Texas / Houston Methodist West Hospital
CMS certification 670077 · Houston, TX · 1 entry in CMS's price-transparency list
Houston Methodist West Hospital: charges and Medicare payments
Houston Methodist West Hospital reported 2,460 Medicare inpatient stays across 71 DRGs in 2024. Across them it charged 6.44 times what it was paid — mid-range in Texas, number 78 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: 380 stays at an average charge of $99,817, 11% above the national average. It also billed 3,339 outpatient services, charging 12.54 times what Medicare paid.
- 1Medicare inpatient stays 2,460
- 2Charge ÷ paid, inpatient 6.44×
- 3Rank in TX (highest ratio = 1) 78 of 190
- 4CMS price-transparency actions 1
Inpatient stays
For the 71 DRGs that can be compared with the national average, Houston Methodist West Hospital charged more than the national average in 35 (49%). 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 | 380 | $99,817 | +11% | $15,435 |
| 291 Heart Failure and Shock with MCC | 209 | $56,791 | +1% | $10,321 |
| 177 Respiratory Infections and Inflammations with MCC | 100 | $64,239 | -9% | $12,460 |
| 193 Simple Pneumonia and Pleurisy with MCC | 82 | $62,142 | +4% | $10,831 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 77 | $53,212 | +8% | $8,660 |
| 189 Pulmonary Edema and Respiratory Failure | 62 | $66,877 | +16% | $10,343 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 62 | $74,032 | +1% | $12,858 |
| 689 Kidney and Urinary Tract Infections with MCC | 60 | $43,438 | -15% | $9,542 |
| 690 Kidney and Urinary Tract Infections without MCC | 56 | $34,687 | -8% | $7,087 |
| 682 Renal Failure with MCC | 55 | $56,789 | -14% | $11,250 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 51 | $63,666 | -16% | $12,437 |
| 683 Renal Failure with CC | 48 | $39,155 | -4% | $8,024 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 47 | $199,879 | -13% | $32,730 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 45 | $56,847 | -6% | $10,517 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 44 | $39,422 | -2% | $7,246 |
| 378 Gastrointestinal Hemorrhage with CC | 43 | $48,625 | 0% | $8,292 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 39 | $54,234 | -4% | $9,959 |
| 377 Gastrointestinal Hemorrhage with MCC | 38 | $84,986 | 0% | $13,898 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 35 | $53,389 | -4% | $8,293 |
| 603 Cellulitis without MCC | 35 | $40,325 | +8% | $7,665 |
| 552 Medical Back Problems without MCC | 30 | $36,616 | -25% | $8,360 |
| 389 Gastrointestinal Obstruction with CC | 29 | $42,931 | +10% | $7,048 |
| 314 Other Circulatory System Diagnoses with MCC | 28 | $83,796 | -12% | $15,213 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 28 | $308,892 | +145% | $24,221 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 27 | $396,201 | +39% | $45,554 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 27 | $32,708 | -9% | $6,751 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 27 | $159,247 | +71% | $14,946 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 24 | $79,291 | -21% | $14,546 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 24 | $57,100 | -6% | $12,136 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 23 | $134,901 | +32% | $16,237 |
| 312 Syncope and Collapse | 22 | $33,095 | -27% | $7,484 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $113,227 | -1% | $14,364 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $41,388 | +12% | $6,845 |
| 070 Other Cerebrovascular Disorders with MCC | 19 | $59,161 | -22% | $13,583 |
| 180 Respiratory Neoplasms with MCC | 19 | $82,598 | -6% | $13,884 |
| 252 Other Vascular Procedures with MCC | 19 | $201,452 | +18% | $28,887 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $170,154 | +4% | $23,938 |
| 330 Major Small and Large Bowel Procedures with CC | 19 | $136,286 | +15% | $17,894 |
| 481 Hip and Femur Procedures except Major Joint with CC | 19 | $117,334 | +16% | $15,830 |
| 812 Red Blood Cell Disorders without MCC | 19 | $34,553 | -22% | $7,806 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 18 | $69,904 | +7% | $11,356 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 17 | $30,544 | +6% | $5,853 |
| 329 Major Small and Large Bowel Procedures with MCC | 17 | $200,396 | -7% | $30,730 |
| 644 Endocrine Disorders with CC | 17 | $34,506 | -28% | $9,246 |
| 163 Major Chest Procedures with MCC | 16 | $233,847 | +11% | $34,233 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $55,546 | +10% | $9,012 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 16 | $225,933 | +82% | $22,664 |
| 092 Other Disorders of Nervous System with CC | 15 | $61,194 | +19% | $8,740 |
| 100 Seizures with MCC | 15 | $84,376 | -11% | $13,119 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 15 | $83,432 | -26% | $18,683 |
| 638 Diabetes with CC | 15 | $43,022 | +3% | $7,789 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 15 | $84,963 | +26% | $10,956 |
| 039 Extracranial Procedures without CC/MCC | 14 | $91,317 | +43% | $9,470 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 14 | $392,509 | +77% | $37,558 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 14 | $269,135 | +72% | $24,696 |
| 304 Hypertension with MCC | 14 | $49,463 | -14% | $9,517 |
| 394 Other Digestive System Diagnoses with CC | 14 | $37,871 | -20% | $8,054 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 14 | $41,636 | -12% | $8,245 |
| 602 Cellulitis with MCC | 13 | $68,507 | +14% | $11,814 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 13 | $150,238 | -13% | $30,097 |
Showing the 60 most frequent of 71 DRGs.
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Houston Methodist West Hospital charged $99,817 on average, 10% less than the Texas average of $111,133, and was paid $15,435 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Houston Methodist West Hospital charged $56,791 on average, 16% less than the Texas average of $67,944, and was paid $10,321 against a state average of $11,820. For Respiratory Infections and Inflammations with MCC (DRG 177), Houston Methodist West Hospital charged $64,239 on average, 21% less than the Texas average of $81,715, and was paid $12,460 against a state average of $13,815. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Houston Methodist West Hospital charged $62,142 on average, 16% less than the Texas average of $73,756, and was paid $10,831 against a state average of $11,597. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,408 was 23% below the state average of $27,955. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $116,344 was 18% above the state average of $98,771. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $85,985 was 46% above the state average of $58,833. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $26,680 was 48% above the state average of $18,063.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Houston Methodist West 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 — 2025-04-17 (CMS case 3933)
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.