Texas / Houston Methodist Baytown Hospital

CMS certification 450424 · Baytown, TX · 2 entries in CMS's price-transparency list

Houston Methodist Baytown Hospital: charges and Medicare payments

Houston Methodist Baytown Hospital reported 1,922 Medicare inpatient stays across 55 DRGs in 2024. Across them it charged 6.62 times what it was paid — mid-range in Texas, number 73 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: 358 stays at an average charge of $115,347, 28% above the national average. It also billed 1,673 outpatient services, charging 12.74 times what Medicare paid.

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  1. 1Medicare inpatient stays 1,922
  2. 2Charge ÷ paid, inpatient 6.62×
  3. 3Rank in TX (highest ratio = 1) 73 of 190
  4. 4CMS price-transparency actions 2
DRG 871$115,347DRG 291$77,169DRG 280$97,780DRG 177$100,446DRG 189$67,616DRG 193$73,503DRG 853$293,770DRG 640$71,987DRG 683$44,266DRG 286$102,811
Average charge per stay at Houston Methodist Baytown Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 55 DRGs that can be compared with the national average, Houston Methodist Baytown Hospital charged more than the national average in 49 (89%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC358$115,347+28%$16,446
291 Heart Failure and Shock with MCC159$77,169+37%$11,906
280 Acute Myocardial Infarction, Discharged Alive with MCC87$97,780+29%$14,549
177 Respiratory Infections and Inflammations with MCC76$100,446+42%$14,204
189 Pulmonary Edema and Respiratory Failure65$67,616+17%$11,547
193 Simple Pneumonia and Pleurisy with MCC57$73,503+23%$11,284
853 Infectious and Parasitic Diseases with O.R. Procedures with...54$293,770+28%$43,134
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...50$71,987+19%$11,816
683 Renal Failure with CC46$44,266+9%$8,959
286 Circulatory Disorders except AMI, with Cardiac...43$102,811-8%$18,375
682 Renal Failure with MCC43$84,422+28%$13,412
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC42$64,857+32%$9,977
698 Other Kidney and Urinary Tract Diagnoses with MCC40$83,113+13%$14,398
064 Intracranial Hemorrhage or Cerebral Infarction with MCC36$92,543-7%$15,998
377 Gastrointestinal Hemorrhage with MCC36$70,460-17%$14,574
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...32$51,125+27%$8,028
070 Other Cerebrovascular Disorders with MCC31$62,054-18%$14,339
689 Kidney and Urinary Tract Infections with MCC29$51,944+1%$10,575
690 Kidney and Urinary Tract Infections without MCC28$46,548+23%$8,402
378 Gastrointestinal Hemorrhage with CC27$61,075+26%$9,745
308 Cardiac Arrhythmia and Conduction Disorders with MCC25$64,537+14%$11,405
312 Syncope and Collapse25$46,331+2%$8,916
603 Cellulitis without MCC25$46,794+25%$8,950
287 Circulatory Disorders except AMI, with Cardiac...23$68,030+6%$10,495
432 Cirrhosis and Alcoholic Hepatitis with MCC23$101,815+6%$16,564
252 Other Vascular Procedures with MCC22$191,304+12%$34,210
481 Hip and Femur Procedures except Major Joint with CC22$147,163+46%$16,565
313 Chest Pain21$56,891+42%$7,889
321 Percutaneous Cardiovascular Procedures with Intraluminal...21$216,251+32%$23,724
274 Percutaneous and Other Intracardiac Procedures without MCC20$248,324+58%$28,383
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...19$63,134+13%$9,868
180 Respiratory Neoplasms with MCC19$94,419+8%$16,312
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...19$71,985+18%$11,991
522 Hip Replacement with Principal Diagnosis of Hip Fracture...16$178,260+74%$17,825
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...16$48,146+30%$8,366
069 Transient Ischemia without Thrombolytic15$53,975+7%$8,438
309 Cardiac Arrhythmia and Conduction Disorders with CC15$47,985+33%$8,021
602 Cellulitis with MCC15$64,698+8%$11,898
638 Diabetes with CC15$69,225+66%$9,263
870 Septicemia or Severe Sepsis with MV >96 Hours15$451,525+40%$57,529
071 Other Cerebrovascular Disorders with CC14$68,752+36%$10,374
208 Respiratory System Diagnosis with Ventilator Support <=96...14$158,358+17%$21,657
270 Other Major Cardiovascular Procedures with MCC14$398,896+54%$53,181
281 Acute Myocardial Infarction, Discharged Alive with CC14$57,876+15%$9,147
388 Gastrointestinal Obstruction with MCC14$71,204+4%$11,885
389 Gastrointestinal Obstruction with CC14$46,646+20%$8,735
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale13$87,163+34%$13,544
242 Permanent Cardiac Pacemaker Implant with MCC13$220,513+37%$28,036
637 Diabetes with MCC13$69,318+4%$12,947
300 Peripheral Vascular Disorders with CC12$45,515-8%$10,398
322 Percutaneous Cardiovascular Procedures with Intraluminal...12$148,945+30%$18,807
812 Red Blood Cell Disorders without MCC12$65,041+47%$9,629
243 Permanent Cardiac Pacemaker Implant with CC11$154,145+39%$19,311
371 Major Gastrointestinal Disorders and Peritoneal Infections...11$67,346-14%$16,386
811 Red Blood Cell Disorders with MCC11$78,770+16%$12,921

Outpatient services

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Houston Methodist Baytown Hospital charged $115,347 on average, 4% more than the Texas average of $111,133, and was paid $16,446 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Houston Methodist Baytown Hospital charged $77,169 on average, 14% more than the Texas average of $67,944, and was paid $11,906 against a state average of $11,820. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Houston Methodist Baytown Hospital charged $97,780 on average, 5% more than the Texas average of $92,713, and was paid $14,549 against a state average of $13,694. For Respiratory Infections and Inflammations with MCC (DRG 177), Houston Methodist Baytown Hospital charged $100,446 on average, 23% more than the Texas average of $81,715, and was paid $14,204 against a state average of $13,815. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $30,470 was 9% above the state average of $27,955. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $31,344 was 91% above the state average of $16,442. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $118,066 was 20% above the state average of $98,771. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $21,930 was 39% below the state average of $36,220.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Houston Methodist Baytown Hospital in Baytown, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.