5/100
#2,522 nationally
Texas Orthopedic Hospital
7401 South Main Street, Houston, TX 77030 · (713) 799-8600
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Texas Orthopedic Hospital billed $13.33 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 13.3x
- volume-weighted across all its priced work
- Procedures priced
- 21
- inpatient and outpatient combined
- Rank in TX
- #185
- lower markup ranks higher
- CMS quality stars
- Not rated
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 3% of U.S. hospitals.
Better than 6% of U.S. hospitals.
Better than 5% of U.S. hospitals.
Better than 9% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
1,066 | $169,311 | $12,098 | +171% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
647 | $37,696 | $1,478 | +232% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
438 | $90,228 | $6,537 | +126% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
267 | $37,702 | $2,970 | +85% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
174 | $22,097 | $1,477 | +97% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
131 | $469,307 | $43,786 | +111% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
95 | $263,903 | $17,078 | +218% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
89 | $370,048 | $28,375 | +185% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
72 | $274,190 | $18,016 | +167% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
43 | $221,817 | $12,920 | +177% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$414,509 | $20,583 | +282% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$37,696 | $1,478 | +232% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$263,903 | $17,078 | +218% |
|
Hip or Knee Replacement (severe)
MS-DRG 469 · Inpatient stay |
$421,999 | $21,996 | +199% |
|
Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
MS-DRG 402 · Inpatient stay |
$413,111 | $41,897 | +190% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
$370,048 | $28,375 | +185% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$221,817 | $12,920 | +177% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$169,311 | $12,098 | +171% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Back and Neck Procedures Except Spinal Fusion with Complications
MS-DRG 519 · Inpatient stay |
$109,595 | $13,371 | +28% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$151,590 | $15,610 | +82% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$37,702 | $2,970 | +85% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
$224,830 | $22,366 | +88% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$34,580 | $2,635 | +96% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$22,097 | $1,477 | +97% |
|
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with
MS-DRG 427 · Inpatient stay |
$623,553 | $60,621 | +102% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications
MS-DRG 493 · Inpatient stay |
$205,884 | $16,740 | +102% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.