TX · 308 hospitals · #5 of 51 by charge gap

Hospital prices in Texas

241 Texas hospitals reported 334,970 Medicare inpatient stays in 2024. The median hospital charged 5.35 times what it was paid — above the national median of 4.15×, number 5 of 51. The widest gap was at Sierra Medical Center (15.42×), the narrowest at Harris Health (0.31×). CMS's price-transparency list records 1,350 enforcement actions involving 582 Texas hospitals.

1Median charge ÷ paid 5.35×
2Hospitals reporting 308
3Medicare inpatient stays 334,970
4Price-transparency actions 1,350

Inpatient charge-to-payment ratio, the 15 Texas hospitals with the widest gap (100+ Medicare stays), bars to scale. Source: CMS DY2024.

Most common stays in Texas

DRG	Stays	TX avg charge	US avg charge	TX avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with...	41,514	$111,133	$90,297	$16,694
291 Heart Failure and Shock with MCC	20,162	$67,944	$56,380	$11,820
193 Simple Pneumonia and Pleurisy with MCC	9,947	$73,756	$59,757	$11,597
177 Respiratory Infections and Inflammations with MCC	9,159	$81,715	$70,592	$13,815
189 Pulmonary Edema and Respiratory Failure	7,359	$65,957	$57,570	$11,822
872 Septicemia or Severe Sepsis without MV >96 Hours without...	7,124	$58,253	$49,049	$10,103
280 Acute Myocardial Infarction, Discharged Alive with MCC	6,587	$92,713	$75,821	$13,694
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids...	6,342	$68,203	$60,293	$12,119
690 Kidney and Urinary Tract Infections without MCC	6,099	$42,965	$37,821	$8,372
853 Infectious and Parasitic Diseases with O.R. Procedures...	5,927	$283,065	$228,948	$41,195

