Houston Methodist Hospital
Houston Methodist Hospital in Houston, TX charges 8.9x the Medicare reimbursement rate across 222 analyzed procedures, with 25% showing significant price variations.
Houston, TX 77030 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
F
Very high
Avg markup vs Medicare
8.93x
Charge / Medicare rate
Max markup
19.84x
Worst procedure
Procedures analyzed
222
With pricing data
Outlier procedures
24.8%
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 |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $472,224 | $236,112 | — | 19.8x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $620,974 | $310,487 | — | 14.9x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $69,693 | $34,847 | — | 14.2x |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | 354 | $143,790 | $71,895 | — | 13.9x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $100,383 | $50,192 | — | 13.4x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $201,778 | $100,889 | — | 13.3x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $130,098 | $65,049 | — | 13.1x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $55,095 | $27,547 | — | 12.3x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $133,084 | $66,542 | — | 12x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $218,147 | $109,073 | — | 11.9x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $96,428 | $48,214 | — | 11.9x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $73,359 | $36,679 | — | 11.8x |
| PERITONEAL ADHESIOLYSIS WITH CC | 336 | $178,264 | $89,132 | — | 11.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $128,008 | $64,004 | — | 11.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $105,999 | $52,999 | — | 11.4x |
| MAJOR BLADDER PROCEDURES WITH CC | 654 | $223,852 | $111,926 | — | 11.3x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $401,847 | $200,923 | — | 11.2x |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $189,526 | $94,763 | — | 11.2x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | 659 | $215,794 | $107,897 | — | 11.1x |
| DYSEQUILIBRIUM | 149 | $55,878 | $27,939 | — | 11x |
| DIABETES WITH CC | 638 | $67,079 | $33,539 | — | 10.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $66,619 | $33,309 | — | 10.9x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $94,360 | $47,180 | — | 10.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $34,393 | $17,196 | — | 10.8x |
| VIRAL ILLNESS WITHOUT MCC | 866 | $59,449 | $29,724 | — | 10.6x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | 073 | $222,431 | $111,215 | — | 10.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $123,301 | $61,651 | — | 10.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $67,681 | $33,841 | — | 10.5x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $217,711 | $108,855 | — | 10.4x |
| LUNG TRANSPLANT | 007 | $1,333,897 | $666,948 | — | 10.4x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $66,844 | $33,422 | — | 10.4x |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $101,954 | $50,977 | — | 10.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $106,630 | $53,315 | — | 10.3x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $76,570 | $38,285 | — | 10.3x |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | 857 | $155,539 | $77,769 | — | 10.3x |
| ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | 614 | $150,856 | $75,428 | — | 10.3x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $140,541 | $70,270 | — | 10.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $136,669 | $68,334 | — | 10.1x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $328,535 | $164,268 | — | 10.1x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $136,809 | $68,405 | — | 10.1x |
| NEUROLOGICAL EYE DISORDERS | 123 | $52,880 | $26,440 | — | 10x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $276,017 | $138,009 | — | 10x |
| INFLAMMATORY BOWEL DISEASE WITH MCC | 385 | $137,344 | $68,672 | — | 10x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $139,553 | $69,777 | — | 9.9x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $211,298 | $105,649 | — | 9.9x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $165,569 | $82,784 | — | 9.9x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $124,142 | $62,071 | — | 9.9x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | 205 | $222,357 | $111,178 | — | 9.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $127,826 | $63,913 | — | 9.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $46,901 | $23,451 | — | 9.9x |
Showing 50 of 222 procedures
How HOUSTON METHODIST HOSPITAL 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