Texas / Houston Methodist Sugarland Hospital
CMS certification 450820 · Sugar Land, TX · 3 entries in CMS's price-transparency list
Houston Methodist Sugarland Hospital: charges and Medicare payments
Houston Methodist Sugarland Hospital reported 4,668 Medicare inpatient stays across 115 DRGs in 2024. Across them it charged 7.29 times what it was paid — among the higher ratios in Texas, number 63 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: 585 stays at an average charge of $112,434, 25% above the national average. It also billed 4,216 outpatient services, charging 12.3 times what Medicare paid.
- 1Medicare inpatient stays 4,668
- 2Charge ÷ paid, inpatient 7.29×
- 3Rank in TX (highest ratio = 1) 63 of 190
- 4CMS price-transparency actions 3
Inpatient stays
For the 115 DRGs that can be compared with the national average, Houston Methodist Sugarland Hospital charged more than the national average in 81 (70%). 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 | 585 | $112,434 | +25% | $14,798 |
| 291 Heart Failure and Shock with MCC | 352 | $67,332 | +19% | $9,659 |
| 177 Respiratory Infections and Inflammations with MCC | 271 | $84,952 | +20% | $12,624 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 101 | $78,645 | +4% | $11,638 |
| 193 Simple Pneumonia and Pleurisy with MCC | 98 | $56,270 | -6% | $9,853 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 90 | $69,391 | -5% | $11,640 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 86 | $56,381 | +15% | $7,857 |
| 690 Kidney and Urinary Tract Infections without MCC | 85 | $42,309 | +12% | $6,305 |
| 189 Pulmonary Edema and Respiratory Failure | 83 | $62,627 | +9% | $9,301 |
| 689 Kidney and Urinary Tract Infections with MCC | 82 | $54,020 | +5% | $8,437 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 74 | $95,190 | -5% | $14,327 |
| 377 Gastrointestinal Hemorrhage with MCC | 74 | $86,311 | +1% | $12,793 |
| 378 Gastrointestinal Hemorrhage with CC | 70 | $56,845 | +17% | $7,730 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 70 | $44,869 | +12% | $6,315 |
| 683 Renal Failure with CC | 70 | $46,166 | +13% | $7,176 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 70 | $247,315 | +8% | $36,718 |
| 682 Renal Failure with MCC | 66 | $64,685 | -2% | $10,831 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 64 | $59,024 | -2% | $9,713 |
| 252 Other Vascular Procedures with MCC | 58 | $183,476 | +7% | $27,270 |
| 091 Other Disorders of Nervous System with MCC | 53 | $83,656 | +1% | $12,415 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 53 | $48,068 | +33% | $5,949 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 50 | $62,952 | +11% | $9,263 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 49 | $265,789 | +70% | $24,266 |
| 312 Syncope and Collapse | 48 | $46,224 | +2% | $6,875 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 47 | $62,731 | +13% | $7,356 |
| 552 Medical Back Problems without MCC | 47 | $41,041 | -16% | $7,942 |
| 178 Respiratory Infections and Inflammations with CC | 45 | $50,283 | +11% | $7,823 |
| 603 Cellulitis without MCC | 42 | $40,499 | +9% | $7,129 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 38 | $54,388 | -11% | $9,684 |
| 314 Other Circulatory System Diagnoses with MCC | 37 | $101,968 | +8% | $14,479 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 37 | $100,501 | -12% | $15,322 |
| 092 Other Disorders of Nervous System with CC | 35 | $51,052 | -1% | $7,715 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 35 | $42,247 | +14% | $6,415 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 33 | $64,022 | 0% | $8,528 |
| 300 Peripheral Vascular Disorders with CC | 33 | $55,997 | +13% | $8,117 |
| 330 Major Small and Large Bowel Procedures with CC | 32 | $149,723 | +26% | $17,774 |
| 393 Other Digestive System Diagnoses with MCC | 32 | $57,317 | -25% | $12,428 |
| 812 Red Blood Cell Disorders without MCC | 32 | $40,634 | -8% | $7,211 |
| 389 Gastrointestinal Obstruction with CC | 31 | $37,311 | -4% | $6,327 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 29 | $92,875 | -17% | $16,409 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 29 | $47,715 | 0% | $7,483 |
| 069 Transient Ischemia without Thrombolytic | 28 | $52,345 | +4% | $6,301 |
| 202 Bronchitis and Asthma with CC/MCC | 28 | $53,691 | +16% | $7,365 |
| 305 Hypertension without MCC | 28 | $46,063 | +15% | $5,986 |
| 602 Cellulitis with MCC | 28 | $63,061 | +5% | $10,716 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 27 | $468,619 | +68% | $55,180 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 26 | $155,605 | -5% | $23,687 |
| 394 Other Digestive System Diagnoses with CC | 26 | $52,879 | +12% | $7,428 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 26 | $167,382 | +80% | $13,983 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 26 | $167,131 | +63% | $15,267 |
| 299 Peripheral Vascular Disorders with MCC | 25 | $61,118 | -19% | $11,552 |
| 313 Chest Pain | 25 | $49,393 | +24% | $5,994 |
| 638 Diabetes with CC | 25 | $47,448 | +14% | $7,026 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 24 | $150,352 | +35% | $21,053 |
| 329 Major Small and Large Bowel Procedures with MCC | 24 | $217,668 | +1% | $32,942 |
| 388 Gastrointestinal Obstruction with MCC | 24 | $91,065 | +33% | $10,366 |
| 100 Seizures with MCC | 23 | $78,896 | -16% | $14,378 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 23 | $124,946 | +46% | $13,303 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 22 | $121,398 | +86% | $11,526 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $39,976 | +4% | $6,742 |
Showing the 60 most frequent of 115 DRGs.
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Houston Methodist Sugarland Hospital charged $112,434 on average, 1% more than the Texas average of $111,133, and was paid $14,798 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Houston Methodist Sugarland Hospital charged $67,332 on average, 1% less than the Texas average of $67,944, and was paid $9,659 against a state average of $11,820. For Respiratory Infections and Inflammations with MCC (DRG 177), Houston Methodist Sugarland Hospital charged $84,952 on average, 4% more than the Texas average of $81,715, and was paid $12,624 against a state average of $13,815. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Houston Methodist Sugarland Hospital charged $78,645 on average, 15% less than the Texas average of $92,713, and was paid $11,638 against a state average of $13,694. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $27,635 was 1% below the state average of $27,955. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $117,232 was 19% above the state average of $98,771. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $17,061 was 21% above the state average of $14,089. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $72,776 was 24% above the state average of $58,833.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Houston Methodist Sugarland Hospital in Sugar Land, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2023-06-12 (CMS case 7)
- Closure Notice — 2023-07-21 (CMS case 7)
- Met Requirements — 2025-04-07 (CMS case 3642)
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.