Every hospital

Hospital	Stays	Ratio	Actions
Methodist Hospital San Antonio	17,711	9.83×	–
Houston Methodist Hospital Houston	10,386	7.06×	2
Memorial Hermann Hospital System Houston	9,946	4.45×	–
Baptist Medical Center San Antonio	7,692	11.45×	4
UT Southwestern University Hospital Dallas	7,202	3.89×	–
Texas Health Harris Methodist Fort Worth Fort Worth	7,171	4.62×	–
Baylor University Medical Center Dallas	6,209	3.44×	3
CHRISTUS Mother Frances Hospital Tyler	5,966	8.86×	–
Hendrick Medical Center Abilene	5,663	9.62×	7
Bsa Hospital Amarillo	5,517	5.68×	–
Medical City Plano Plano	5,131	13.92×	2
HCA Houston Healthcare Kingwood Kingwood	5,097	13.26×	3
St David's Medical Center Austin	5,009	10.58×	2
Texas Health Presbyterian Hospital Dallas Dallas	4,882	4.5×	3
Memorial Hermann Texas Medical Center Houston	4,729	4.86×	5
Houston Methodist Sugarland Hospital Sugar Land	4,668	7.29×	3
Baylor Scott & White Medical Center - Temple Temple	4,664	3.81×	5
Texoma Medical Center Denison	4,632	9.16×	4
United Regional Health Care System Wichita Falls	4,507	3.51×	3
UT Health East Texas Tyler Regional Hospital Tyler	4,302	7.74×	–
CHRISTUS Santa Rosa Medical Center San Antonio	4,217	5.38×	1
Houston Methodist the Woodlands Hospital The Woodlands	4,155	7.47×	3
University of Texas Medical Branch Galveston	3,917	3.09×	–
Covenant Medical Center Lubbock	3,886	11.04×	4
Methodist Hospital Stone Oak San Antonio	3,639	9.59×	2
Houston Methodist Willowbrook Hospital Houston	3,627	6.82×	1
St David's South Austin Medical Center Austin	3,600	10.25×	3
Medical City Dallas Dallas	3,586	13.3×	–
HCA Houston Healthcare Clear Lake Webster	3,440	11.88×	3
CHRISTUS St Michael Health System Texarkana	3,268	6.45×	4
Shannon Medical Center San Angelo	3,145	5.2×	3
Baylor Scott & White Medical Center Grapevine Grapevine	3,131	5.04×	–
Texas Health Presbyterian Hospital Plano Plano	3,045	4.78×	1
University Health System San Antonio	3,013	2.65×	–
Baylor Sott & White the Heart Hospital Plano Plano	2,937	4.27×	–
Medical City Denton Denton	2,872	11.36×	2
Baylor Scott and White All Saints Medical Center Fort Worth	2,823	4.12×	2
CHI St Luke's Health Baylor College of Medicine Me Houston	2,802	6.1×	–
CHRISTUS Good Shepherd Medical Center Longview	2,784	5.18×	–
Scott & White Hospital-Round Rock Round Rock	2,570	4.39×	–
Houston Methodist West Hospital Houston	2,460	6.44×	1
CHRISTUS Spohn Hospital Corpus Christi Corpus Christi	2,428	5.92×	–
Memorial Hermann Memorial City Medical Center Houston	2,422	4.16×	2
CHI St Joseph Health Regional Hospital Bryan	2,387	5.68×	–
University Medical Center Lubbock	2,343	4.51×	4
Baylor Regional Medical Center at Plano Plano	2,254	4.52×	–
CHRISTUS Southeast Texas- St Elizabeth Beaumont	2,200	5.37×	4
Baylor Scott and White Medical Center Mckinney Mc Kinney	2,192	4.86×	1
Round Rock Medical Center Round Rock	2,182	11.31×	–
Medical City Fort Worth Fort Worth	2,144	12.42×	1
Corpus Christi Medical Center,the Corpus Christi	2,096	11.89×	–
Medical City Mckinney Mckinney	2,092	11.22×	2
Baptist Beaumont Hospital Beaumont	2,040	6.02×	–
Texas Health Harris Methodist Hospital Southwest F Fort Worth	2,038	4.71×	–
Paris Regional Health Paris	2,027	4.53×	–
Methodist Richardson Medical Center Richardson	2,023	5.47×	2
Ascension Seton Medical Center Austin Austin	2,015	8.09×	3
Las Palmas Medical Center A Campus of Lpds Healthc El Paso	1,985	11.56×	–
North Austin Medical Center Austin	1,950	7.67×	–
