5/100
#2,513 nationally
Hca Houston Healthcare Southeast
4000 Spencer Hwy, Pasadena, TX 77504 · (713) 359-1000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Hca Houston Healthcare Southeast billed $10.50 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
- 10.5x
- volume-weighted across all its priced work
- Procedures priced
- 35
- inpatient and outpatient combined
- Rank in TX
- #184
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 6% of U.S. hospitals.
Better than 4% of U.S. hospitals.
Better than 3% of U.S. hospitals.
Better than 7% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
152 | $187,903 | $19,224 | +188% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
76 | $61,623 | $2,538 | +217% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
55 | $105,177 | $14,870 | +142% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
43 | $136,156 | $15,481 | +192% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
38 | $99,658 | $6,495 | +150% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
34 | $44,364 | $2,899 | +76% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
33 | $137,641 | $16,886 | +124% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
31 | $192,701 | $12,187 | +208% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
29 | $125,540 | $16,541 | +159% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
24 | $442,094 | $42,040 | +148% |
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 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$95,002 | $2,956 | +397% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$61,883 | $1,856 | +379% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$315,454 | $17,243 | +280% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$199,756 | $17,635 | +252% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$189,859 | $18,144 | +245% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$257,577 | $22,894 | +222% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$61,623 | $2,538 | +217% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$248,417 | $19,457 | +211% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$44,364 | $2,899 | +76% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$141,629 | $10,192 | +109% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$137,641 | $16,886 | +124% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
$328,521 | $27,363 | +129% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$93,395 | $13,659 | +129% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$26,962 | $1,764 | +129% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$113,564 | $14,465 | +135% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$105,177 | $14,870 | +142% |
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.