HCA Houston Healthcare Kingwood
HCA Houston Healthcare Kingwood charges 15.3x the Medicare reimbursement rate across 121 analyzed procedures, with 96% showing pricing patterns significantly above typical healthcare benchmarks.
Kingwood, TX 77325 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
15.32x
Charge / Medicare rate
Max markup
23.72x
Worst procedure
Procedures analyzed
121
With pricing data
Outlier procedures
95.9%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $525,602 | $262,801 | — | 23.7x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $313,564 | $156,782 | — | 22.2x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $655,763 | $327,882 | — | 22.2x |
| HEADACHES WITHOUT MCC | 103 | $124,431 | $62,215 | — | 22x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $660,692 | $330,346 | — | 21.7x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $296,552 | $148,276 | — | 21.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $156,101 | $78,050 | — | 21.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | 093 | $92,170 | $46,085 | — | 21.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $120,699 | $60,349 | — | 21.1x |
| NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | 068 | $136,725 | $68,363 | — | 21.1x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $253,022 | $126,511 | — | 20.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $305,965 | $152,983 | — | 20.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $130,112 | $65,056 | — | 20.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $257,547 | $128,773 | — | 20.3x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $249,270 | $124,635 | — | 20.3x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $404,920 | $202,460 | — | 20.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $240,729 | $120,365 | — | 19.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $144,306 | $72,153 | — | 19.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $93,161 | $46,581 | — | 19.5x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $143,561 | $71,780 | — | 19.5x |
| DYSEQUILIBRIUM | 149 | $100,451 | $50,226 | — | 19.3x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $265,708 | $132,854 | — | 19.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $267,205 | $133,602 | — | 19x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $389,800 | $194,900 | — | 18.5x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $480,414 | $240,207 | — | 18.2x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $298,945 | $149,473 | — | 18x |
| SEIZURES WITH MCC | 100 | $220,836 | $110,418 | — | 17.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $97,857 | $48,928 | — | 17.8x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $214,621 | $107,310 | — | 17.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $233,874 | $116,937 | — | 17.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $267,368 | $133,684 | — | 17.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $93,492 | $46,746 | — | 17.4x |
| SYNCOPE AND COLLAPSE | 312 | $105,543 | $52,771 | — | 17.4x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $205,022 | $102,511 | — | 17.3x |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $1,273,881 | $636,940 | — | 17.2x |
| ENDOCRINE DISORDERS WITH CC | 644 | $117,924 | $58,962 | — | 17.1x |
| SEIZURES WITHOUT MCC | 101 | $112,524 | $56,262 | — | 17x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $262,741 | $131,370 | — | 16.8x |
| DIABETES WITH CC | 638 | $102,654 | $51,327 | — | 16.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $260,528 | $130,264 | — | 16.7x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $116,741 | $58,371 | — | 16.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $94,351 | $47,176 | — | 16.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $193,347 | $96,674 | — | 16.6x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $108,923 | $54,461 | — | 16.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $338,466 | $169,233 | — | 16.3x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 061 | $329,771 | $164,886 | — | 16.1x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $117,331 | $58,665 | — | 16x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $236,071 | $118,036 | — | 16x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $110,633 | $55,317 | — | 15.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $145,571 | $72,786 | — | 15.8x |
Showing 50 of 121 procedures
How HCA HOUSTON HEALTHCARE KINGWOOD compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use