Texas / HCA Houston Healthcare Tomball
CMS certification 450670 · Tomball, TX · 2 entries in CMS's price-transparency list
HCA Houston Healthcare Tomball: charges and Medicare payments
HCA Houston Healthcare Tomball reported 771 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 10.88 times what it was paid — among the higher ratios in Texas, number 29 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: 112 stays at an average charge of $190,496, 111% above the national average. It also billed 1,337 outpatient services, charging 21.55 times what Medicare paid.
- 1Medicare inpatient stays 771
- 2Charge ÷ paid, inpatient 10.88×
- 3Rank in TX (highest ratio = 1) 29 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 27 DRGs that can be compared with the national average, HCA Houston Healthcare Tomball charged more than the national average in 27 (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 | 112 | $190,496 | +111% | $16,654 |
| 291 Heart Failure and Shock with MCC | 77 | $98,634 | +75% | $11,402 |
| 177 Respiratory Infections and Inflammations with MCC | 43 | $140,812 | +99% | $14,033 |
| 193 Simple Pneumonia and Pleurisy with MCC | 42 | $119,537 | +100% | $11,892 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 37 | $125,859 | +66% | $13,613 |
| 690 Kidney and Urinary Tract Infections without MCC | 37 | $77,419 | +105% | $7,999 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 35 | $334,234 | +113% | $24,892 |
| 682 Renal Failure with MCC | 34 | $105,908 | +61% | $13,249 |
| 689 Kidney and Urinary Tract Infections with MCC | 33 | $99,453 | +94% | $10,398 |
| 189 Pulmonary Edema and Respiratory Failure | 31 | $90,844 | +58% | $11,200 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $85,833 | +42% | $11,409 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $85,013 | +112% | $8,289 |
| 481 Hip and Femur Procedures except Major Joint with CC | 25 | $204,507 | +103% | $16,499 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 20 | $324,101 | +98% | $24,437 |
| 377 Gastrointestinal Hemorrhage with MCC | 20 | $157,383 | +84% | $15,060 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $215,707 | +111% | $18,765 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $165,555 | +125% | $13,201 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $509,695 | +123% | $34,862 |
| 312 Syncope and Collapse | 15 | $86,832 | +91% | $8,551 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $67,035 | +86% | $7,680 |
| 603 Cellulitis without MCC | 14 | $83,582 | +124% | $8,646 |
| 811 Red Blood Cell Disorders with MCC | 14 | $128,884 | +89% | $12,300 |
| 270 Other Major Cardiovascular Procedures with MCC | 13 | $510,348 | +97% | $36,922 |
| 683 Renal Failure with CC | 13 | $72,248 | +77% | $8,718 |
| 552 Medical Back Problems without MCC | 12 | $105,635 | +116% | $9,100 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $70,302 | +83% | $8,178 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 11 | $207,821 | +85% | $18,644 |
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Houston Healthcare Tomball charged $190,496 on average, 71% more than the Texas average of $111,133, and was paid $16,654 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), HCA Houston Healthcare Tomball charged $98,634 on average, 45% more than the Texas average of $67,944, and was paid $11,402 against a state average of $11,820. For Respiratory Infections and Inflammations with MCC (DRG 177), HCA Houston Healthcare Tomball charged $140,812 on average, 72% more than the Texas average of $81,715, and was paid $14,033 against a state average of $13,815. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Houston Healthcare Tomball charged $119,537 on average, 62% more than the Texas average of $73,756, and was paid $11,892 against a state average of $11,597. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $26,439 was 61% above the state average of $16,442. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $50,393 was 39% above the state average of $36,220. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $47,768 was 71% above the state average of $27,955. For Level 4 Endovascular Procedures (outpatient APC 5194), its average charge of $300,123 was 107% above the state average of $144,742.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Houston Healthcare Tomball in Tomball, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-10-12 (CMS case 1916)
- Met Requirements — 2025-05-09 (CMS case 4369)
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.