HCA Healthcare · Houston, TX
Not rated by CMS
CMS star rating
42
Beds
1,953
Inpatient discharges a year
$301.9M
Net patient revenue a year
32
In-network payers
Texas Orthopedic Hospita is a 42-bed voluntary non-profit - other hospital in Houston, TX, affiliated with HCA Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 422 disclosed rate categories.
The 24 services Texas Orthopedic Hospita most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Medicine & Surgery · Inpatient
MS-DRG 470
$35,313 - $52,265
from 4 insurers · median $42,684
622 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 460
$26,778 - $77,751
from 4 insurers · median $51,817
34 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$699 - $1,556
from 3 insurers · median $1,036
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,662 - $3,151
from 3 insurers · median $2,692
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$6,743 - $12,824
from 3 insurers · median $11,186
438 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45380
$1,788 - $3,151
from 3 insurers · median $2,954
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,983 - $3,151
from 3 insurers · median $2,954
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$2,954 - $6,297
from 3 insurers · median $4,109
647 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Medicine & Surgery
CPT 29881
$5,242 - $6,883
from 3 insurers · median $5,380
267 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Mammography
CPT 77067
$184 - $353
from 4 insurers · median $306
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$244 - $469
from 3 insurers · median $372
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,185 - $12,824
from 3 insurers · median $11,553
Typical for a hospital with this service line
Orthopedics and pain
CPT 27446
$4,185 - $39,965
from 3 insurers · median $37,368
1066 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58571
$4,511 - $13,230
from 3 insurers · median $12,824
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,253 - $3,151
from 3 insurers · median $2,954
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$437 - $881
from 3 insurers · median $541
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$3,872 - $6,297
from 3 insurers · median $4,185
Typical for a hospital with this service line
MRI imaging
CPT 70553
$746 - $1,572
from 3 insurers · median $1,025
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$403 - $725
from 3 insurers · median $613
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29880
$5,365 - $6,883
from 3 insurers · median $5,380
267 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
X-ray and bone density
CPT 71046
$110 - $203
from 4 insurers · median $160
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$4,185 - $12,689
from 3 insurers · median $8,604
Typical for a hospital with this service line
MRI imaging
CPT 72148
$419 - $976
from 3 insurers · median $837
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$412 - $976
from 3 insurers · median $756
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 4 | 272% | 2 | 2 |
| Insurer B* | 24 | 232% | 15 | 8 |
| Insurer C* | 24 | 207% | 16 | 7 |
| Insurer D* | 24 | 197% | 20 | 3 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Texas Orthopedic Hospita, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
Not rated by CMS
Doctors and services
Accredited by The Joint Commission
Finances
$301.9M net patient revenue
Ownership and leadership
Owned by HCA Healthcare Inc
The employer identification numbers (EINs) health plans and networks list for Texas Orthopedic Hospita in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 76-0418502Orthopedic Hospital Ltd | 56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more | 1134166192 Orthopedic Hospital Ltd1255460325 Orthopedic Hospital Ltd.1215984240 Orthopedic Hospital Ltd. |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
7401 South Main Street, Houston, TX 77030
(713) 799-8600
How Texas Orthopedic Hospita compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Death rates
No different on 1 measures
0 better, 1 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 2 measures
1 better, 1 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 2 of 3 measures
2 better, 1 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
83%
Higher than 87% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.72
Lower than 98% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
105 min
Lower than 86% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
| Measure | Result | Period |
|---|---|---|
| Death rates | No different on 1 measures | |
| Safety | Better on 1 of 2 measures | |
| Readmissions | Better on 2 of 3 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 83% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.72 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 105 min | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Texas Orthopedic Hospita's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
0.00% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Texas Orthopedic Hospita, beside the US median and the average of TX hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Texas Orthopedic Hospita | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 216 cases | 3.1 | 4.1 | 4.144 | Better than 91% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 860 cases | 3.8 | 3.9 | 3.887 | Better than 56% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.91 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.71 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.703 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 10.52 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 14.69 | |||
