Texas / St Luke's Sugar Land Hospital
CMS certification 670053 · Sugar Land, TX · 3 entries in CMS's price-transparency list
St Luke's Sugar Land Hospital: charges and Medicare payments
St Luke's Sugar Land Hospital reported 235 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 6.61 times what it was paid — mid-range in Texas, number 75 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: 117 stays at an average charge of $133,954, 48% above the national average. It also billed 162 outpatient services, charging 9.46 times what Medicare paid.
- 1Medicare inpatient stays 235
- 2Charge ÷ paid, inpatient 6.61×
- 3Rank in TX (highest ratio = 1) 75 of 190
- 4CMS price-transparency actions 3
Inpatient stays
For the 8 DRGs that can be compared with the national average, St Luke's Sugar Land Hospital charged more than the national average in 6 (75%). 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 | 117 | $133,954 | +48% | $16,704 |
| 291 Heart Failure and Shock with MCC | 25 | $73,225 | +30% | $10,881 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 19 | $88,221 | +20% | $14,854 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $230,140 | +1% | $50,290 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $86,045 | +22% | $13,662 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $42,182 | -30% | $10,977 |
| 812 Red Blood Cell Disorders without MCC | 13 | $34,944 | -21% | $8,088 |
| 378 Gastrointestinal Hemorrhage with CC | 12 | $52,258 | +8% | $8,597 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 50 | $26,363 | $2,538 |
| Level 2 Upper GI Procedures | 43 | $14,365 | $1,764 |
| Level 5 ENT Procedures | 17 | $41,404 | $5,430 |
| Level 5 Musculoskeletal Procedures | 14 | $81,349 | $12,187 |
| Level 4 Urology and Related Services | 14 | $20,312 | $3,233 |
| Level 5 Urology and Related Services | 13 | $26,112 | $4,798 |
| Level 3 Musculoskeletal Procedures | 11 | $25,183 | $3,001 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Luke's Sugar Land Hospital charged $133,954 on average, 21% more than the Texas average of $111,133, and was paid $16,704 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), St Luke's Sugar Land Hospital charged $73,225 on average, 8% more than the Texas average of $67,944, and was paid $10,881 against a state average of $11,820. For Other Kidney and Urinary Tract Diagnoses with MCC (DRG 698), St Luke's Sugar Land Hospital charged $88,221 on average, 2% more than the Texas average of $86,874, and was paid $14,854 against a state average of $14,523. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), St Luke's Sugar Land Hospital charged $230,140 on average, 19% less than the Texas average of $283,065, and was paid $50,290 against a state average of $41,195. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,363 was 6% below the state average of $27,955. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $14,365 was 12% below the state average of $16,236. For Level 5 ENT Procedures (outpatient APC 5165), its average charge of $41,404 was 5% below the state average of $43,401. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $81,349 was 18% below the state average of $98,771.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Luke's Sugar Land 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:
- Met Requirements — 2025-05-20 (CMS case 4626)
- Warning Notice — 2026-04-14 (CMS case 7461)
- Closure Notice — 2026-07-09 (CMS case 7461)
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.