
12	Cigna Healthspring mcrppo fee schedule · inpatient	$17,901	$17,901	$17,901 – $17,901
13	Cigna Healthspring mcrsnp fee schedule · inpatient	$17,901	$17,901	$17,901 – $17,901
14	Cigna Healthspring mmp fee schedule · inpatient	$17,901	$17,901	$17,901 – $17,901
15	Cigna Healthspring pffs fee schedule · inpatient	$17,901	$17,901	$17,901 – $17,901
16	UnitedHealthcare mcr fee schedule · inpatient	$17,919	$17,919	$17,919 – $17,919
17	Blue Cross Blue Shield mcrppo fee schedule · inpatient	$18,081	$18,081	$18,081 – $18,081
18	WellCare mcrhmo fee schedule · inpatient	$18,262	$18,262	$18,262 – $18,262
19	WellCare pffs fee schedule · inpatient	$18,262	$18,262	$18,262 – $18,262
20	WellCare pos fee schedule · inpatient	$18,262	$18,262	$18,262 – $18,262
21	WellCare ppo fee schedule · inpatient	$18,262	$18,262	$18,262 – $18,262
22	WellCare snp fee schedule · inpatient	$18,262	$18,262	$18,262 – $18,262
23	Devoted mgmcr fee schedule · inpatient	$18,443	$18,443	$18,443 – $18,443
24	Aetna commhmo case rate · inpatient	$18,647	$18,647	$18,647 – $18,647
25	Aetna commpos case rate · inpatient	$18,647	$18,647	$18,647 – $18,647

Page 1 of 3 · 54 rates

Last updated: May 14, 2026

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