Texas / Tops Surgical Specialty Hospital
CMS certification 450774 · Houston, TX · 1 entry in CMS's price-transparency list
Tops Surgical Specialty Hospital: charges and Medicare payments
Tops Surgical Specialty Hospital reported 76 Medicare inpatient stays across 3 DRGs in 2024. Across them it charged 4.53 times what it was paid. Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 43 stays at an average charge of $65,492, 30% below the national average. It also billed 769 outpatient services, charging 7 times what Medicare paid.
- 1Medicare inpatient stays 76
- 2Charge ÷ paid, inpatient 4.53×
- 3Rank in TX (highest ratio = 1) –
- 4CMS price-transparency actions 1
Inpatient stays
For the 3 DRGs that can be compared with the national average, Tops Surgical Specialty Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 43 | $65,492 | -30% | $15,332 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 17 | $183,021 | -10% | $43,462 |
| 460 Spinal Fusion except Cervical without MCC | 16 | $138,160 | -19% | $24,843 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 132 | $73,165 | $12,107 |
| Level 1 Nerve Procedures | 117 | $16,747 | $1,766 |
| Level 4 Musculoskeletal Procedures | 116 | $38,454 | $6,497 |
| Level 3 Musculoskeletal Procedures | 111 | $18,819 | $2,964 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 86 | $3,857 | $1,490 |
| Level 2 Musculoskeletal Procedures | 50 | $12,587 | $1,490 |
| Level 2 Neurostimulator and Related Procedures | 45 | $18,488 | $4,087 |
| Level 6 Musculoskeletal Procedures | 37 | $78,584 | $17,243 |
| Level 5 Neurostimulator and Related Procedures | 31 | $190,461 | $28,709 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 18 | $14,011 | $2,549 |
| Level 4 Urology and Related Services | 15 | $25,753 | $3,233 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 11 | $33,407 | $6,047 |
Against the Texas average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Tops Surgical Specialty Hospital charged $65,492 on average, 44% less than the Texas average of $116,220, and was paid $15,332 against a state average of $15,157. For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), Tops Surgical Specialty Hospital charged $183,021 on average, 32% less than the Texas average of $268,184, and was paid $43,462 against a state average of $39,409. For Spinal Fusion except Cervical without MCC (DRG 460), Tops Surgical Specialty Hospital charged $138,160 on average, 35% less than the Texas average of $213,248, and was paid $24,843 against a state average of $30,622. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $73,165 was 26% below the state average of $98,771. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $16,747 was 7% below the state average of $18,063. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $38,454 was 35% below the state average of $58,833. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $18,819 was 38% below the state average of $30,502.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Tops Surgical Specialty Hospital in Houston, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-07-15 (CMS case 5749)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.