Houston Methodist Baytown Hospital
Houston Methodist Baytown Hospital charges 6.8x the Medicare reimbursement rate across 50 analyzed procedures, representing a significant markup for this nonprofit facility in Baytown, Texas.
Baytown, TX 77521 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
No credit card required. Results in 60 seconds.
Pricing grade
D
High
Avg markup vs Medicare
6.84x
Charge / Medicare rate
Max markup
10.5x
Worst procedure
Procedures analyzed
50
With pricing data
Outlier procedures
4%
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $250,330 | $125,165 | — | 10.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $156,219 | $78,110 | — | 9.9x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $243,085 | $121,543 | — | 9.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $153,210 | $76,605 | — | 9.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $191,979 | $95,989 | — | 8.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $102,716 | $51,358 | — | 8.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $49,817 | $24,908 | — | 8.4x |
| CHEST PAIN | 313 | $49,581 | $24,790 | — | 8.3x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $230,604 | $115,302 | — | 8.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $59,707 | $29,853 | — | 8.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $265,709 | $132,854 | — | 8.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $62,962 | $31,481 | — | 8.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $124,015 | $62,007 | — | 8.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $47,696 | $23,848 | — | 8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $65,402 | $32,701 | — | 7.7x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $215,132 | $107,566 | — | 7.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $110,293 | $55,147 | — | 7.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $62,976 | $31,488 | — | 7.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $72,690 | $36,345 | — | 7.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $82,270 | $41,135 | — | 6.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $45,658 | $22,829 | — | 6.7x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $150,439 | $75,220 | — | 6.7x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $73,704 | $36,852 | — | 6.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $66,635 | $33,318 | — | 6.6x |
| CELLULITIS WITHOUT MCC | 603 | $46,938 | $23,469 | — | 6.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $50,604 | $25,302 | — | 6.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $63,043 | $31,522 | — | 6.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $41,666 | $20,833 | — | 6.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $91,237 | $45,618 | — | 6.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $62,374 | $31,187 | — | 6.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $43,769 | $21,885 | — | 6.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $89,571 | $44,785 | — | 6.3x |
| DIABETES WITH CC | 638 | $48,801 | $24,401 | — | 6.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $39,281 | $19,641 | — | 6.2x |
| SYNCOPE AND COLLAPSE | 312 | $45,283 | $22,641 | — | 6.2x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $70,853 | $35,426 | — | 6x |
| RENAL FAILURE WITH CC | 683 | $42,615 | $21,307 | — | 6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $45,484 | $22,742 | — | 5.8x |
| RENAL FAILURE WITH MCC | 682 | $66,646 | $33,323 | — | 5.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $42,884 | $21,442 | — | 5.5x |
| CELLULITIS WITH MCC | 602 | $63,500 | $31,750 | — | 5.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $37,490 | $18,745 | — | 5.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $77,117 | $38,558 | — | 5.5x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $135,841 | $67,921 | — | 5.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $48,140 | $24,070 | — | 5.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $50,271 | $25,136 | — | 5.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $50,343 | $25,172 | — | 5x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $78,212 | $39,106 | — | 4.9x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $52,568 | $26,284 | — | 4.3x |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $112,029 | $56,015 | — | 4.1x |
Got a bill from HOUSTON METHODIST BAYTOWN HOSPITAL?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
Related pricing data
Got a bill from Houston Methodist Baytown Hospital?
Free guides to help you take action
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