15/100
#2,291 nationally
Houston Methodist Hospital
6565 Fannin, Houston, TX 77030 · (713) 790-2221
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Houston Methodist Hospital billed $7.56 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
- 7.6x
- volume-weighted across all its priced work
- Procedures priced
- 289
- inpatient and outpatient combined
- Rank in TX
- #148
- 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 15% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 13% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,771 | $26,464 | $2,504 | +36% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
808 | $156,750 | $22,289 | +140% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
696 | $111,235 | $12,050 | +78% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
596 | $16,690 | $2,990 | -34% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
571 | $27,418 | $2,134 | +133% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
551 | $22,331 | $1,463 | +122% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
513 | $91,730 | $14,276 | +111% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
507 | $66,993 | $6,533 | +68% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
446 | $138,621 | $21,653 | +5% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
444 | $31,594 | $2,909 | +65% |
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 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$17,791 | $591 | +467% |
|
Other Respiratory System Diagnoses without Major Complications
MS-DRG 206 · Inpatient stay |
$212,778 | $22,677 | +361% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
$253,746 | $7,026 | +329% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
$202,165 | $26,459 | +251% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
$255,150 | $32,917 | +235% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major
MS-DRG 542 · Inpatient stay |
$225,453 | $29,788 | +229% |
|
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except
MS-DRG 003 · Inpatient stay |
$2,674,439 | $415,642 | +204% |
|
Postoperative or Post-traumatic Infections with Operating Room Procedures with Major
MS-DRG 856 · Inpatient stay |
$565,834 | $75,875 | +198% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$16,690 | $2,990 | -34% |
|
Concomitant Left Atrial Appendage Closure and Cardiac Ablation
MS-DRG 317 · Inpatient stay |
$250,876 | $53,853 | -28% |
|
Spinal Procedures with Major Complications
MS-DRG 028 · Inpatient stay |
$215,028 | $47,058 | -22% |
|
Traumatic Stupor and Coma >1 Hour with Major Complications
MS-DRG 082 · Inpatient stay |
$89,314 | $21,508 | -8% |
|
Neurological Eye Disorders
MS-DRG 123 · Inpatient stay |
$46,677 | $8,414 | -5% |
|
Endocrine Disorders with Complications
MS-DRG 644 · Inpatient stay |
$36,938 | $10,289 | -4% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
$36,105 | $9,114 | about average |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
$24,912 | $6,419 | about average |
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.