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 12.01 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 646 cases | 0.5 | 0.51 | 0.52 | No Different Than the National Rate | Better than 51% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 166 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,791 cases | 0.19 | 0.2 | 0.2079 | No Different Than the National Rate | Better than 66% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,707 cases | 0.28 | 0.27 | 0.2646 | No Different Than the National Rate | Worse than 68% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 1,749 cases | 2.44 | 2.29 | 2.31 | No Different Than the National Rate | Worse than 71% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 1,693 cases | 1.54 | 1.63 | 1.619 | No Different Than the National Rate | Better than 75% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 1,693 cases | 4.63 | 8.88 | 10.06 | No Different Than the National Rate | Better than 98% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 1,710 cases | 2.18 | 3.4 | 3.337 | No Different Than the National Rate | Better than 99% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 1,485 cases | 3.95 | 5.105 | 5.234 | No Different Than the National Rate | Better than 93% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 377 cases | 1.75 | 1.72 | 1.771 | No Different Than the National Rate | Worse than 66% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 488 cases | 1.02 | 1.02 | 1.035 | No Different Than the National Rate | Better than 48% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Texas Orthopedic Hospita | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.3 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 | Not Available | -1.323 | |||
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 2.422 | |||
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 | Not Available | 13.1 | |||
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.89 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.287 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 1,709 cases | 0.7 | 1 | 1.017 | Better than expected | Better than 98% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.48 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.35 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 | Not Available | 19.85 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 21.26 | |||
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 149 cases | 4.7 | 5.8 | 5.89 | Better than 96% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 17.32 |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Texas Orthopedic Hospita | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2089 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.706 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 26 | 1,370 | 5,045 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.018 | 0.9835 | 5.124 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.481 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.524 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1526 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.474 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 50 | 1,799 | 4,197 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.026 | 1.377 | 5.155 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.82 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3671 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2931 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.124 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 131 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 3.62 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 2.647 | |||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.6967 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3341 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.281 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 121 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.047 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.9659 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.973 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2282 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.053 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 5,320 | 14,451 | 42,649 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.061 | 0.567 | 2.717 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.635 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6545 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1195 | |||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.935 | |||
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 5,320 | 13,646 | 38,870 | ||
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 0.733 | 5.683 | 20.56 | ||
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 4.894 | ||
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | Not Available | 0.2623 |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Texas Orthopedic Hospita | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 429 cases | 85 | 73 | 75.97 | Better than 89% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 429 cases | 5 | 8 | 7.771 | Better than 73% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 429 cases | 10 | 18 | 16.26 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 429 cases | 92 | 87 | 87.82 | Better than 88% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 429 cases | 5 | 4 | 3.712 | The top rating, shared by 12% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 429 cases | 81 | 80 | 79.96 | Better than 56% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 429 cases | 92 | 91 | 90.97 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 429 cases | 5 | 4 | 4.535 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 429 cases | 4 | 3 | 3.275 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 429 cases | 14 | 16 | 15.51 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 429 cases | 85 | 79 | 79.72 | Better than 80% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 429 cases | 93 | 91 | 90.24 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 429 cases | 5 | 5 | 5.687 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 429 cases | 4 | 3 | 2.956 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 429 cases | 10 | 16 | 14.59 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 429 cases | 65 | 61 | 62.66 | Better than 68% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 429 cases | 80 | 77 | 76.88 | Better than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 429 cases | 17 | 19 | 19.26 | Better than 63% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 429 cases | 3 | 3 | 2.672 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 429 cases | 18 | 19 | 18.