4/100
#2,540 nationally
Hca Houston Healthcare Tomball
605 Holderrieth, Tomball, TX 77375 · (281) 351-7500
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Hca Houston Healthcare Tomball billed $13.74 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
- 13.7x
- volume-weighted across all its priced work
- Procedures priced
- 52
- inpatient and outpatient combined
- Rank in TX
- #187
- 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 4% of U.S. hospitals.
Better than 4% of U.S. hospitals.
Better than 4% of U.S. hospitals.
Better than 5% 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 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
281 | $26,439 | $2,161 | +125% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
123 | $50,393 | $3,026 | +100% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
122 | $47,768 | $2,490 | +146% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
112 | $190,496 | $16,654 | +192% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
83 | $300,123 | $16,050 | +214% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
82 | $176,127 | $10,192 | +160% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
77 | $98,634 | $11,402 | +127% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
74 | $23,237 | $1,472 | +131% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
72 | $224,528 | $12,187 | +259% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
62 | $21,558 | $1,742 | +83% |
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 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$230,724 | $6,634 | +479% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$382,944 | $17,243 | +361% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$100,427 | $3,208 | +332% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$82,222 | $3,001 | +304% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$43,146 | $1,490 | +284% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$46,891 | $1,809 | +263% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$224,528 | $12,187 | +259% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$118,534 | $5,300 | +242% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$85,833 | $11,409 | +77% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$21,558 | $1,742 | +83% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$90,844 | $11,200 | +88% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$50,393 | $3,026 | +100% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$105,908 | $13,249 | +100% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$70,928 | $5,350 | +102% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$125,859 | $13,613 | +105% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$59,833 | $4,798 | +118% |
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.