Texas Orthopedic Hospital
Texas Orthopedic Hospital in Houston charges 12.6x the Medicare reimbursement rate across analyzed procedures, with 54% showing significant price variations compared to other facilities.
Houston, TX 77030 · Acute Care Hospitals
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
F
Very high
Avg markup vs Medicare
12.64x
Charge / Medicare rate
Max markup
15.74x
Worst procedure
Procedures analyzed
11
With pricing data
Outlier procedures
54.5%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D | 464 | $276,855 | $138,428 | — | 15.7x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $336,766 | $168,383 | — | 15.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $160,498 | $80,249 | — | 15.4x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $205,910 | $102,955 | — | 15.2x |
| BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | 462 | $257,842 | $128,921 | — | 14.2x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $386,976 | $193,488 | — | 12.9x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $215,359 | $107,679 | — | 12.3x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $449,964 | $224,982 | — | 12.2x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $119,527 | $59,764 | — | 10.2x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $205,720 | $102,860 | — | 9.6x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $64,116 | $32,058 | — | 5.6x |
How TEXAS ORTHOPEDIC HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use