Houston Healthcare · Warner Robins, GA
2 of 5
CMS star rating
267
Beds
16,132
Inpatient discharges a year
$280.1M
Net patient revenue a year
36
In-network payers
Houston Healthcare is a 267-bed voluntary non-profit - private hospital in Warner Robins, GA, affiliated with Houston Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 449 disclosed rate categories.
The 24 services Houston Healthcare most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$2,383 - $11,339
from 4 insurers · median $6,462
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$3,389 - $16,126
from 4 insurers · median $8,474
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$6,819 - $32,442
from 4 insurers · median $25,983
56 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$1,000 - $6,269
from 4 insurers · median $4,336
16 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$4,987 - $11,385
from 4 insurers · median $7,202
113 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$599 - $1,704
from 3 insurers · median $955
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$4,385 - $9,102
from 4 insurers · median $6,239
113 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$877 - $3,218
from 4 insurers · median $2,198
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$280 - $867
from 3 insurers · median $512
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$877 - $3,218
from 4 insurers · median $2,532
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,579 - $4,797
from 4 insurers · median $2,536
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$196 - $3,209
from 4 insurers · median $922
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$2,383 - $11,339
from 4 insurers · median $6,462
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Nuclear imaging
CPT 78815
$2,762 - $5,838
from 4 insurers · median $3,446
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$200 - $250
from 4 insurers · median $224
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$553 - $1,064
from 3 insurers · median $583
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$42,462 - $43,207
from 2 insurers · median $42,834
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 66984
$3,071 - $10,815
from 4 insurers · median $4,952
Typical for a hospital with this service line
Medicine & Surgery
CPT 49505
$1,241 - $6,206
from 4 insurers · median $4,705
27 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
CT imaging
CPT 71275
$433 - $2,359
from 3 insurers · median $456
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$537 - $1,589
from 3 insurers · median $955
Common here, based on CMS Medicare volume
Urology
CPT 50590
$6,574 - $11,385
from 4 insurers · median $7,922
53 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Orthopedics and pain
CPT 20610
$642 - $3,186
from 4 insurers · median $2,341
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$51 - $232
from 4 insurers · median $128
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 292% | 10 | 11 |
| Insurer B* | 23 | 253% | 5 | 7 |
| Insurer C* | 18 | 186% | 3 | 11 |
| Insurer D* | 24 | 168% | 1 | 20 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Houston Healthcare, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$280.1M net patient revenue
Ownership and leadership
Owned by Houston Hospitals Inc
The employer identification numbers (EINs) health plans and networks list for Houston Healthcare in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 71-1045290Perry Hospital | 58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 53 more | 1962435792 Houston Hospitals Inc1891808499 Houston Hospitals Inc1669806394 Houston Medical Centerand 5 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
1601 Watson Boulevard, Warner Robins, GA 31093
(478) 922-4281
How Houston Healthcare compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Worse on 1 of 7 measures
0 better, 6 no different, 1 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 2 of 7 measures
2 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 3 of 10 measures
0 better, 7 no different, 3 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
2 of 5
Lower than 81% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
58%
Lower than 89% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.12
Higher than 83% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
240 min
Higher than 93% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
60%
Lower than 62% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 2 of 5 | |
| Death rates | Worse on 1 of 7 measures | |
| Safety | Better on 2 of 7 measures | |
| Readmissions | Worse on 3 of 10 measures | |
| Patient survey ratingCMS: Summary star rating | 2 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 58% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.12 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 240 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 60% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Houston Healthcare's inpatient payments for its readmissions, quality and cost results.
