HCA HOUSTON HEALTHCARE MEDICAL CENTER
HOUSTON, TX 77004 · Acute Care Hospitals
13 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
13
With CMS pricing data
Avg Charge-to-Medicare Ratio
14.0x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Proprietary
Above 90th Percentile
92%
Compared to TX hospitals
Understanding Your Costs
When you receive a bill from HCA HOUSTON HEALTHCARE MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, HCA HOUSTON HEALTHCARE MEDICAL CENTER lists chargemaster rates that average 14.0x the corresponding Medicare reimbursement amount across 13 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in TX has a chargemaster-to-Medicare ratio of 6.0x, with ratios across the state ranging from 0.3x to 16.9x. At 14.0x, this facility’s average ratio is above the state median. 237 hospitals in TX report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at HCA HOUSTON HEALTHCARE MEDICAL CENTER is MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC (DRG 330). The listed chargemaster rate is $298,527, while Medicare reimburses $16,452 for the same procedure — a ratio of 18.1x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
12 of 13 procedures (92%) at this facility have listed rates above the 90th percentile compared to other TX hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
HCA HOUSTON HEALTHCARE MEDICAL CENTER is a proprietary acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $298,527 | $16,452 | 18.1x | 1th | Compare your bill |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | 273 | $570,749 | $32,241 | 17.7x | 1th | Compare your bill |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $513,287 | $29,968 | 17.1x | 1th | Compare your bill |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $385,826 | $23,177 | 16.6x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $209,344 | $13,189 | 15.9x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $71,938 | $4,738 | 15.2x | 1th | Compare your bill |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 219 | $957,935 | $66,498 | 14.4x | 1th | Compare your bill |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $2,256,632 | $174,398 | 12.9x | 1th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $567,909 | $48,611 | 11.7x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $135,328 | $11,826 | 11.4x | 1th | Compare your bill |
| RENAL FAILURE WITH MCC | 682 | $112,574 | $10,532 | 10.7x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $91,545 | $8,891 | 10.3x | 1th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $340,228 | $33,655 | 10.1x | 1th | Compare your bill |
Showing 13 of 13 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across TX hospitals
237 hospitals in TX report pricing data to CMS. This facility's average ratio of 14.0x places it at the upper end of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About HCA HOUSTON HEALTHCARE MEDICAL CENTER
How much does HCA HOUSTON HEALTHCARE MEDICAL CENTER charge compared to Medicare?
According to CMS IPPS data, HCA HOUSTON HEALTHCARE MEDICAL CENTER's listed chargemaster rates average 14.0x the Medicare reimbursement amount across 13 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at HCA HOUSTON HEALTHCARE MEDICAL CENTER?
The procedure with the highest chargemaster-to-Medicare ratio at HCA HOUSTON HEALTHCARE MEDICAL CENTER is MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC (DRG 330), with a listed charge of $298,527 compared to Medicare reimbursement of $16,452 — a ratio of 18.1x. Source: CMS IPPS Provider Summary.
Is HCA HOUSTON HEALTHCARE MEDICAL CENTER expensive compared to other TX hospitals?
HCA HOUSTON HEALTHCARE MEDICAL CENTER's average chargemaster-to-Medicare ratio is 14.0x. Ratios vary significantly across TX hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for HCA HOUSTON HEALTHCARE MEDICAL CENTER come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from HCA HOUSTON HEALTHCARE MEDICAL CENTER is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does HCA HOUSTON HEALTHCARE MEDICAL CENTER in HOUSTON, TX accept Medicare?
HCA HOUSTON HEALTHCARE MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact HCA HOUSTON HEALTHCARE MEDICAL CENTER directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.