18/100
#2,213 nationally
Houston Methodist Sugarland Hospital
16655 Southwest Freeway, Sugar Land, TX 77479 · (281) 274-8000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Houston Methodist Sugarland Hospital billed $8.06 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
- 8.1x
- volume-weighted across all its priced work
- Procedures priced
- 155
- inpatient and outpatient combined
- Rank in TX
- #136
- 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 14% of U.S. hospitals.
Better than 17% of U.S. hospitals.
Better than 21% of U.S. hospitals.
Better than 25% 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 |
1,023 | $27,635 | $2,497 | +42% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
585 | $112,434 | $14,798 | +72% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
432 | $117,232 | $11,942 | +88% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
352 | $67,332 | $9,659 | +55% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
271 | $84,952 | $12,624 | +54% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
243 | $17,061 | $1,469 | +69% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
204 | $72,776 | $6,634 | +83% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
199 | $37,516 | $2,955 | +84% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
198 | $18,725 | $2,982 | -26% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
160 | $39,819 | $2,922 | +108% |
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 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$31,128 | $1,931 | +165% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$352,563 | $33,849 | +143% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$49,994 | $3,233 | +142% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$271,873 | $28,709 | +141% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$31,142 | $1,889 | +141% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$25,213 | $1,459 | +125% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$121,398 | $11,526 | +123% |
|
Complicated Peptic Ulcer with Major Complications
MS-DRG 380 · Inpatient stay |
$185,731 | $16,288 | +121% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$18,725 | $2,982 | -26% |
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
$58,491 | $13,443 | -22% |
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
$72,800 | $12,795 | -16% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$57,317 | $12,428 | -11% |
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay |
$61,118 | $11,552 | -9% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
$141,409 | $27,712 | -8% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
$214,600 | $37,988 | -4% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
$67,337 | $10,367 | -3% |
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.