Memorial Hermann Katy Hospital Katy	1,943	4.53×	3
Baylor Scott & White Medical Center - Hillcrest Waco	1,936	3.56×	1
Houston Methodist Baytown Hospital Baytown	1,922	6.62×	2
Ascension Providence Depaul Waco	1,862	4.22×	–
Medical Center Hospital Odessa	1,822	3.4×	4
Methodist Mansfield Medical Center Mansfield	1,802	5.33×	1
South Texas Health System Behavioral Edinburg	1,762	12.96×	–
Texas Health Huguley Hospital Fort Worth South Burleson	1,753	5.44×	2
Texas Health Presbyterian Hospital Denton Denton	1,737	4.57×	1
Longview Regional Medical Center Longview	1,731	11.38×	1
Texas Health Heb Bedford	1,724	4.69×	–
Methodist Charlton Medical Center Dallas	1,712	5.55×	1
Medical City Arlington Arlington	1,674	11.12×	2
Northwest Texas Hospital Amarillo	1,564	8.75×	3
Memorial Hermann Northeast Hospital Humble	1,549	4.33×	1
Baylor Scott and White Medical Center Lake Pointe Rowlett	1,515	4.11×	1
Baylor Scott & White Medical Center- College Stati College Station	1,468	4.1×	–
Baylor Scott & White Medical Center- Waxahachie Waxahachie	1,465	4.2×	2
Ascension Seton Williamson Round Rock	1,391	8.83×	2
St Luke's the Woodlands Hospital The Woodlands	1,377	6.78×	–
Baylor Scott and White Medical Center Irving Irving	1,373	3.61×	2
Midland Memorial Hospital Midland	1,371	4.81×	3
Methodist Dallas Medical Center Dallas	1,358	4.12×	1
Laredo Medical Center Laredo	1,354	7.74×	1
CHI St Lukes Health Memorial Lufkin Lufkin	1,353	6.7×	1
Medical City Weatherford Weatherford	1,350	8.22×	2
HCA Houston Healthcare Conroe Conroe	1,304	11.63×	2
Texas Health Arlington Memorial Hospital Arlington	1,230	4.33×	1
Vhs Harlingen Hospital Company LLC Harlingen	1,220	13.09×	–
Citizens Medical Center Victoria	1,215	3.1×	2
Houston Methodist Clear Lake Hospital Nassau Bay	1,186	7.7×	–
Hunt Regional Healthcare Greenville	1,166	3.65×	–
Peterson Regional Medical Center Kerrville	1,152	4.02×	4
Ascension Seton Hays Kyle	1,148	7.98×	–
Parkland Health and Hospital System Dallas	1,119	1.74×	–
Woodland Heights Medical Center Lufkin	1,115	9.29×	1
Memorial Hermann Sugar Land Hospital Sugar Land	1,070	4.61×	–
Jps Health Network Fort Worth	1,069	1.63×	–
Detar Healthcare System Victoria	1,021	10.98×	–
Doctors Hosptal at Renaissance Edinburg	949	4.16×	–
Baylor Scott and White Heart and Vascular Hospital Dallas	911	4.7×	–
Adventhealth Central Texas Killeen	867	3.67×	2
HCA Houston Healthcare Tomball Tomball	771	10.88×	2
Medical City North Hills North Richland Hills	771	8.41×	2
Sierra Medical Center El Paso	766	15.42×	–
Nacogdoches Medical Center Nacogdoches	742	12.55×	3
The Hospitals of Providence East Campus El Paso	738	12.41×	1
Hendrick Medical Center Brownwood Brownwood	719	7.13×	3
Texas Health Presbyterian Hospital Rockwall Rockwall	714	4.71×	1
University Medical Center of El Paso El Paso	706	2.11×	4
Texas Health Harris Methodist Hospital Alliance Fort Worth	692	4.2×	2
Resolute Health Hospital New Braunfels	665	11.14×	–
HCA Houston Healthcare Northwest Houston	661	10.47×	3
Medical City Lewisville Lewisville	647	10.51×	–
Baylor Scott & White Medical Center - Centennial Frisco	642	4.15×	1
HCA Houston Healthcare Southeast Pasadena	626	9.6×	2
Cedar Park Regional Medical Center Cedar Park	622	7.13×	3
CHRISTUS Mother Frances Hospital Sulphur Springs Sulphur Springs	619	7.07×	1
Mission Regional Medical Center Mission	617	5.74×	3
UT Health East Texas Athens Hospital Athens	603	6.92×	–
Texas Health Presbyterian Hospital Flower Mound Flower Mound	600	4.48×	2
