3/100
#2,566 nationally
Hca Houston Healthcare Medical Center
1313 Hermann Dr, Houston, TX 77004 · (713) 527-5019
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Hca Houston Healthcare Medical Center billed $14.64 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
- 14.6x
- volume-weighted across all its priced work
- Procedures priced
- 38
- inpatient and outpatient combined
- Rank in TX
- #196
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 2% of U.S. hospitals.
Better than 3% of U.S. hospitals.
Better than 2% of U.S. hospitals.
Better than 10% 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 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
99 | $510,260 | $21,966 | +285% |
|
Level 8 Urology and Related Services
APC 5378 · Hospital outpatient visit |
67 | $260,868 | $17,645 | +202% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
61 | $363,851 | $39,597 | +92% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
52 | $536,250 | $49,054 | +123% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
52 | $66,907 | $3,026 | +165% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
43 | $109,313 | $7,878 | +189% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
38 | $91,789 | $6,634 | +130% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
35 | $152,753 | $17,328 | +252% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
29 | $458,804 | $25,352 | +268% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
28 | $36,820 | $2,538 | +89% |
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 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$84,917 | $3,233 | +311% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$247,779 | $12,187 | +297% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$510,260 | $21,966 | +285% |
|
Percutaneous and Other Intracardiac Procedures with Major Complications
MS-DRG 273 · Inpatient stay |
$703,218 | $36,046 | +279% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$43,331 | $1,764 | +269% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$458,804 | $25,352 | +268% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 219 · Inpatient stay |
$1,181,150 | $75,745 | +252% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$152,753 | $17,328 | +252% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$97,545 | $11,831 | +84% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$36,820 | $2,538 | +89% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$363,851 | $39,597 | +92% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$103,452 | $10,644 | +113% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
$536,250 | $49,054 | +123% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$91,789 | $6,634 | +130% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit
MS-DRG 216 · Inpatient stay |
$1,047,827 | $81,566 | +135% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$80,637 | $6,770 | +150% |
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.