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Hip Replacement Cost in Houston, TX (2026): Average Prices & What You'll Pay

What does a hip replacement cost in Houston, TX?

You could pay $3,375 or $12,897 for the same hip replacement in Houston, TX - depending entirely on which facility you choose. The median cash price across 40 reporting hospitals is $4,425. This data comes directly from hospital price transparency files published under federal law.

Three low-priced facilities in Houston, TX, from hospital price files

  • HCA HOUSTON MAINLAND · Texas City, TX $3,375
  • HCA HOUSTON HEALTHCARE TOMBALL · Houston, TX $3,375
  • HCA HOUSTON HEALTHCARE KINGWOOD · Cleveland, TX $3,375

Free: the typical range and the facilities above. Add your email and we send the full ranked list of all 40 facilities (PDF) plus a checklist of what to ask before you book. We don't sell your information (privacy policy).

Where hip replacement costs vary in Houston, TX

Pins show hospitals with price-transparency data (colored by vs. state average). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

26+ people checked prices near them this month.

A hip replacement is four separate bills - and one of them keeps arriving for weeks after the surgery.

Your personalized cost report includes:

  • ✓ Why a short inpatient stay adds a facility day-rate on top of the surgery itself
  • ✓ The separate anesthesia bill that can be out-of-network even at an in-network hospital
  • ✓ How physical therapy is billed - per visit, for weeks - and the plan limits to confirm first
  • ✓ The questions to ask before scheduling, including whether you qualify for a lower-cost surgery center
  • ✓ A real patient billing breakdown, line by line

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Cheapest Hip Replacement Providers in Houston, TX

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
1 Hospital name hidden Your City, TX $606 -$000
2 HCA HOUSTON MAINLAND Texas City, TX $3,375 -$1,050
3 Hospital name hidden Your City, TX $604 -$000
4 Hospital name hidden Your City, TX $603 -$000
5 HCA HOUSTON HEALTHCARE TOMBALL Houston, TX $3,375 -$1,050
6 Hospital name hidden Your City, TX $601 -$000
7 Hospital name hidden Your City, TX $600 -$000
8 HCA HOUSTON HEALTHCARE KINGWOOD Cleveland, TX $3,375 -$1,050

Your ranked price list is on its way to your email. Open the PDF now.

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Email me this price comparison plus what to ask before booking

Sends a PDF with all 40 facilities ranked cheapest first, plus a short checklist of questions that change what you pay. We don't sell your information (privacy policy).

Before you book: three questions that change the price

  1. Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
  2. Can you give me the price in writing, with the billing codes it covers?
  3. What happens to the price if something extra is needed during the procedure?

Estimate your out-of-pocket cost →  ·  When the bills arrive, we check them for errors →

Quick take

  • The University of Texas Medical Branch is the lowest-cost option at $2,424 - $2,001 below the state median, just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $4,425, and it's often lower than what insurance pays before your deductible is satisfied.
  • Ask the hospital for a written estimate of the facility fee, and confirm that the surgeon, anesthesia and any other providers are in your network before you schedule.

Texas is the largest commercial hospital market in the country by revenue. HCA, Tenet, and Community Health Systems are significant for-profit players across the state. Dallas-Fort Worth, Houston, and San Antonio have genuine multi-system competition that creates real price variation. Rural Texas - particularly West Texas and the Panhandle - has extensive critical access hospital coverage where pricing differs substantially from urban PPS hospitals. Hip replacement is one of the highest-cost elective procedures in orthopedic surgery, with total episode costs (surgery, implant, anesthesia, facility, and 90-day follow-up) ranging from $20,000–$50,000+. The implant device alone accounts for 30–40% of the facility charge. Medicare Advantage plans increasingly carve out joint replacement to preferred facilities using bundled payment arrangements, which can significantly lower your out-of-pocket costs if you use a designated center of excellence.

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Why prices vary - and what it means for your coverage

Setting matters too: the median outpatient price is $4,181 versus $13,000 inpatient (about 3.1× more), so where a procedure happens often matters more than which hospital you pick. Setting drives much of the spread here: whether the hospital bills the stay as outpatient or inpatient changes the facility fee, which is why two similar hospitals can bill very differently for the same procedure.

On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.

Your situation Estimated out-of-pocket
Deductible not yet met ~$4,425
Deductible met - 20% coinsurance ~$885
Out-of-network provider $9,735+

Frequently asked questions: hip replacement costs in Houston, TX

How much does a hip replacement cost in Houston, TX?

The typical insurer-negotiated rate is $1,177, with most facilities between $948 and $5,988 (based on 39 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $2,100 to $23,544 across all 40 Houston, TX hospitals that publish prices. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a hip replacement in Houston, TX?

Based on declared prices, the lowest-cost facility in our Houston, TX data is Harris Health at about $2,100. By metro, Pasadena has the lowest median ($3,375).

Why is a hip replacement so much cheaper at some Houston, TX hospitals?

Prices vary up to 11.2× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Houston, TX, the median cash (self-pay) price is $4,425 versus a median negotiated rate of $1,177 - about 3.8× higher. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for a hip replacement in Houston, TX?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in Houston, TX

Hip Replacement, elsewhere

What matters before you schedule

What's on your bill

A hip replacement involves multiple providers who bill separately - typically Drg Facility Stay, Orthopedic Surgeon Professional Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.

Cost by type

Which type your doctor orders for this hip replacement changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.

This is shoppable

Hip Replacement is elective and schedulable, so you have time to compare facilities before booking - hospital outpatient prices often run 2-4x higher than alternative settings for the identical clinical outcome.

What to ask before you book

Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for hip replacement before you schedule.


CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in Houston, TX

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published June 12, 2026 · Updated October 26, 2026

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