Guadalupe Regional Medical Center Seguin	580	2.96×	3
Texas Orthopedic Hospital Houston	542	11.8×	2
Baylor Scott and White Orthopedic and Spine Hospi Arlington	534	4.24×	–
HCA Houston Healthcare West Houston	527	8.23×	2
Texas Health Hospital Frisco Frisco	526	4.83×	1
CHRISTUS Santa Rosa Hospital-San Marcos San Marcos	522	5.3×	1
Texas Health Presbyterian Hospital Allen Allen	522	3.8×	1
Rio Grande Regional Hospital Mcallen	514	9.34×	3
Dallas Regional Medical Center Mesquite	501	5.21×	1
Valley Baptist Medical Center- Brownsville Brownsville	498	13.34×	3
Baylor Scott & White Texas Spine & Joint Hospital Tyler	491	3.48×	2
Seton Medical Center Harker Heights Harker Heights	487	3.09×	–
Valley Regional Medical Center Brownsville	477	11.76×	2
Dell Seton Med Center at the University of Tx Austin	465	5.8×	–
Baylor Scott and White Medical Center Sunnyvale Sunnyvale	460	4.89×	4
Harlingen Medical Center Harlingen	460	5.88×	4
The Hospitals of Providence Transmountain Campus El Paso	448	10.39×	2
The Heart Hospital Baylor Denton Denton	419	4.37×	–
Knapp Medical Center Weslaco	414	5.28×	2
HCA Houston Healthcare Medical Center Houston	410	12.97×	3
Hill Country Memorial Hospital Fredericksburg	408	4.83×	–
Baylor Scott & White Medical Center - Marble Falls Marble Falls	406	4.26×	1
North Central Surgical Center Llp Dallas	401	3.01×	–
Doctors Hospital of Laredo Laredo	398	8.6×	3
Medical City Alliance Fort Worth	394	8.66×	2
Lake Granbury Medical Center Granbury	366	9.36×	1
South Texas Spine and Surgical Hospital San Antonio	353	4.23×	2
CHI St Luke's Health Brazosport Lake Jackson	343	5×	2
St Luke's Hospital at the Vintage Houston	342	6.55×	2
North Texas Medical Center Gainesville	317	2.78×	1
Texas Health Harris Methodist Hospital Cleburne Cleburne	305	3.68×	1
Ascension Seton Northwest Austin	299	5.1×	–
Titus Regional Medical Center Mount Pleasant	273	2.21×	–
The Hospitals of Providence Memorial Campus El Paso	270	13.53×	1
Huntsville Memorial Hospital Huntsville	264	3.3×	1
Hsa Port Arthur, LLC Port Arthur	263	5.76×	–
Texas Health Heart & Vascular Hospital Arlington Arlington	263	4.09×	1
Navarro Regional Hospital Corsicana	261	6.33×	1
Baylor Scott and White Surgical Hospital Fortworth Fort Worth	259	3.21×	3
Harris Health Houston	254	0.31×	–
Wadley Regional Medical Center Texarkana	239	4.84×	–
St Luke's Sugar Land Hospital Sugar Land	235	6.61×	3
HCA Houston Healthcare Pearland Pearland	224	9.95×	3
Texas Health Harris Methodist Hospital Azle Azle	221	3.72×	2
Dallas Medical Center Dallas	217	2.62×	3
Carrollton Regional Medical Center Carrollton	212	3.66×	3
Palestine Regional Medical Center Palestine	209	6.62×	4
Odessa Regional Medical Center Odessa	197	6.36×	3
Texas Health Harris Methodist Hospital Stephenvill Stephenville	187	2.93×	–
Fort Duncan Medical Center Eagle Pass	185	9.03×	–
Medical City Decatur Decatur	182	11.05×	1
Methodist Midlothian Medical Center Midlothian	182	5.29×	–
Memorial Hermann Houston Physicians Hospital Webster	168	6.89×	–
Methodist Hospital for Surgery Addison	165	2.64×	3
Physicians Centre,the Bryan	159	3.13×	–
Lubbock Heart Hospital Lp Lubbock	158	5.84×	–
Nacogdoches Memorial Hospital Nacogdoches	157	4.94×	4
Matagorda Regional Medical Center Bay City	156	1.56×	–
Medical City Las Colinas Irving	150	10.26×	2
Oakbend Medical Center Richmond	150	3.11×	–
The Hospital at Westlake Medical Center Austin	144	9.8×	–
Crescent Medical Center Lancaster Lancaster	138	1.46×	–