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 429 cases | 88 | 86 | 84.56 | Better than 68% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 429 cases | 11 | 13 | 13.98 | Better than 68% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 429 cases | 4 | 3 | 3.07 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 429 cases | 89 | 87 | 86.02 | Better than 68% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 429 cases | 13 | 14 | 16.2 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 429 cases | 87 | 86 | 83.8 | Better than 59% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 429 cases | 83 | 74 | 74.6 | Better than 91% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 429 cases | 7 | 7 | 7.327 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 429 cases | 10 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 429 cases | 82 | 77 | 77.72 | Better than 76% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 429 cases | 5 | 6 | 6.395 | Better than 53% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 429 cases | 13 | 17 | 15.88 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 429 cases | 89 | 85 | 85.15 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 429 cases | 3 | 3 | 4.015 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 429 cases | 8 | 11 | 10.84 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 429 cases | 8 | 8 | 8.293 | Worse than 48% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 429 cases | 9 | 20 | 18.19 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 429 cases | 83 | 72 | 73.52 | Better than 87% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 429 cases | 92 | 88 | 88.12 | Better than 86% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 429 cases | 4 | 3 | 3.319 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 429 cases | 80 | 74 | 74.97 | Better than 80% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 429 cases | 7 | 9 | 9.68 | Better than 71% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 429 cases | 13 | 16 | 15.35 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 429 cases | 79 | 75 | 75.27 | Better than 75% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 429 cases | 6 | 5 | 6.154 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 429 cases | 15 | 20 | 18.58 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 429 cases | 79 | 77 | 76.85 | Better than 63% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 429 cases | 5 | 4 | 5 | Worse than 55% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 429 cases | 16 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 429 cases | 87 | 86 | 85.92 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 429 cases | 3 | 3 | 3.094 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 429 cases | 10 | 11 | 10.98 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 429 cases | 78 | 59 | 65.6 | Better than 94% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 429 cases | 5 | 9 | 7.774 | Better than 77% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 429 cases | 17 | 31 | 26.63 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 429 cases | 90 | 82 | 84.26 | Better than 95% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 429 cases | 5 | 3 | 3.821 | The top rating, shared by 11% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 429 cases | 4 | 5 | 6.017 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 429 cases | 83 | 71 | 72.87 | Better than 87% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 429 cases | 92 | 87 | 87.21 | Better than 83% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 429 cases | 13 | 23 | 21.12 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 429 cases | 5 | 4 | 3.694 | The top rating, shared by 24% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 429 cases | 49 | 47 | 49.46 | Better than 58% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 429 cases | 27 | 30 | 29.64 | Better than 65% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 429 cases | 24 | 22 | 20.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 429 cases | 4 | 3 | 3.266 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 429 cases | 10 | 12 | 12.55 | Better than 70% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 429 cases | 90 | 88 | 87.45 | Better than 70% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Texas Orthopedic Hospita | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 · 886 cases | 7 | 8 | 6.38 | Better than 57% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 276 cases | 0 | 1 | 1.192 | The best result, shared by 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2381 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 832 cases | 57 | 79 | 72.24 | Worse than 80% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 265 cases | 105 | 154 | 151 | Better than 90% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 258 cases | 105 | 148 | 146 | Better than 86% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 331 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 279 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 835 cases | 1 | 1 | 1.372 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 69.2 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 90.54 | |||
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 99.5 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 41.08 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 904 cases | 17 | 15 | 13.94 | Worse than 66% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 | Not Available | 66.54 | |||
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 71.35 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 89.11 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 82.14 | |||
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 92.38 | |||
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.64 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.48 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 942 cases | 100 | 90 | 78.56 | The best result, shared by 5% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 93.78 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Texas Orthopedic Hospita | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | Not Available | 7.719 | |||
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 6.859 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Texas Orthopedic Hospita | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.97 | 0.99 | 1.034 | Better than 58% of US hospitals |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Texas Orthopedic Hospita | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.013 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.01 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 0.999 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | N/A | 1 | |||
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 · 1,082 cases | 0.5709 | 0.9916 | 1.006 | Better than 99% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | N/A | 1.003 |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-HF-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-HIP-KNEE-HRRP | 0.958 | 1.06 | 1.01 | 0.7761 | 0.5796 | 0.5709 |
