Texas / HCA Houston Healthcare Pearland
CMS certification 670106 · Pearland, TX · 3 entries in CMS's price-transparency list
HCA Houston Healthcare Pearland: charges and Medicare payments
HCA Houston Healthcare Pearland reported 224 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 9.95 times what it was paid — among the higher ratios in Texas, number 36 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: 64 stays at an average charge of $214,778, 138% above the national average. It also billed 135 outpatient services, charging 17.37 times what Medicare paid.
- 1Medicare inpatient stays 224
- 2Charge ÷ paid, inpatient 9.95×
- 3Rank in TX (highest ratio = 1) 36 of 190
- 4CMS price-transparency actions 3
Inpatient stays
For the 10 DRGs that can be compared with the national average, HCA Houston Healthcare Pearland charged more than the national average in 10 (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 | 64 | $214,778 | +138% | $17,910 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 32 | $133,460 | +76% | $12,999 |
| 291 Heart Failure and Shock with MCC | 26 | $93,033 | +65% | $11,762 |
| 682 Renal Failure with MCC | 17 | $85,483 | +30% | $12,579 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $110,249 | +83% | $11,606 |
| 683 Renal Failure with CC | 16 | $63,121 | +55% | $8,397 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $137,224 | +138% | $11,036 |
| 193 Simple Pneumonia and Pleurisy with MCC | 14 | $165,236 | +177% | $11,721 |
| 177 Respiratory Infections and Inflammations with MCC | 13 | $114,768 | +63% | $13,706 |
| 467 Revision of Hip or Knee Replacement with CC | 11 | $371,134 | +135% | $51,657 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Endovascular Procedures | 35 | $46,440 | $3,027 |
| Level 3 Endovascular Procedures | 29 | $134,379 | $10,192 |
| Comprehensive Observation Services | 25 | $53,711 | $2,538 |
| Level 4 Endovascular Procedures | 17 | $232,999 | $15,381 |
| Level 3 Pacemaker and Similar Procedures | 16 | $118,622 | $9,894 |
| Level 3 Vascular Procedures | 13 | $50,892 | $2,956 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Houston Healthcare Pearland charged $214,778 on average, 93% more than the Texas average of $111,133, and was paid $17,910 against a state average of $16,694. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), HCA Houston Healthcare Pearland charged $133,460 on average, 44% more than the Texas average of $92,713, and was paid $12,999 against a state average of $13,694. For Heart Failure and Shock with MCC (DRG 291), HCA Houston Healthcare Pearland charged $93,033 on average, 37% more than the Texas average of $67,944, and was paid $11,762 against a state average of $11,820. For Renal Failure with MCC (DRG 682), HCA Houston Healthcare Pearland charged $85,483 on average, 10% more than the Texas average of $77,512, and was paid $12,579 against a state average of $12,864. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $46,440 was 28% above the state average of $36,220. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $134,379 was 43% above the state average of $93,719. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $53,711 was 92% above the state average of $27,955. For Level 4 Endovascular Procedures (outpatient APC 5194), its average charge of $232,999 was 61% above the state average of $144,742.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Houston Healthcare Pearland in Pearland, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-02-15 (CMS case 1918)
- Closure Notice — 2024-05-22 (CMS case 1918)
- Met Requirements — 2025-05-08 (CMS case 4384)
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.