Quail Creek Surgical Hospital Amarillo	138	4.22×	–
Wilson N Jones Regional Medical Center Sherman	136	4.55×	–
Val Verde Regional Medical Center Del Rio	129	2.26×	1
CHRISTUS Spohn Hospital Alice Alice	123	3.75×	1
Methodist Hospital \| Atascosa Jourdanton	123	4.43×	2
St Luke's Patients Medical Center Pasadena	123	8.01×	3
Palo Pinto General Hospital Mineral Wells	102	2.01×	2
El Campo Memorial Hospital El Campo	101	2.03×	4
Kell West Regional Hospital Wichita Falls	99	1.74×	6
Baylor Scott and White Surgical Hospital Las Colin Irving	97	3.15×	–
CHI St Lukes Health Memorial Livingston Livingston	92	3.61×	4
Texas Health Presbyterian Hospital Kaufman Kaufman	85	2.8×	1
Baptist Neighborhood Hospital Thousand Oaks San Antonio	84	7.55×	4
St Lukes Lakeside Hospital The Woodlands	81	6.33×	2
Tops Surgical Specialty Hospital Houston	76	4.53×	1
University of Texas Health Science Center at Tyler Tyler	73	3.56×	–
Parkview Regional Hospital Mexia	72	4.48×	2
Texas Institute for Surgery at Presbyterian Hospit Dallas	72	3.11×	–
Baylor Medical Center at Frisco Frisco	69	4.71×	–
Methodist Mckinney Hospital Mckinney	67	4×	–
Wilbarger General Hospital Vernon	65	1.75×	4
CHRISTUS Spohn Hospital Beeville Beeville	64	3.28×	1
White Rock Medical Center Dallas	64	5.31×	5
CHRISTUS Jasper Memorial Hospital Jasper	63	1.73×	–
Covenant Hospital Plainview Plainview	62	2.24×	1
CHRISTUS Spohn Hospital Kleberg Kingsville	60	3.54×	1
Scenic Mountain Medical Center, A Steward Family H Big Spring	55	3.16×	–
Foundation Surgical Hospital of San Antonio San Antonio	54	8.85×	2
Nocona General Hospital Nocona	52	1.15×	6
Usmd Hospital at Arlington L P Arlington	52	4.65×	–
UT Health East Texas Jacksonville Hospital Jacksonville	47	6.15×	–
Legent Orthopedic + Spine San Antonio	46	7.99×	–
Starr County Memorial Hospital Rio Grande City	44	1.23×	4
Legent Orthopedic Hospital Carrollton	43	7.3×	–
Cuero Regional Hospital Cuero	42	2.39×	–
Rolling Plains Memorial Hospital Sweetwater	42	1.65×	3
UT Health East Texas Henderson Hospital Henderson	37	4.06×	–
Ennis Regional Medical Center Ennis	35	4.49×	2
Northwest Hills Surgical Hospital Austin	35	6.34×	4
Connally Memorial Medical Center Floresville	34	3.59×	2
Memorial Hermann Surgical Hospital Kingwood Kingwood	34	3.04×	–
Columbus Community Hospital Columbus	31	1.96×	1
UT Health East Texas Carthage Hospital Carthage	31	4.36×	–
Texas Health Harris Methodist Hospital Southlake Southlake	30	5.47×	1
Texas Health Hospital Mansfield Mansfield	30	4.11×	2
Baylor Scott & White Medical Center Â Pflugerville Pflugerville	28	3.88×	1
Baylor Scott and White Medical Center Uptown Dallas	26	3.11×	4
The Hospitals of Providence Horizon City Campus Horizon City	26	5.63×	4
Baylor Medical Center at Trophy Club Trophy Club	24	3.88×	–
Childress Regional Medical Center Childress	23	1.21×	–
Freestone Medical Center Fairfield	23	2.64×	2
Ascension Seton Smithville Smithville	20	2.27×	–
Baylor Scott & White Medical Center- Austin Austin	14	2.67×	1
Eastland Memorial Hospital Eastland	13	1.71×	–
Womans Hospital of Texas,the Houston	13	3.42×	–
Ascension Seton Southwest Austin	12	4.7×	–
St Joseph Medical Center Houston	11	3.86×	5
Stephens Memorial Hospital Breckenridge	11	1.57×	4
Westover Hills Baptist Hospital San Antonio	11	9.6×	–
Ad Hospital East, LLC Houston	0	–	2
Advanced Dallas Hospitals and Clinics Dallas	0	–	–
Altus Baytown Hospital Baytown	0	–	–
Altus Houston Hospital, Lp Houston	0	–	–
Altus Lumberton Hospital Lumberton	0	–	–
