Texas / HCA Houston Healthcare Conroe
CMS certification 450222 · Conroe, TX · 2 entries in CMS's price-transparency list
HCA Houston Healthcare Conroe: charges and Medicare payments
HCA Houston Healthcare Conroe reported 1,304 Medicare inpatient stays across 50 DRGs in 2024. Across them it charged 11.63 times what it was paid — among the higher ratios in Texas, number 17 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 166 stays at an average charge of $201,400, 123% above the national average. It also billed 488 outpatient services, charging 18.32 times what Medicare paid.
- 1Medicare inpatient stays 1,304
- 2Charge ÷ paid, inpatient 11.63×
- 3Rank in TX (highest ratio = 1) 17 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 50 DRGs that can be compared with the national average, HCA Houston Healthcare Conroe charged more than the national average in 50 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 166 | $201,400 | +123% | $16,610 |
| 291 Heart Failure and Shock with MCC | 88 | $110,791 | +97% | $12,109 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 43 | $235,746 | +50% | $26,499 |
| 682 Renal Failure with MCC | 40 | $148,871 | +126% | $14,088 |
| 193 Simple Pneumonia and Pleurisy with MCC | 36 | $146,966 | +146% | $12,624 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 35 | $169,175 | +204% | $9,885 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 34 | $156,740 | +107% | $13,938 |
| 690 Kidney and Urinary Tract Infections without MCC | 34 | $84,986 | +125% | $8,200 |
| 683 Renal Failure with CC | 33 | $80,646 | +98% | $8,819 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 31 | $179,192 | +79% | $21,517 |
| 313 Chest Pain | 31 | $72,646 | +82% | $7,526 |
| 177 Respiratory Infections and Inflammations with MCC | 29 | $148,202 | +110% | $14,701 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $81,937 | +36% | $11,884 |
| 689 Kidney and Urinary Tract Infections with MCC | 29 | $114,774 | +124% | $11,735 |
| 312 Syncope and Collapse | 28 | $109,872 | +141% | $8,837 |
| 552 Medical Back Problems without MCC | 28 | $111,500 | +128% | $9,460 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $76,978 | +92% | $8,630 |
| 069 Transient Ischemia without Thrombolytic | 26 | $128,232 | +154% | $8,573 |
| 189 Pulmonary Edema and Respiratory Failure | 25 | $108,299 | +88% | $11,751 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $232,640 | +103% | $16,870 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 25 | $557,268 | +143% | $39,697 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $93,461 | +91% | $10,236 |
| 305 Hypertension without MCC | 23 | $91,383 | +128% | $8,218 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 22 | $132,361 | +107% | $10,496 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $68,930 | +91% | $7,985 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $366,417 | +124% | $29,627 |
| 481 Hip and Femur Procedures except Major Joint with CC | 21 | $247,545 | +146% | $17,525 |
| 194 Simple Pneumonia and Pleurisy with CC | 20 | $93,331 | +143% | $8,599 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 20 | $188,328 | +156% | $14,521 |
| 603 Cellulitis without MCC | 18 | $79,300 | +113% | $9,262 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 17 | $696,393 | +201% | $38,259 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $63,617 | +72% | $8,118 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 16 | $59,339 | +107% | $6,756 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 16 | $243,366 | +138% | $17,766 |
| 637 Diabetes with MCC | 16 | $120,337 | +81% | $13,357 |
| 101 Seizures without MCC | 15 | $115,101 | +136% | $9,568 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 15 | $761,577 | +98% | $58,732 |
| 884 Organic Disturbances and Intellectual Disability | 15 | $82,084 | +32% | $14,836 |
| 149 Dysequilibrium | 14 | $107,078 | +141% | $7,945 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $125,094 | +148% | $9,168 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 13 | $96,184 | +122% | $7,818 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $90,297 | +59% | $11,316 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 12 | $962,408 | +243% | $47,550 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 12 | $351,402 | +159% | $21,392 |
| 330 Major Small and Large Bowel Procedures with CC | 12 | $229,145 | +93% | $20,051 |
| 057 Degenerative Nervous System Disorders without MCC | 11 | $89,094 | +57% | $11,848 |
| 252 Other Vascular Procedures with MCC | 11 | $296,622 | +74% | $27,702 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 11 | $122,704 | +9% | $17,652 |
| 638 Diabetes with CC | 11 | $61,732 | +48% | $9,191 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $85,950 | +81% | $10,115 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 83 | $55,617 | $2,538 |
| Level 4 ENT Procedures | 68 | $53,773 | $2,985 |
| Level 1 Endovascular Procedures | 48 | $58,164 | $3,027 |
| Level 5 Musculoskeletal Procedures | 46 | $175,878 | $11,269 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 36 | $27,217 | $1,503 |
| Level 3 Endovascular Procedures | 34 | $130,035 | $9,185 |
| Level 4 Musculoskeletal Procedures | 31 | $114,607 | $6,634 |
| Level 1 Laparoscopy and Related Services | 31 | $99,426 | $5,213 |
| Level 4 Endovascular Procedures | 24 | $181,066 | $16,226 |
| Level 3 Electrophysiologic Procedures | 24 | $222,063 | $21,966 |
| Level 6 Musculoskeletal Procedures | 20 | $291,388 | $16,462 |
| Level 3 Vascular Procedures | 18 | $47,182 | $2,956 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 13 | $91,286 | $3,208 |
| Level 3 Musculoskeletal Procedures | 12 | $65,776 | $2,818 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Houston Healthcare Conroe charged $201,400 on average, 81% more than the Texas average of $111,133, and was paid $16,610 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), HCA Houston Healthcare Conroe charged $110,791 on average, 63% more than the Texas average of $67,944, and was paid $12,109 against a state average of $11,820. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), HCA Houston Healthcare Conroe charged $235,746 on average, 1% less than the Texas average of $237,571, and was paid $26,499 against a state average of $25,777. For Renal Failure with MCC (DRG 682), HCA Houston Healthcare Conroe charged $148,871 on average, 92% more than the Texas average of $77,512, and was paid $14,088 against a state average of $12,864. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $55,617 was 99% above the state average of $27,955. For Level 4 ENT Procedures (outpatient APC 5164), its average charge of $53,773 was 85% above the state average of $29,035. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $58,164 was 61% above the state average of $36,220. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $175,878 was 78% above the state average of $98,771.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Houston Healthcare Conroe in Conroe, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-20 (CMS case 1914)
- Met Requirements — 2025-05-06 (CMS case 4320)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.