| READM-30-PN-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Texas Orthopedic Hospita | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.4327 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.346 | 0.2562 | The best result, shared by 9% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5596 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6118 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.72 | 0.9628 | 0.9684 | Better than 98% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7483 | |||
| Total HAC scoreFY 2026 | -1.473 | -0.0453 | -0.1734 | Better than 99% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -1.725 | -1.578 | 0 | -1.59 | -1.559 | -1.473 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2025)
Accreditation
None
Medical school affiliation
Other
Ownership type
42
Medicare-certified beds
162
Registered nurses (full-time equivalent)
1995
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Texas Orthopedic Hospita reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
1,953
Inpatient discharges
Medicare 31%, Medicaid n/a
5,009
Inpatient days
33% of available bed days used
517
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 839215). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Texas Orthopedic Hospita reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,516 | 0 | 3,493 | 5,009 |
| Discharges | 596 | 0 | 1,357 | 1,953 |
| Average length of stay | 2.5 days | 2.6 days | 2.6 days | |
| Average daily census | 4.2 | 0.0 | 9.6 | 13.7 |
1,306
Medicare Advantage days
488 discharges
134
Medicaid managed care days
41 discharges
595
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 42 | 5,009 | 1,516 | 33% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839215, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Texas Orthopedic Hospita treats Medicare patients for most often, in 2024. 542 Medicare discharges in 14 published DRGs; 100% surgical; 63% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 131 | $469,307 | $38,720 | $33,790 | 6.12 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 89 | $370,048 | $19,042 | $26,643 | 3.49 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 72 | $274,190 | $15,293 | $19,742 | 2.48 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 43 | $221,817 | $11,326 | $15,971 | 1.88 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 39 | $224,830 | $17,169 | $16,188 | 2.96 |
| Multiple level combined anterior and posterior spinal fusion except cervical with CCMS-DRG 427 | 29 | $623,553 | $43,288 | $44,896 | |
| Single level combined anterior and posterior spinal fusion except cervicalMS-DRG 402 | 28 | $413,111 | $20,338 | $29,744 | |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 24 | $333,325 | $18,510 | $23,999 | 3.66 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 18 | $109,595 | $11,739 | $7,891 | 1.97 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 464, surgical | 17 | $290,163 | $16,866 | $20,892 | 3.00 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 14 | $414,509 | $15,633 | $29,845 | 2.67 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 14 | $205,884 | $12,877 | $14,824 | 2.40 |
| Major hip and knee joint replacement or reattachment of lower extremity with MCC or totaMS-DRG 469, surgical | 13 | $421,999 | $20,364 | $30,384 | 3.33 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 11 | $151,590 | $11,065 | $10,914 | 2.07 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Texas Orthopedic Hospita billed Medicare for most in 2024: 2,703 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 1,066 | 1,002 | $169,311 | $10,465 | $10,772 |
| Level 1 Nerve ProceduresAPC 5431 | 647 | 446 | $37,696 | $1,177 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 438 | 426 | $90,228 | $5,188 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 267 | 258 | $37,702 | $2,359 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 174 | 164 | $22,097 | $1,174 | $1,196 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 95 | 95 | $263,902 | $15,446 | $15,763 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 16 | 16 | $34,580 | $2,099 | $2,141 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Texas Orthopedic Hospita in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 763 in 2020 to 179 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 77573 | 15 | 8% | 42 | $4.2M | 0% | 1% |
| 77581 | 15 | 8% | 36 | $8.2M | 1% | 1% |
| 77651 | 15 | 8% | 50 | $5.7M | 3% | 4% |
| 77662 | 14 | 8% | 45 | $7.4M | 1% | 2% |
| 77339 | 13 | 7% | 40 | $3.6M | 1% | 1% |
| 77536 | 13 | 7% | 25 | $4.6M | 1% | 1% |
| 77584 | 13 | 7% | 41 | $5.9M | 0% | 1% |
| 77657 | 13 | 7% | 31 | $5.1M | 1% | 3% |
| 77346 | 12 | 7% | 41 | $4.5M | 0% | 1% |
| 77713 | 12 | 7% | 29 | $4.5M | 2% | |
| 77024 | 11 | 6% | 31 | $3.9M | 1% | 2% |
| 77429 | 11 | 6% | 31 | $4.1M | 0% | 1% |
| 77627 | 11 | 6% | 26 | $2.9M | 1% | 2% |
| 77632 | 11 | 6% | 29 | $3.9M | 1% | 3% |
Source: CMS Hospital Service Area file. Shares are of the 179 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Texas Orthopedic Hospita reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.
25
Operating rooms
162
Registered nurses
2
Nurse practitioners
5
Pharmacists
7
Respiratory therapists
14
Physical therapists
1
Occupational therapists
11
Radiology technicians
4
Medical technologists
234
Other personnel
Source: CMS Provider of Services file.
240 clinicians who bill Medicare list Texas Orthopedic Hospita as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
John Harrell, M.D.
Physical Medicine & Rehabilitation Physician
NPI 1184682148
See commercial rates for John Harrell, M.D.Robert Burke, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1386632966
See commercial rates for Robert Burke, M.D.Michele Sartori, M.D.
Interventional Cardiology Physician
NPI 1720078181
See commercial rates for Michele Sartori, M.D.Hussein Elkousy, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1376531954
See commercial rates for Hussein Elkousy, M.D.Kevin Lyu, M.D.
Sports Medicine (Family Medicine) Physician
NPI 1689037723
See commercial rates for Kevin Lyu, M.D.Robin Goytia, M.D.
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1538284534
See commercial rates for Robin Goytia, M.D.Rebecca Tadlock, NP
Family Nurse Practitioner
NPI 1013471929
See commercial rates for Rebecca Tadlock, NPThomas Edwards, M.D.