Anson General Hospital Anson	0	–	3
Ascension Seton Bastrop Bastrop	0	–	2
Baylor Scott & White Emergency Hospital Aubrey	0	–	–
Baylor Scott & White Institute for Rehabilitation Lakeway	0	–	–
Baylor Scott & White Medical Center ? Buda Buda	0	–	1
Baylor Scott and White Emergency Hospital Burleson	0	–	–
Baylor Scott and White Surgical Hospital at Sherma Sherman	0	–	–
Bellville Medical Center Bellville	0	–	1
Brownfield Regional Medical Center Brownfield	0	–	2
Brushy Creek Family Hospital LLC Round Rock	0	–	3
Carrus Specialty Hospital Sherman	0	–	3
CHI St Lukes Health Memorial San Augustine San Augustine	0	–	1
Children's Hospital of San Antonio San Antonio	0	–	–
Childrens Medical Center Plano Plano	0	–	1
Childrens Medical Ctr of Dallas Dallas	0	–	–
Cleveland Emergency Hospital Humble	0	–	–
Cook Childrens Medical Center Fort Worth	0	–	1
Cornerstone Regional Hospital Edinburg	0	–	2
Cornerstone Specialty Hospitals Austin Austin	0	–	3
Covenant Childrens Hospital Lubbock	0	–	2
Covenant Hospital Levelland Levelland	0	–	1
Dell Children's Medical Center Austin	0	–	1
Driscoll Children's Hospital Rio Grande Valley Edinburg	0	–	–
Driscoll Childrens Hospital Corpus Christi	0	–	4
East Houston Medical Center Houston	0	–	–
El Paso Children's Hospital El Paso	0	–	3
Elite Hospital Kingwood Kingwood	0	–	–
Faith Community Hospital Jacksboro	0	–	2
Falls Community Hospital and Clinic Marlin	0	–	7
Glen Rose Medical Center Glen Rose	0	–	2
Grace Surgical Hospital Lubbock	0	–	1
Hereford Regional Medical Center Hereford	0	–	–
Horizon Medical Center of Denton Denton	0	–	–
Kindred Hospital Sugar Land Sugar Land	0	–	2
Lamb Healthcare Center Littlefield	0	–	3
Legent Surgical Hospital Plano Plano	0	–	3
Lifecare Hospitals of North Texas Dallas	0	–	–
Medical Arts Hospital Lamesa	0	–	1
Memorial Hermann Rehabilitation Hospital Katy Katy	0	–	2
Memorial Hospital Gonzales	0	–	–
Mesa Hills Specialty Hospital El Paso	0	–	–
Methodist Southlake Medical Center Southlake	0	–	–
Mid Coast Medical Center-Trinity Trinity	0	–	–
North Houston Surgical Hospital LLC Spring	0	–	–
Pam Rehabilitation Hospital of Corpus Christi Corpus Christi	0	–	–
Pam Specialty Hospital of Victoria North Victoria	0	–	–
Permian Regional Medical Center Andrews County Ho Andrews	0	–	–
Post Acute Medical at Luling LLC Luling	0	–	–
St Michaels Medical Hospital LLC Sugar Land	0	–	–
Sugar Land Surgical Hospital Llp Sugar Land	0	–	–
Surgery Specialty Hospitals of America SE Houston Pasadena	0	–	–
Texas Childrens Hospital Houston	0	–	3
Texas Childrens Hospital North Austin Campus Austin	0	–	–
Texas Health Center for Diagnostics & Surgery Plan Plano	0	–	–
Texas Scottish Rite Hospital for Children Dallas	0	–	1
The Woodlands Specialty Hospital Spring	0	–	–
Tirr Memorial Hermann Houston	0	–	1
Townsen Memorial Hospital Humble	0	–	4
Trinity Regional Hospital Sachse Sachse	0	–	–
Tyler County Hospital Woodville	0	–	1
University of Texas M D Anderson Cancer Center Houston	0	–	–
Warm Springs Rehab Hospital of San Antonio LLC San Antonio	0	–	–

Price-transparency enforcement in Texas

449 “met requirements” findings, 354 warning notices, 348 closure notices, 179 corrective-action-plan requests, 15 administrative closures, 5 civil-penalty notices — CMS's actions under the hospital price-transparency rule since 2021. See the enforcement page for what each step means.

Sources: CMS Medicare Inpatient 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.