Texas / HCA Houston Healthcare Kingwood
CMS certification 450775 · Kingwood, TX · 3 entries in CMS's price-transparency list
HCA Houston Healthcare Kingwood: charges and Medicare payments
HCA Houston Healthcare Kingwood reported 5,097 Medicare inpatient stays across 130 DRGs in 2024. Across them it charged 13.26 times what it was paid — among the higher ratios in Texas, number 6 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: 674 stays at an average charge of $228,560, 153% above the national average. It also billed 2,075 outpatient services, charging 23.15 times what Medicare paid.
- 1Medicare inpatient stays 5,097
- 2Charge ÷ paid, inpatient 13.26×
- 3Rank in TX (highest ratio = 1) 6 of 190
- 4CMS price-transparency actions 3
Inpatient stays
For the 130 DRGs that can be compared with the national average, HCA Houston Healthcare Kingwood charged more than the national average in 130 (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 | 674 | $228,560 | +153% | $17,450 |
| 291 Heart Failure and Shock with MCC | 214 | $123,498 | +119% | $12,057 |
| 193 Simple Pneumonia and Pleurisy with MCC | 161 | $140,382 | +135% | $11,893 |
| 682 Renal Failure with MCC | 125 | $163,845 | +148% | $13,256 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 122 | $361,910 | +131% | $27,587 |
| 683 Renal Failure with CC | 105 | $89,779 | +121% | $8,342 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 104 | $112,771 | +87% | $11,062 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 102 | $596,799 | +161% | $44,291 |
| 177 Respiratory Infections and Inflammations with MCC | 99 | $178,685 | +153% | $14,243 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 98 | $177,675 | +134% | $13,893 |
| 312 Syncope and Collapse | 96 | $114,639 | +152% | $8,092 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 93 | $273,799 | +174% | $16,433 |
| 377 Gastrointestinal Hemorrhage with MCC | 88 | $184,002 | +115% | $15,222 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 81 | $100,883 | +151% | $8,100 |
| 189 Pulmonary Edema and Respiratory Failure | 78 | $127,745 | +122% | $10,822 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 72 | $160,631 | +188% | $9,037 |
| 552 Medical Back Problems without MCC | 72 | $128,106 | +162% | $8,955 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 72 | $176,715 | +141% | $14,009 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 72 | $112,704 | +130% | $9,948 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 61 | $86,892 | +134% | $7,368 |
| 689 Kidney and Urinary Tract Infections with MCC | 61 | $115,597 | +125% | $11,083 |
| 313 Chest Pain | 58 | $75,763 | +90% | $7,120 |
| 069 Transient Ischemia without Thrombolytic | 57 | $134,860 | +167% | $7,683 |
| 481 Hip and Femur Procedures except Major Joint with CC | 56 | $302,581 | +200% | $17,823 |
| 812 Red Blood Cell Disorders without MCC | 55 | $93,738 | +111% | $8,687 |
| 690 Kidney and Urinary Tract Infections without MCC | 45 | $97,865 | +159% | $7,537 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 44 | $373,718 | +175% | $23,124 |
| 270 Other Major Cardiovascular Procedures with MCC | 43 | $738,349 | +185% | $53,209 |
| 100 Seizures with MCC | 42 | $235,188 | +149% | $17,085 |
| 252 Other Vascular Procedures with MCC | 41 | $360,300 | +111% | $27,729 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 39 | $86,756 | +140% | $7,410 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 38 | $134,678 | +167% | $8,849 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 37 | $724,625 | +124% | $50,360 |
| 101 Seizures without MCC | 36 | $120,703 | +148% | $8,973 |
| 305 Hypertension without MCC | 36 | $91,635 | +129% | $7,312 |
| 638 Diabetes with CC | 36 | $92,364 | +122% | $8,435 |
| 643 Endocrine Disorders with MCC | 36 | $189,185 | +155% | $13,278 |
| 378 Gastrointestinal Hemorrhage with CC | 35 | $123,501 | +154% | $9,306 |
| 811 Red Blood Cell Disorders with MCC | 35 | $167,109 | +145% | $12,788 |
| 389 Gastrointestinal Obstruction with CC | 34 | $98,294 | +153% | $8,086 |
| 394 Other Digestive System Diagnoses with CC | 33 | $105,430 | +124% | $8,915 |
| 057 Degenerative Nervous System Disorders without MCC | 32 | $134,381 | +137% | $11,010 |
| 393 Other Digestive System Diagnoses with MCC | 31 | $188,812 | +146% | $14,336 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 31 | $144,637 | +51% | $16,783 |
| 603 Cellulitis without MCC | 31 | $83,435 | +124% | $8,270 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 30 | $99,387 | +133% | $8,426 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 29 | $254,515 | +127% | $19,521 |
| 271 Other Major Cardiovascular Procedures with CC | 28 | $671,933 | +286% | $34,338 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 28 | $237,154 | +107% | $18,311 |
| 637 Diabetes with MCC | 28 | $141,144 | +112% | $11,859 |
| 149 Dysequilibrium | 27 | $105,493 | +138% | $6,725 |
| 314 Other Circulatory System Diagnoses with MCC | 27 | $191,670 | +102% | $16,212 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 27 | $331,675 | +224% | $18,970 |
| 194 Simple Pneumonia and Pleurisy with CC | 26 | $88,852 | +132% | $7,786 |
| 884 Organic Disturbances and Intellectual Disability | 26 | $148,832 | +139% | $14,502 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 25 | $229,515 | +195% | $14,282 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 25 | $80,809 | +70% | $9,370 |
| 071 Other Cerebrovascular Disorders with CC | 24 | $117,246 | +132% | $9,611 |
| 300 Peripheral Vascular Disorders with CC | 24 | $107,229 | +117% | $10,052 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 24 | $389,879 | +138% | $25,605 |
Showing the 60 most frequent of 130 DRGs.
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Houston Healthcare Kingwood charged $228,560 on average, 106% more than the Texas average of $111,133, and was paid $17,450 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), HCA Houston Healthcare Kingwood charged $123,498 on average, 82% more than the Texas average of $67,944, and was paid $12,057 against a state average of $11,820. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Houston Healthcare Kingwood charged $140,382 on average, 90% more than the Texas average of $73,756, and was paid $11,893 against a state average of $11,597. For Renal Failure with MCC (DRG 682), HCA Houston Healthcare Kingwood charged $163,845 on average, 111% more than the Texas average of $77,512, and was paid $13,256 against a state average of $12,864. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $52,244 was 218% above the state average of $16,442. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $83,478 was 130% above the state average of $36,220. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $217,496 was 120% above the state average of $98,771. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $49,474 was 77% above the state average of $27,955.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Houston Healthcare Kingwood in Kingwood, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-06-26 (CMS case 472)
- Closure Notice — 2023-10-12 (CMS case 472)
- Met Requirements — 2025-05-06 (CMS case 4343)
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.