Texas / Memorial Hermann Texas Medical Center

CMS certification 450068 · Houston, TX · 5 entries in CMS's price-transparency list

Memorial Hermann Texas Medical Center: charges and Medicare payments

Memorial Hermann Texas Medical Center reported 4,729 Medicare inpatient stays across 143 DRGs in 2024. Across them it charged 4.86 times what it was paid — mid-range in Texas, number 109 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: 409 stays at an average charge of $114,869, 27% above the national average. It also billed 3,350 outpatient services, charging 11.22 times what Medicare paid.

1Medicare inpatient stays 4,729
2Charge ÷ paid, inpatient 4.86×
3Rank in TX (highest ratio = 1) 109 of 190
4CMS price-transparency actions 5

Average charge per stay at Memorial Hermann Texas Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 143 DRGs that can be compared with the national average, Memorial Hermann Texas Medical Center charged more than the national average in 115 (80%). 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	409	$114,869	+27%	$24,783
291 Heart Failure and Shock with MCC	182	$75,110	+33%	$16,816
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	133	$128,566	+29%	$23,121
481 Hip and Femur Procedures except Major Joint with CC	125	$144,374	+43%	$25,801
025 Craniotomy and Endovascular Intracranial Procedures with MCC	108	$258,330	+12%	$46,753
085 Traumatic Stupor and Coma <1 Hour with MCC	78	$106,352	-2%	$25,143
274 Percutaneous and Other Intracardiac Procedures without MCC	78	$169,028	+8%	$35,722
177 Respiratory Infections and Inflammations with MCC	77	$76,753	+9%	$20,533
480 Hip and Femur Procedures except Major Joint with MCC	77	$176,032	+27%	$30,522
853 Infectious and Parasitic Diseases with O.R. Procedures with...	69	$341,990	+49%	$59,278
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	66	$66,036	+19%	$13,529
286 Circulatory Disorders except AMI, with Cardiac...	64	$167,452	+49%	$33,672
266 Endovascular Cardiac Valve Replacement and Supplement...	63	$290,150	+2%	$69,552
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	62	$522,453	+31%	$99,671
086 Traumatic Stupor and Coma <1 Hour with CC	61	$59,598	-13%	$16,431
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	60	$156,920	+53%	$25,112
698 Other Kidney and Urinary Tract Diagnoses with MCC	60	$93,414	+27%	$21,054
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	58	$75,509	+25%	$17,809
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	58	$64,251	+31%	$14,204
082 Traumatic Stupor and Coma >1 Hour with MCC	57	$138,511	+20%	$30,270
267 Endovascular Cardiac Valve Replacement and Supplement...	54	$186,125	-16%	$53,521
193 Simple Pneumonia and Pleurisy with MCC	51	$56,245	-6%	$17,106
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	48	$1,115,422	+6%	$254,746
270 Other Major Cardiovascular Procedures with MCC	48	$422,052	+63%	$74,198
189 Pulmonary Edema and Respiratory Failure	47	$72,018	+25%	$16,129
378 Gastrointestinal Hemorrhage with CC	46	$72,050	+48%	$14,378
322 Percutaneous Cardiovascular Procedures with Intraluminal...	45	$102,091	-11%	$22,326
377 Gastrointestinal Hemorrhage with MCC	45	$91,426	+7%	$21,713
689 Kidney and Urinary Tract Infections with MCC	45	$58,373	+14%	$14,986
100 Seizures with MCC	43	$163,009	+73%	$27,713
280 Acute Myocardial Infarction, Discharged Alive with MCC	43	$75,557	0%	$17,852
552 Medical Back Problems without MCC	43	$54,094	+11%	$13,287
683 Renal Failure with CC	42	$58,382	+43%	$13,196
023 Craniotomy with Major Device Implant or Acute Complex Cns...	40	$272,323	-3%	$60,902
321 Percutaneous Cardiovascular Procedures with Intraluminal...	39	$125,799	-23%	$30,139
690 Kidney and Urinary Tract Infections without MCC	38	$40,322	+7%	$11,872
870 Septicemia or Severe Sepsis with MV >96 Hours	38	$378,016	+17%	$68,698
101 Seizures without MCC	37	$54,777	+12%	$12,883
309 Cardiac Arrhythmia and Conduction Disorders with CC	36	$50,527	+40%	$12,249
467 Revision of Hip or Knee Replacement with CC	36	$168,669	+7%	$37,568
682 Renal Failure with MCC	36	$78,108	+18%	$17,232
956 Limb Reattachment, Hip and Femur Procedures for Multiple...	34	$246,226	+40%	$50,579
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	33	$148,740	+25%	$27,699
551 Medical Back Problems with MCC	33	$100,216	+27%	$19,599
083 Traumatic Stupor and Coma >1 Hour with CC	32	$64,909	-11%	$18,810
699 Other Kidney and Urinary Tract Diagnoses with CC	32	$86,751	+83%	$15,600
460 Spinal Fusion except Cervical without MCC	31	$253,995	+49%	$41,808
314 Other Circulatory System Diagnoses with MCC	29	$179,097	+89%	$30,564
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	29	$158,992	+35%	$28,345
054 Nervous System Neoplasms with MCC	28	$93,509	+21%	$17,787
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	28	$310,494	+44%	$56,212
027 Craniotomy and Endovascular Intracranial Procedures without...	27	$173,340	+24%	$34,523
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	27	$205,871	+52%	$39,156
004 Tracheostomy with MV >96 Hours or Principal Diagnosis except...	26	$606,773	-1%	$147,444
208 Respiratory System Diagnosis with Ventilator Support <=96...	26	$151,240	+11%	$28,264
252 Other Vascular Procedures with MCC	26	$323,043	+89%	$50,531
287 Circulatory Disorders except AMI, with Cardiac...	26	$72,144	+13%	$14,996
300 Peripheral Vascular Disorders with CC	26	$74,545	+51%	$14,318
308 Cardiac Arrhythmia and Conduction Disorders with MCC	26	$91,048	+61%	$17,578
432 Cirrhosis and Alcoholic Hepatitis with MCC	26	$98,543	+3%	$23,358

