CostGrade
F

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.

Inpatient charge markup 4.7/35

Better than 14% of U.S. hospitals.

Outpatient charge markup 4.2/25

Better than 17% of U.S. hospitals.

Price level vs national median 6.3/30

Better than 21% of U.S. hospitals.

Price consistency 2.5/10

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.