Houston Methodist West Hospital
Houston Methodist West Hospital, a nonprofit facility in Houston, TX, charges 7.2x the Medicare reimbursement rate across 70 analyzed procedures.
Houston, TX 77094 · Acute Care Hospitals · CMS Rating: 4/5
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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Pricing grade
D
High
Avg markup vs Medicare
7.2x
Charge / Medicare rate
Max markup
13.52x
Worst procedure
Procedures analyzed
70
With pricing data
Outlier procedures
4.3%
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 |
|---|---|---|---|---|---|
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $250,798 | $125,399 | — | 13.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $153,832 | $76,916 | — | 11.5x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $225,074 | $112,537 | — | 10.4x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $80,097 | $40,049 | — | 10.1x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $62,934 | $31,467 | — | 10x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $293,474 | $146,737 | — | 10x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $160,044 | $80,022 | — | 10x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $231,678 | $115,839 | — | 10x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $230,031 | $115,015 | — | 9.5x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $112,570 | $56,285 | — | 9.5x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $104,274 | $52,137 | — | 9.5x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $299,187 | $149,594 | — | 9.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $125,736 | $62,868 | — | 9.2x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $404,154 | $202,077 | — | 8.7x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $51,086 | $25,543 | — | 8.6x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $439,782 | $219,891 | — | 8.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $119,172 | $59,586 | — | 8.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $68,935 | $34,468 | — | 8.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $56,527 | $28,264 | — | 8x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $289,263 | $144,632 | — | 8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $52,774 | $26,387 | — | 8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $43,789 | $21,895 | — | 7.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $102,303 | $51,152 | — | 7.6x |
| DIABETES WITH MCC | 637 | $73,313 | $36,657 | — | 7.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $53,291 | $26,645 | — | 7.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $63,252 | $31,626 | — | 7.6x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $84,491 | $42,245 | — | 7.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $36,018 | $18,009 | — | 7.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $387,606 | $193,803 | — | 7.5x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $25,371 | $12,685 | — | 7.4x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $335,801 | $167,901 | — | 7.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $105,853 | $52,926 | — | 7.4x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $85,971 | $42,985 | — | 7.2x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $170,249 | $85,124 | — | 7.1x |
| RENAL FAILURE WITH CC | 683 | $40,657 | $20,328 | — | 7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $84,643 | $42,321 | — | 7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $81,292 | $40,646 | — | 7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $46,672 | $23,336 | — | 6.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $34,981 | $17,491 | — | 6.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $120,315 | $60,157 | — | 6.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $59,988 | $29,994 | — | 6.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $37,455 | $18,728 | — | 6.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $56,172 | $28,086 | — | 6.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $56,551 | $28,276 | — | 6.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $209,413 | $104,706 | — | 6.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $71,824 | $35,912 | — | 6.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $84,881 | $42,440 | — | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $24,359 | $12,179 | — | 6.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $69,281 | $34,641 | — | 6.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $182,027 | $91,014 | — | 6.1x |
Showing 50 of 70 procedures
How HOUSTON METHODIST WEST 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