Texas / Houston Methodist Hospital
CMS certification 450358 · Houston, TX · 2 entries in CMS's price-transparency list
Houston Methodist Hospital: charges and Medicare payments
Houston Methodist Hospital reported 10,386 Medicare inpatient stays across 227 DRGs in 2024. Across them it charged 7.06 times what it was paid — mid-range in Texas, number 67 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: 808 stays at an average charge of $156,750, 74% above the national average. It also billed 11,682 outpatient services, charging 11.43 times what Medicare paid.
- 1Medicare inpatient stays 10,386
- 2Charge ÷ paid, inpatient 7.06×
- 3Rank in TX (highest ratio = 1) 67 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 227 DRGs that can be compared with the national average, Houston Methodist Hospital charged more than the national average in 208 (92%). 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 | 808 | $156,750 | +74% | $22,289 |
| 291 Heart Failure and Shock with MCC | 513 | $91,730 | +63% | $14,276 |
| 177 Respiratory Infections and Inflammations with MCC | 215 | $118,884 | +68% | $17,211 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 182 | $61,623 | +26% | $10,842 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 165 | $86,774 | +18% | $16,344 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 149 | $186,157 | +66% | $25,111 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 135 | $342,533 | +55% | $40,819 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 130 | $100,830 | +112% | $14,178 |
| 189 Pulmonary Edema and Respiratory Failure | 125 | $108,148 | +88% | $13,353 |
| 377 Gastrointestinal Hemorrhage with MCC | 125 | $122,322 | +43% | $18,716 |
| 193 Simple Pneumonia and Pleurisy with MCC | 123 | $104,234 | +74% | $13,750 |
| 682 Renal Failure with MCC | 121 | $79,788 | +21% | $14,839 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 118 | $488,974 | +114% | $73,944 |
| 378 Gastrointestinal Hemorrhage with CC | 117 | $58,696 | +21% | $10,167 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 117 | $229,051 | +139% | $28,470 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 117 | $80,119 | +33% | $13,270 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 114 | $43,604 | +9% | $8,431 |
| 683 Renal Failure with CC | 110 | $53,416 | +31% | $9,791 |
| 690 Kidney and Urinary Tract Infections without MCC | 110 | $43,895 | +16% | $8,518 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 107 | $604,691 | +52% | $79,436 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 106 | $267,500 | +71% | $30,160 |
| 314 Other Circulatory System Diagnoses with MCC | 104 | $158,926 | +68% | $22,608 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 103 | $156,693 | +57% | $23,044 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 103 | $379,640 | +30% | $54,951 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 99 | $448,149 | +57% | $57,499 |
| 689 Kidney and Urinary Tract Infections with MCC | 99 | $68,841 | +34% | $12,457 |
| 603 Cellulitis without MCC | 93 | $46,844 | +26% | $9,451 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 88 | $52,832 | +46% | $8,294 |
| 252 Other Vascular Procedures with MCC | 85 | $212,858 | +25% | $34,425 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 80 | $141,208 | +52% | $18,080 |
| 552 Medical Back Problems without MCC | 80 | $46,076 | -6% | $9,888 |
| 467 Revision of Hip or Knee Replacement with CC | 79 | $218,698 | +39% | $28,638 |
| 330 Major Small and Large Bowel Procedures with CC | 76 | $174,163 | +46% | $28,792 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 74 | $87,862 | +55% | $13,020 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 73 | $298,866 | +29% | $41,954 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 73 | $62,784 | +13% | $10,288 |
| 389 Gastrointestinal Obstruction with CC | 71 | $48,897 | +26% | $9,132 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 70 | $621,177 | +122% | $74,584 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 69 | $88,561 | +45% | $14,263 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 67 | $140,065 | +85% | $18,500 |
| 092 Other Disorders of Nervous System with CC | 63 | $69,324 | +34% | $11,409 |
| 329 Major Small and Large Bowel Procedures with MCC | 63 | $298,124 | +39% | $43,820 |
| 652 Kidney Transplant | 61 | $514,664 | +53% | $44,362 |
| 091 Other Disorders of Nervous System with MCC | 60 | $97,875 | +18% | $18,283 |
| 205 Other Respiratory System Diagnoses with MCC | 59 | $137,069 | +55% | $18,200 |
| 300 Peripheral Vascular Disorders with CC | 59 | $58,372 | +18% | $11,956 |
| 393 Other Digestive System Diagnoses with MCC | 59 | $129,107 | +68% | $17,422 |
| 394 Other Digestive System Diagnoses with CC | 56 | $60,266 | +28% | $10,082 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 56 | $255,150 | +196% | $32,917 |
| 270 Other Major Cardiovascular Procedures with MCC | 55 | $443,947 | +71% | $54,870 |
| 460 Spinal Fusion except Cervical without MCC | 55 | $407,245 | +139% | $46,926 |
| 056 Degenerative Nervous System Disorders with MCC | 51 | $256,907 | +168% | $38,210 |
| 229 Other Cardiothoracic Procedures without MCC | 51 | $251,105 | +52% | $31,884 |
| 472 Cervical Spinal Fusion with CC | 51 | $239,812 | +68% | $30,589 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 51 | $316,161 | +46% | $48,321 |
| 312 Syncope and Collapse | 50 | $58,500 | +28% | $9,824 |
| 305 Hypertension without MCC | 49 | $41,507 | +4% | $7,829 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 49 | $118,300 | +3% | $17,744 |
| 812 Red Blood Cell Disorders without MCC | 49 | $51,277 | +16% | $9,399 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 48 | $212,282 | +30% | $28,854 |
Showing the 60 most frequent of 227 DRGs.
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Houston Methodist Hospital charged $156,750 on average, 41% more than the Texas average of $111,133, and was paid $22,289 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Houston Methodist Hospital charged $91,730 on average, 35% more than the Texas average of $67,944, and was paid $14,276 against a state average of $11,820. For Respiratory Infections and Inflammations with MCC (DRG 177), Houston Methodist Hospital charged $118,884 on average, 45% more than the Texas average of $81,715, and was paid $17,211 against a state average of $13,815. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Houston Methodist Hospital charged $61,623 on average, 6% more than the Texas average of $58,253, and was paid $10,842 against a state average of $10,103. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,464 was 5% below the state average of $27,955. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $111,235 was 13% above the state average of $98,771. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $16,690 was 54% below the state average of $36,220. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $27,418 was 67% above the state average of $16,442.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Houston Methodist Hospital in Houston, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-06-26 (CMS case 21)
- Met Requirements — 2025-03-13 (CMS case 3267)
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.