Orthopaedic Surgery Physician
NPI 1528056033
See commercial rates for Thomas Edwards, M.D.Vasilios Mathews, M.D.
Orthopaedic Surgery Physician
NPI 1104814532
See commercial rates for Vasilios Mathews, M.D.Anay Patel, M.D.
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1588897011
See commercial rates for Anay Patel, M.D.James Asbury, M.D.
Critical Care Medicine (Internal Medicine) Physician
NPI 1174631535
See commercial rates for James Asbury, M.D.Gregory Stocks, M.D.
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1861480238
See commercial rates for Gregory Stocks, M.D.Jeffrey London, M.D.
Diagnostic Radiology Physician
NPI 1104806629
See commercial rates for Jeffrey London, M.D.Houston Braly, M.D.
Orthopaedic Surgery Physician
NPI 1346595485
See commercial rates for Houston Braly, M.D.Michael Mccann, MD
Interventional Pain Medicine Physician
NPI 1013982453
See commercial rates for Michael Mccann, MDMichael Cusick
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1043483134
See commercial rates for Michael CusickStephen Jones, M.D.
Diagnostic Radiology Physician
NPI 1891016150
See commercial rates for Stephen Jones, M.D.Joseph O'Dwyer, M.D.
Internal Medicine Physician
NPI 1992815963
See commercial rates for Joseph O'Dwyer, M.D.Mufaddal Gombera, MD
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1801061908
See commercial rates for Mufaddal Gombera, MDSteven Lin, MD
Internal Medicine Physician
NPI 1740431113
See commercial rates for Steven Lin, MDUgonna Ihekweazu, M.D.
Orthopaedic Surgery Physician
NPI 1841558129
See commercial rates for Ugonna Ihekweazu, M.D.Igor Rakovchik, D.O.
Physical Medicine & Rehabilitation Physician
NPI 1982868899
See commercial rates for Igor Rakovchik, D.O.Omer Munshi, M.D.
Pain Medicine Physician
NPI 1790913739
See commercial rates for Omer Munshi, M.D.Randy Luo, MD, MBA
Orthopaedic Hand Surgery Physician
NPI 1477845386
See commercial rates for Randy Luo, MD, MBASource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Texas Orthopedic Hospita reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $2.7B | 884.7% |
| Inpatient | $766M | 253.7% |
| Outpatient | $1.9B | 630.9% |
| Contractual allowances and discounts | -$2.4B | -784.7% |
| Net patient revenue | $301.9M | 100.0% |
| Operating expenses | -$168.6M | -55.8% |
| Operating income from patient care | $133.3M | 44.2% |
| Other income | $5M | 1.7% |
| Other expenses | $7 | 0.0% |
| Net income | $138.4M | 45.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $684.1M | 25.6% |
| Medicaid (including managed care) | $54.7M | 2.0% |
| Other payers and self-pay | $1.9B | 72.3% |
| Total charges | $2.7B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839215, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Texas Orthopedic Hospita's latest cost report.
44.2%
Operating margin
Operating income from patient care / net patient revenue
45.1%
Total margin
Net income / net patient revenue plus other income
47.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
28% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$36.24
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
124.9%
Return on assets
Net income for a year / total assets
146.7%
Return on equity
Net income for a year / fund balance
-0.47
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
2.04
Current ratio
Current assets / current liabilities
1.75
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
52 days
Days in patient receivables
Net patient receivables / daily net patient revenue
56 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.77
Asset turnover
Total revenue for a year / total assets
9.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 839215, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Texas Orthopedic Hospita owned and owed at the end of its reporting period (Dec 2025), across all fund types: $110.8M in total assets and a $94.3M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $16,072 | 0.0% |
| Patient receivables, net | $42.6M | 38.5% |
| Inventory | $6.5M | 5.9% |
| Total current assets | $49.6M | 44.8% |
| Property and equipment, net of depreciation | $61M | 55.1% |
| Investments and other assets | $160,747 | 0.1% |
| Total assets | $110.8M | 100.0% |
| Current liabilities | $24.4M | 22.0% |
| Long-term debt | -$44.5M | -40.2% |
| Total liabilities | $16.5M | 14.9% |
| Fund balance (net assets) | $94.3M | 85.1% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839215, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Texas Orthopedic Hospita provided without full payment, as reported on Worksheet S-10 of its cost report.
