Hip or knee joint replacement surgery without major complications at Hca Houston Healthcare Northwest

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

SPRING, TX

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Pricing by billing methodology

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How this price compares nationally

Hca Houston Healthcare Northwest’s median price of $23.6k is 28% above the median hospital's median price ($18.5k), higher than 75% 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 Northwest

Negotiated rates from the hospital’s own file: 13 payers, 59 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	Aetna nbhmo case rate · inpatient	$17,546	$17,546	$17,546 – $17,546
7	Aetna nbpos case rate · inpatient	$17,546	$17,546	$17,546 – $17,546
8	Aetna commhmo case rate · inpatient	$18,647	$18,647	$18,647 – $18,647
9	Aetna commpos case rate · inpatient	$18,647	$18,647	$18,647 – $18,647
10	First Health comm case rate · inpatient	$19,024	$19,024	$19,024 – $19,024
11	Aetna nbppo case rate · inpatient	$20,681	$20,681	$20,681 – $20,681
12	Blue Cross Blue Shield traditional percent of total billed charges · inpatientfrom % of charges	$21,526	$21,526	$21,526 – $21,526
13	Aetna oonhmo case rate · inpatient	$21,938	$21,938	$21,938 – $21,938
14	Aetna oonpos case rate · inpatient	$21,938	$21,938	$21,938 – $21,938
15	Aetna commppo case rate · inpatient	$21,975	$21,975	$21,975 – $21,975
16	Humana medicareadvantagehmo fee schedule · inpatient	$22,404	$22,404	$22,404 – $22,404
17	Humana medicareadvantageppopffs fee schedule · inpatient	$22,404	$22,404	$22,404 – $22,404
18	Oscar hix fee schedule · inpatient	$22,549	$22,549	$22,549 – $22,549
19	Oscar mgmcr fee schedule · inpatient	$22,659	$22,659	$22,659 – $22,659
20	Cigna Healthspring mcrhmo fee schedule · inpatient	$22,890	$22,890	$22,890 – $22,890
21	Cigna Healthspring mcrppo fee schedule · inpatient	$22,890	$22,890	$22,890 – $22,890
22	Cigna Healthspring mcrsnp fee schedule · inpatient	$22,890	$22,890	$22,890 – $22,890
23	Cigna Healthspring mmp fee schedule · inpatient	$22,890	$22,890	$22,890 – $22,890
24	Cigna Healthspring pffs fee schedule · inpatient	$22,890	$22,890	$22,890 – $22,890
25	UnitedHealthcare mcr fee schedule · inpatient	$22,913	$22,913	$22,913 – $22,913

Page 1 of 3 · 59 rates

Last updated: Mar 1, 2026

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