19/100
#2,187 nationally
Houston Methodist West Hospital
18500 Katy Freeway, Houston, TX 77094 · (832) 522-1000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Houston Methodist West Hospital billed $7.82 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
- 7.8x
- volume-weighted across all its priced work
- Procedures priced
- 107
- inpatient and outpatient combined
- Rank in TX
- #133
- 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 18% of U.S. hospitals.
Better than 16% of U.S. hospitals.
Better than 22% of U.S. hospitals.
Better than 18% 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 |
945 | $21,408 | $2,513 | +10% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
380 | $99,817 | $15,435 | +53% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
255 | $116,344 | $12,145 | +86% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
209 | $56,791 | $10,321 | +31% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
206 | $85,985 | $6,544 | +116% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
176 | $26,680 | $1,774 | +135% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
171 | $20,683 | $1,482 | +105% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
131 | $24,772 | $1,449 | +121% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
121 | $94,719 | $9,212 | +59% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
116 | $47,143 | $2,955 | +131% |
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 |
|---|---|---|---|
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
$308,892 | $24,221 | +201% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$224,956 | $16,282 | +171% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$281,513 | $28,709 | +150% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$31,799 | $1,817 | +146% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$26,680 | $1,774 | +135% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$47,819 | $3,149 | +132% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$47,143 | $2,955 | +131% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$24,772 | $1,449 | +121% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$18,558 | $3,003 | -26% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
$59,161 | $13,583 | -11% |
|
Endocrine Disorders with Complications
MS-DRG 644 · Inpatient stay |
$34,506 | $9,246 | -10% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$33,095 | $7,484 | -10% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
$34,007 | $7,831 | -9% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$34,553 | $7,806 | -7% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$52,537 | $11,303 | -7% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$36,616 | $8,361 | -6% |
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.