$984,750
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$3.2M
Bad debt
Patient bills written off as uncollectible, at charges
-$319,796
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
-$18,127
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$705
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$1.2M
Total unreimbursed and uncompensated care
0.7% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 839215, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Texas Orthopedic Hospita's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $190.2M | $215.1M | $237.8M | $273.1M | $284.1M | $301.9M |
| Operating expenses | $102.4M | $120.4M | $127.7M | $150.3M | $154.3M | $168.6M |
| Operating margin | 46.2% | 44.0% | 46.3% | 45.0% | 45.7% | 44.2% |
| Net income | $94.9M | $99.3M | $114.3M | $127.3M | $134.3M | $138.4M |
| Total assets | $80.7M | $86.8M | $105.6M | $119M | $121.6M | $110.8M |
| Discharges | 3,424 | 3,495 | 3,495 | 2,496 | 1,957 | 1,953 |
| Inpatient days | 6,254 | 6,677 | 6,339 | 6,010 | 5,165 | 5,009 |
| Medicare Advantage days | 735 | 969 | 1,126 | 1,350 | 1,295 | 1,306 |
| Beds | 49 | 49 | 42 | 42 | 42 | 42 |
| Employees (FTE) | 376 | 380 | 395 | 445 | 516 | 517 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839215, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Texas Orthopedic Hospita reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Impl. dev. charged to patients | $66.4M | $1.3B | 0.05 | 354 | |
| Operating room | $14M | $38.6M | $562.5M | 0.07 | 49,629 |
| Medical supplies charged to patient | $10.6M | $287.7M | 0.04 | 813 | |
| Drugs charged to patients | $1.3M | $6.4M | $148.7M | 0.04 | 1,175 |
| Physical therapy | $2.6M | $4.9M | $23.9M | 0.20 | 9,143 |
| Recovery room | $2.4M | $4.4M | $53.9M | 0.08 | 1,245 |
| Radiology-diagnostic | $1.3M | $2.9M | $37.3M | 0.08 | 3,400 |
| Laboratory | $353,942 | $2.2M | $65.4M | 0.03 | 917 |
| Mri | $558,643 | $1.7M | $107.3M | 0.02 | 2,002 |
| Observation beds (non-distinct part | $1.4M | $128,489 | 10.90 | ||
| Respiratory therapy | $602,552 | $1.1M | $7.9M | 0.13 | 29 |
| Ct scan | $125,819 | $318,187 | $19.5M | 0.02 | 387 |
| Emergency | $89,404 | $178,515 | $1.6M | 0.11 | 312 |
| Whole blood & packed red blood cell | $133,012 | $422,969 | 0.31 | ||
| Intravenous therapy | $34,223 | $18,872 | 1.81 | 345 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $3.7M | $13.2M | $26.5M | 0.50 | 46,770 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $6.4M | $19.4M | 207,630 | $30.77 | 12,090 |
| Medical records & library | $10.4M | 845 | |||
| Operation of plant | $1.2M | $7.8M | 38,684 | $30.07 | 40,604 |
| Cap rel costs-bldg & fixt | $6.2M | 300,712 | |||
| Employee benefits department | $21,285 | $5.7M | 715 | $29.98 | 796 |
| Cap rel costs-mvble equip | $3.9M | ||||
| Nursing administration | $1.7M | $1.9M | 37,733 | $45.18 | 108 |
| Housekeeping | $966,139 | $1.5M | 53,734 | $18.11 | 5,399 |
| Laundry & linen service | $41,732 | $805,062 | 2,293 | $18.33 | 177 |
| Cafeteria | $708,194 | 40,408 | $22.77 | 1,826 | |
| Dietary | $1M | $231,584 | 5,211 | $22.77 | 3,750 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839215, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Texas Orthopedic Hospita for an inpatient stay.
3.71
Case mix index
Higher than 99% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
5.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
597
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 2.38 | 2.38 | 2.62 | 2.76 | 3.12 | 3.64 | 3.71 |
| Wage index | 1.001 | 0.987 | 0.993 | 0.982 | 1.003 | 0.972 | 0.991 |
| Readmissions adjustment | 0.00% | 0.00% | -2.62% | -0.78% | 0.00% | 0.00% | 0.00% |
| Value-based purchasing adjustment | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Medicare inpatient stays | 1,378 | 1,378 | 1,303 | 1,257 | 911 | 628 | 597 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Texas Orthopedic Hospita reports to Medicare as owners or with operational control.