Showing the 60 most frequent of 143 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	628	$36,819	$2,519
Level 5 Musculoskeletal Procedures	355	$93,379	$12,047
Level 1 Endovascular Procedures	207	$25,587	$2,808
Level 2 Upper GI Procedures	201	$19,306	$1,745
Level 3 Electrophysiologic Procedures	170	$171,392	$21,487
Level 4 Musculoskeletal Procedures	144	$82,508	$6,560
Level 2 Excision/ Biopsy/ Incision and Drainage	105	$19,491	$1,489
Level 3 Vascular Procedures	102	$34,603	$2,935
Level 3 Endovascular Procedures	95	$64,709	$9,746
Level 4 Airway Endoscopy	86	$46,654	$3,408
Level 1 Laparoscopy and Related Services	86	$65,315	$5,256
Level 3 Excision/ Biopsy/ Incision and Drainage	80	$31,309	$2,635
Level 5 Urology and Related Services	72	$60,107	$4,745
Level 3 Musculoskeletal Procedures	69	$47,531	$2,797
Level 6 Musculoskeletal Procedures	64	$98,583	$16,755
Level 4 Endovascular Procedures	63	$99,739	$15,531
Level 7 Radiation Therapy	58	$235,710	$7,221
Level 2 Musculoskeletal Procedures	52	$28,020	$1,468
Level 4 Urology and Related Services	52	$46,468	$3,022
Level 5 ENT Procedures	49	$77,257	$5,430
Level 3 Urology and Related Services	44	$27,543	$1,820
Level 5 Airway Endoscopy	42	$73,043	$6,346
Level 4 Vascular Procedures	42	$54,804	$4,673
Complex GI Procedures	41	$40,453	$5,027
Level 3 Lower GI Procedures	38	$23,809	$2,602

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Memorial Hermann Texas Medical Center charged $114,869 on average, 3% more than the Texas average of $111,133, and was paid $24,783 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Memorial Hermann Texas Medical Center charged $75,110 on average, 11% more than the Texas average of $67,944, and was paid $16,816 against a state average of $11,820. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Memorial Hermann Texas Medical Center charged $128,566 on average, 6% more than the Texas average of $121,565, and was paid $23,121 against a state average of $16,871. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Memorial Hermann Texas Medical Center charged $144,374 on average, 12% more than the Texas average of $129,043, and was paid $25,801 against a state average of $17,871. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $36,819 was 32% above the state average of $27,955. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $93,379 was 5% below the state average of $98,771. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,587 was 29% below the state average of $36,220. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $19,306 was 19% above the state average of $16,236.

Price-transparency record

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

Warning Notice — 2021-07-20 (CMS case 393)
CAP Request — 2022-01-12 (CMS case 393)
Closure Notice — 2022-10-27 (CMS case 393)
Warning Notice — 2025-03-11 (CMS case 3251)
Closure Notice — 2025-05-07 (CMS case 3251)

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.