16/100
#2,264 nationally
Houston Methodist Clear Lake Hospital
18300 St John Drive, Nassau Bay, TX 77058 · (281) 333-5503
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Houston Methodist Clear Lake Hospital billed $8.84 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
- 8.8x
- volume-weighted across all its priced work
- Procedures priced
- 71
- inpatient and outpatient combined
- Rank in TX
- #143
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 12% of U.S. hospitals.
Better than 15% of U.S. hospitals.
Better than 18% of U.S. hospitals.
Better than 27% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
535 | $28,547 | $2,494 | +47% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
261 | $104,484 | $14,228 | +60% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
153 | $120,399 | $12,118 | +93% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
112 | $18,550 | $1,465 | +84% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
107 | $76,070 | $6,250 | +91% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
99 | $21,630 | $1,790 | +91% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
85 | $77,168 | $8,967 | +78% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
74 | $69,361 | $5,350 | +98% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
62 | $31,524 | $2,601 | +78% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
61 | $25,816 | $3,026 | about average |
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 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$60,569 | $3,208 | +160% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$21,882 | $1,485 | +155% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$54,933 | $3,406 | +130% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$46,093 | $3,233 | +123% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$180,098 | $17,243 | +117% |
|
Level 8 Urology and Related Services
APC 5378 · Hospital outpatient visit |
$184,741 | $17,475 | +114% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$79,124 | $5,763 | +100% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$69,361 | $5,350 | +98% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$65,989 | $12,721 | -14% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
$38,536 | $7,349 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$25,816 | $3,026 | about average |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$50,541 | $9,905 | +4% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$32,998 | $6,215 | +8% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$73,232 | $10,192 | +8% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$51,322 | $9,989 | +10% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$79,085 | $12,949 | +11% |
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.