HCA Healthcare Inc
5% or greater indirect ownership interest, 60%, since 2017
HCA Inc
5% or greater indirect ownership interest, 60%, since 2011
Healthtrust Inc - The Hospital Company
5% or greater indirect ownership interest, 60%, since 2011
Columbia/hca Of Houston, Inc
5% or greater indirect ownership interest, 59%, since 1995
Fondren Orthopedic Ltd
Limited partnership interest, 40%, since 2011
Frisco Holding II
5% or greater indirect ownership interest, 16.3%, since 2026
Hti Hospital Holdings Inc
5% or greater indirect ownership interest, 14.6%, since 2011
Hercules Holding II
5% or greater indirect ownership interest, 14.4%, since 2016
Women's Hospital Indianapolis, L.P.
5% or greater indirect ownership interest, 10.8%, since 1995
Indianapolis Hospital Partner, LLC
5% or greater indirect ownership interest, 10.7%, since 1995
HCA Health Services Of Texas Inc
5% or greater indirect ownership interest, 6.3%, since 1995
Healthserv Acquisition LLC
5% or greater indirect ownership interest, 6.3%, since 1995
Sources: CMS Hospital All Owners.
The officers and board members on Texas Orthopedic Hospita's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 3 of 5 are shown.
About Texas Orthopedic Hospita's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Texas Orthopedic Hospita range from $746 to $1,572 across 3 insurers. Blue Cross Blue Shield's rate is $1,025. The median at nearby comparable hospitals is $1,018. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Texas Orthopedic Hospita range from $699 to $1,556 across 3 insurers. Blue Cross Blue Shield's rate is $1,556. The median at nearby comparable hospitals is $1,203. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Texas Orthopedic Hospita range from $1,788 to $3,151 across 3 insurers. UnitedHealthcare's rate is $3,151. The median at nearby comparable hospitals is $1,630. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Texas Orthopedic Hospita range from $184 to $353 across 4 insurers. Cigna's rate is $321. The median at nearby comparable hospitals is $159. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Texas Orthopedic Hospita range from $35,313 to $52,265 across 4 insurers. Aetna's rate is $39,626. The median at nearby comparable hospitals is $24,487. What a patient pays depends on their plan's deductible, coinsurance and network status.
CMS reports no Medicare-funded interns or residents at Texas Orthopedic Hospita for fiscal year 2027.
No. Texas Orthopedic Hospita has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were combined anterior and posterior spinal fusion with cc (131 discharges), revision of hip or knee replacement with cc (89 discharges), major joint or limb reattachment procedures of upper extremities (72 discharges).
Texas Orthopedic Hospita's Medicare case mix index is 3.71 for fiscal year 2027, higher than 99% of hospitals paid under the inpatient prospective payment system.
Texas Orthopedic Hospita reported 1,953 inpatient discharges and 5,009 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Texas Orthopedic Hospita reported 517 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Texas Orthopedic Hospita reported $301.9M in net patient revenue on $2.7B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 44.2%, and net income of $138.4M.
Texas Orthopedic Hospita reported $1.2M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $984,750 of charity care at cost.
Insurers' price transparency files list Texas Orthopedic Hospita under employer identification number 76-0418502 (Orthopedic Hospital Ltd). 56 health plans and networks list 76-0418502 for it.
240 clinicians who bill Medicare list Texas Orthopedic Hospita as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are certified registered nurse anesthetist (104), anesthesiology physician (34), surgical physician assistant (20).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Texas Orthopedic Hospita, effective 2025.
In its Medicare enrollment, Texas Orthopedic Hospita reports HCA Healthcare Inc as 5% or greater indirect ownership interest (60%).
CMS lists 24 services at Texas Orthopedic Hospita, including Anesthesia, Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care, Emergency Department.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Texas Orthopedic Hospita came from ZIP codes 77573 (15), 77581 (15), 77651 (15).
Texas Orthopedic Hospita has 42 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Texas Orthopedic Hospita is located at 7401 South Main Street, Houston, TX 77030. Its main phone number is (713) 799-8600.
Texas Orthopedic Hospita's CMS Certification Number (CCN), also called its Medicare provider number, is 450804.
The National Provider Identifier (NPI) on file for Texas Orthopedic Hospita is 1134166192.
Texas Orthopedic Hospita is affiliated with HCA Healthcare.
Texas Orthopedic Hospita lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
422 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers