44/100
#1,479 nationally
Tops Surgical Specialty Hospital
17080 Red Oak Drive, Houston, TX 77090 · (281) 539-2900
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Tops Surgical Specialty Hospital billed $5.61 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
- 5.6x
- volume-weighted across all its priced work
- Procedures priced
- 15
- inpatient and outpatient combined
- Rank in TX
- #86
- 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 39% of U.S. hospitals.
Better than 52% of U.S. hospitals.
Better than 46% of U.S. hospitals.
Better than 36% 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 |
132 | $73,165 | $12,107 | +17% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
117 | $16,747 | $1,766 | +48% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
116 | $38,454 | $6,497 | -4% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
111 | $18,819 | $2,964 | -8% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
86 | $3,857 | $1,490 | -62% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
50 | $12,587 | $1,490 | +12% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
45 | $18,488 | $4,087 | -29% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
43 | $65,492 | $15,332 | -18% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
37 | $78,584 | $17,243 | -5% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
31 | $190,461 | $28,709 | +69% |
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 |
|---|---|---|---|
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$190,461 | $28,709 | +69% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$16,747 | $1,766 | +48% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$25,753 | $3,233 | +25% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$73,165 | $12,107 | +17% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$12,587 | $1,490 | +12% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$183,021 | $43,462 | +3% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$38,454 | $6,497 | -4% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$138,160 | $24,843 | -5% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$3,857 | $1,490 | -62% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$18,488 | $4,087 | -29% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$14,011 | $2,549 | -21% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$65,492 | $15,332 | -18% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$33,407 | $6,047 | -15% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$18,819 | $2,964 | -8% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$78,584 | $17,243 | -5% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$138,160 | $24,843 | -5% |
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.