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Short Term Acute Care HospitalPhysician

Tops Surgical Specialty Hospital

Tenet Healthcare Corporation · Houston, TX

17080 Red Oak Drive, Houston, TX 77090(281) 539-2900

Not rated by CMS

CMS star rating

15

Beds

443

Inpatient discharges a year

$82.6M

Net patient revenue a year

32

In-network payers

About this hospital

Tops Surgical Specialty Hospital is a 15-bed physician hospital in Houston, TX, affiliated with Tenet Healthcare Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 445 disclosed rate categories.

CCN
450774
NPI
1144203662
Website
tops-hospital.com
Health system
Tenet Healthcare Corporation
Teaching
No Medicare-funded residents
County
Harris County
Metro area
Houston-Pasadena-The Woodlands, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1991
Last CMS survey
2026

Prices for common services

The 24 services Tops Surgical Specialty Hospital 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

Major lower-extremity joint replacement without MCC

MS-DRG 470

$34,902 - $42,511

from 3 insurers · median $41,187

Blue Cross$34,902
Insurer A*$41,187
Insurer B*$42,511
Medicare $10,438Nearby hospitals $16,240154% above nearby hospitals

98 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$497 - $4,412

from 4 insurers · median $1,092

Aetna$1,677
Insurer A*$497
Insurer B*$508
Insurer C*est.$4,412
Medicare $346Nearby hospitals $2,79161% below nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$829 - $4,961

from 4 insurers · median $4,179

Cigna$4,677
Insurer A*$829
Insurer B*$3,682
Insurer C*$4,961
Medicare $900Nearby hospitals $2,70055% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Arthroscopic knee meniscectomy

CPT 29881

$3,025 - $10,957

from 4 insurers · median $5,642

Blue Cross$3,025
Insurer A*$5,536
Insurer B*$5,748
Insurer C*$10,957
Medicare $3,248Nearby hospitals $5,3316% above nearby hospitals

111 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)

How the insurers pay at Tops Surgical Specialty Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*22
346%
118
Insurer B*24
323%
95
Insurer C*24
301%
165
Insurer D*23
124%
219

How we chose these services: 6 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 5 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 Tops Surgical Specialty Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    Not rated by CMS

    • Medicare readmissions penalty (-0.52%)
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 15 services
    • 318 affiliated clinicians
    See doctors and services

  • Finances

    $82.6M net patient revenue

    • Operating margin on patient care 29.9%
    • $223,443 unreimbursed and uncompensated care
    • $23M net income
    See finances

  • Ownership and leadership

    Owned by Memorail Hermann Usp Surgery Centers II LP

    • Physician ownership
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Tops Surgical Specialty Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
76-0246499Tops Specialty Hospital Ltd57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more1144203662 Tops Specialty 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.

Location

17080 Red Oak Drive, Houston, TX 77090

(281) 539-2900

Get directions

Frequently asked questions

About Tops Surgical Specialty Hospital's rates and hospital price transparency.

How much does an MRI cost at Tops Surgical Specialty Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Tops Surgical Specialty Hospital range from $497 to $2,664 across 4 insurers. UnitedHealthcare's rate is $497. The median at nearby comparable hospitals is $2,335. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Tops Surgical Specialty Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Tops Surgical Specialty Hospital range from $497 to $4,412 across 4 insurers. Aetna's rate is $1,677. The median at nearby comparable hospitals is $2,791. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Tops Surgical Specialty Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Tops Surgical Specialty Hospital range from $1,683 to $6,257 across 4 insurers. Cigna's rate is $4,677. The median at nearby comparable hospitals is $2,652. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Tops Surgical Specialty Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Tops Surgical Specialty Hospital range from $130 to $328 across 4 insurers. Blue Cross Blue Shield's rate is $148. The median at nearby comparable hospitals is $172. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Tops Surgical Specialty Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Tops Surgical Specialty Hospital range from $34,902 to $42,511 across 3 insurers. Blue Cross Blue Shield's rate is $34,902. The median at nearby comparable hospitals is $16,240. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Tops Surgical Specialty Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Tops Surgical Specialty Hospital for fiscal year 2027.

Does Medicare penalize Tops Surgical Specialty Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Tops Surgical Specialty Hospital's base inpatient payments by an estimated 0.52% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Tops Surgical Specialty Hospital?

In 2024, the most common were major hip and knee joint replacement or reattachment of lower extremity without mcc (43 discharges), combined anterior and posterior spinal fusion without cc/mcc (17 discharges), spinal fusion except cervical without mcc (16 discharges).

What is Tops Surgical Specialty Hospital's case mix index?

Tops Surgical Specialty Hospital's Medicare case mix index is 3.29 for fiscal year 2027, higher than 98% of hospitals paid under the inpatient prospective payment system.

How many patients does Tops Surgical Specialty Hospital admit?

Tops Surgical Specialty Hospital reported 443 inpatient discharges and 1,073 inpatient days from Jan 1, 2025 to Dec 31, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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