Texas / Memorial Hermann Hospital System
CMS certification 450184 · Houston, TX
Memorial Hermann Hospital System: charges and Medicare payments
Memorial Hermann Hospital System reported 9,946 Medicare inpatient stays across 202 DRGs in 2024. Across them it charged 4.45 times what it was paid — among the lower ratios in Texas, number 129 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: 1218 stays at an average charge of $80,142, 11% below the national average. It also billed 7,988 outpatient services, charging 8.46 times what Medicare paid.
- 1Medicare inpatient stays 9,946
- 2Charge ÷ paid, inpatient 4.45×
- 3Rank in TX (highest ratio = 1) 129 of 190
- 4CMS price-transparency actions 0
Inpatient stays
For the 202 DRGs that can be compared with the national average, Memorial Hermann Hospital System charged more than the national average in 38 (19%). 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 | 1218 | $80,142 | -11% | $17,637 |
| 291 Heart Failure and Shock with MCC | 617 | $49,869 | -12% | $12,420 |
| 177 Respiratory Infections and Inflammations with MCC | 231 | $55,969 | -21% | $14,472 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 229 | $195,925 | -14% | $44,196 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 221 | $65,220 | -14% | $14,735 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 207 | $119,246 | -24% | $27,825 |
| 193 Simple Pneumonia and Pleurisy with MCC | 204 | $47,096 | -21% | $12,641 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 193 | $50,284 | +3% | $10,594 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 191 | $67,282 | -8% | $15,365 |
| 689 Kidney and Urinary Tract Infections with MCC | 185 | $45,217 | -12% | $11,275 |
| 189 Pulmonary Edema and Respiratory Failure | 158 | $49,196 | -15% | $11,962 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 153 | $59,620 | -1% | $12,558 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 141 | $86,092 | -14% | $17,116 |
| 378 Gastrointestinal Hemorrhage with CC | 141 | $51,104 | +5% | $10,357 |
| 690 Kidney and Urinary Tract Infections without MCC | 127 | $36,862 | -3% | $9,037 |
| 481 Hip and Femur Procedures except Major Joint with CC | 123 | $88,958 | -12% | $18,964 |
| 682 Renal Failure with MCC | 118 | $58,426 | -11% | $13,239 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 105 | $54,881 | -2% | $10,216 |
| 377 Gastrointestinal Hemorrhage with MCC | 105 | $80,840 | -5% | $16,017 |
| 603 Cellulitis without MCC | 99 | $39,961 | +7% | $9,701 |
| 683 Renal Failure with CC | 95 | $41,458 | +2% | $9,818 |
| 252 Other Vascular Procedures with MCC | 86 | $133,982 | -22% | $28,353 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 84 | $64,794 | +14% | $11,902 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 84 | $41,672 | +4% | $8,907 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 75 | $97,746 | -4% | $18,682 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 75 | $217,366 | -33% | $49,640 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 72 | $102,891 | -26% | $23,264 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 71 | $158,350 | -28% | $41,152 |
| 638 Diabetes with CC | 71 | $40,811 | -2% | $9,712 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 69 | $60,948 | 0% | $12,750 |
| 811 Red Blood Cell Disorders with MCC | 68 | $56,056 | -18% | $13,714 |
| 330 Major Small and Large Bowel Procedures with CC | 63 | $112,377 | -6% | $22,002 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 62 | $46,519 | +29% | $8,731 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 60 | $114,610 | -30% | $26,213 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 59 | $39,419 | -17% | $10,235 |
| 100 Seizures with MCC | 58 | $75,521 | -20% | $17,298 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 57 | $90,968 | -19% | $21,063 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 56 | $42,988 | -15% | $10,656 |
| 329 Major Small and Large Bowel Procedures with MCC | 56 | $169,212 | -21% | $36,702 |
| 389 Gastrointestinal Obstruction with CC | 56 | $37,898 | -3% | $8,996 |
| 552 Medical Back Problems without MCC | 55 | $57,609 | +18% | $9,821 |
| 637 Diabetes with MCC | 54 | $63,735 | -4% | $13,397 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 53 | $39,152 | +6% | $8,939 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 52 | $214,787 | -27% | $47,629 |
| 314 Other Circulatory System Diagnoses with MCC | 52 | $79,924 | -16% | $17,439 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 52 | $86,917 | -24% | $16,709 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 51 | $64,176 | -2% | $12,786 |
| 253 Other Vascular Procedures with CC | 51 | $117,351 | -11% | $23,509 |
| 270 Other Major Cardiovascular Procedures with MCC | 51 | $202,664 | -22% | $43,391 |
| 312 Syncope and Collapse | 51 | $47,422 | +4% | $9,465 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 51 | $183,129 | -15% | $42,438 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 49 | $199,568 | -14% | $37,366 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 48 | $82,799 | -39% | $22,834 |
| 393 Other Digestive System Diagnoses with MCC | 48 | $69,864 | -9% | $16,204 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 46 | $54,532 | +8% | $9,794 |
| 812 Red Blood Cell Disorders without MCC | 46 | $34,908 | -21% | $9,872 |
| 194 Simple Pneumonia and Pleurisy with CC | 45 | $37,690 | -2% | $9,006 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 44 | $92,175 | -43% | $30,697 |
| 271 Other Major Cardiovascular Procedures with CC | 43 | $118,242 | -32% | $32,011 |
| 472 Cervical Spinal Fusion with CC | 42 | $105,152 | -26% | $24,939 |
Showing the 60 most frequent of 202 DRGs.
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Memorial Hermann Hospital System charged $80,142 on average, 28% less than the Texas average of $111,133, and was paid $17,637 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Memorial Hermann Hospital System charged $49,869 on average, 27% less than the Texas average of $67,944, and was paid $12,420 against a state average of $11,820. For Respiratory Infections and Inflammations with MCC (DRG 177), Memorial Hermann Hospital System charged $55,969 on average, 32% less than the Texas average of $81,715, and was paid $14,472 against a state average of $13,815. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Memorial Hermann Hospital System charged $195,925 on average, 31% less than the Texas average of $283,065, and was paid $44,196 against a state average of $41,195. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $32,741 was 17% above the state average of $27,955. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $65,364 was 34% below the state average of $98,771. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,847 was 34% below the state average of $36,220. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $14,829 was 5% above the state average of $14,089.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.