-0.78% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.09% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Houston Healthcare, beside the US median and the average of GA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Houston Healthcare | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 171 cases | 4.9 | 4.1 | 4.655 | Worse than 81% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 2,915 cases | 4.1 | 3.9 | 4.079 | Worse than 57% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 161 cases | 11.6 | 11.8 | 12.11 | Better than 56% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.575 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 167 cases | 9.2 | 8.5 | 8.691 | Worse than 68% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 428 cases | 10.7 | 11 | 10.84 | Better than 55% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 543 cases | 14.4 | 15.2 | 15.21 | Better than 62% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 232 cases | 15 | 11.6 | 12.45 | Worse than 88% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 4,405 cases | 0.66 | 0.51 | 0.6821 | No Different Than the National Rate | Worse than 75% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 64 cases | 154 | 173 | 176 | No Different Than the National Rate | Better than 82% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 5,883 cases | 0.22 | 0.2 | 0.2173 | No Different Than the National Rate | Worse than 74% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 5,714 cases | 0.34 | 0.27 | 0.2798 | No Different Than the National Rate | Worse than 93% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 939 cases | 2.01 | 2.29 | 2.356 | No Different Than the National Rate | Better than 85% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 292 cases | 2.07 | 1.63 | 1.796 | No Different Than the National Rate | Worse than 90% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 311 cases | 9.39 | 8.88 | 10.26 | No Different Than the National Rate | Worse than 60% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 985 cases | 5.56 | 3.4 | 3.811 | No Different Than the National Rate | Worse than 98% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 275 cases | 5.52 | 5.105 | 5.77 | No Different Than the National Rate | Worse than 67% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 194 cases | 1.69 | 1.72 | 1.743 | No Different Than the National Rate | Better than 63% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 952 cases | 0.87 | 1.02 | 1.073 | No Different Than the National Rate | Better than 87% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Houston Healthcare | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 160 cases | 16.3 | 4.2 | 5.306 | Worse than 70% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 531 cases | 4.3 | 1.25 | 12.52 | Worse than 54% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 582 cases | 21.1 | 3.85 | 12.69 | Worse than 73% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 805 cases | 14.5 | 12.9 | 12.97 | No Different Than the National Rate | Worse than 95% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 37 cases | 9.7 | 10.7 | 10.62 | No Different Than the National Rate | Better than 80% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 37 cases | 5.3 | 5.3 | 5.229 | No Different Than the National Rate | Better than 48% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 326 cases | 1.1 | 1 | 0.9723 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 231 cases | 12.7 | 14.4 | 14.35 | Better than 98% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.83 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 252 cases | 19.2 | 19.8 | 19.84 | Better than 77% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 730 cases | 20.1 | 21.3 | 21.19 | Better than 85% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 181 cases | 5.6 | 5.8 | 5.927 | Better than 58% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 754 cases | 17.4 | 17.2 | 17.41 | Worse than 55% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Houston Healthcare | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.179 | 0.172 | 0.2721 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.911 | 1.504 | 1.762 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 4,652 | 1,370 | 5,571 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 4.273 | 0.9835 | 5.825 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 3.568 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.702 | 0.484 | 0.619 | No Different than National Benchmark | Worse than 69% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.224 | 0.138 | 0.1792 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.396 | 1.392 | 1.515 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 3,695 | 1,799 | 4,621 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 3.408 | 1.377 | 6.01 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 2.317 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.88 | 0.399 | 0.3748 | No Different than National Benchmark | Worse than 84% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.099 | 0.2345 | 0.4352 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.957 | 2.135 | 2.519 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 135 | 61 | 136 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 3.377 | 1.591 | 3.769 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 2 | 1 | 3.756 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.592 | 0.7155 | 0.9605 | No Different than National Benchmark | Better than 58% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4781 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.862 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 55 | 38 | 143 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.466 | 0.328 | 1.256 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.77 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.373 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.118 | 0.193 | 0.2796 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.33 | 1.855 | 1.919 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 62,764 | 14,451 | 48,840 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 2.836 | 0.567 | 3.385 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 2.336 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.705 | 0.597 | 0.6352 | No Different than National Benchmark | Worse than 59% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.157 | 0.127 | 0.1286 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.64 | 0.747 | 1.104 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 58,164 | 13,646 | 44,552 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 23.74 | 5.683 | 23.39 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 8 | 2 | 6.1 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.337 | 0.279 | 0.2745 | Better than the National Benchmark | Worse than 58% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Houston Healthcare | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 861 cases | 59 | 73 | 72.27 | Worse than 95% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 861 cases | 15 | 8 | 9.85 | Worse than 89% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 861 cases | 26 | 18 | 17.88 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 861 cases | 80 | 87 | 85.97 | Worse than 91% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 861 cases | 2 | 4 | 3.301 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 861 cases | 74 | 80 | 78.79 | Worse than 82% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 861 cases | 88 | 91 | 90.82 | Worse than 88% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 861 cases | 8 | 4 | 4.903 | Worse than 92% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 861 cases | 2 | 3 | 3.204 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 861 cases | 18 | 16 | 16.31 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 861 cases | 71 | 79 | 79.46 | Worse than 93% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 861 cases | 86 | 91 | 90.77 | Worse than 94% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 861 cases | 9 | 5 | 5.717 | Worse than 90% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 861 cases | 2 | 3 | 3.075 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 861 cases | 20 | 16 | 14.82 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 861 cases | 53 | 61 | 60.14 | Worse than 90% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 861 cases | 70 | 77 | 75.68 | Worse than 93% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 861 cases | 28 | 19 | 21.5 | Worse than 94% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 861 cases | 1 | 3 | 2.462 | The lowest rating, shared by 7% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 861 cases | 19 | 19 | 18.36 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 861 cases | 82 | 86 | 84.09 | Worse than 82% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 861 cases | 17 | 13 | 14.95 | Worse than 79% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 861 cases | 2 | 3 | 2.935 | Worse than 82% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 861 cases | 83 | 87 | 85.05 | Worse than 79% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 861 cases | 20 | 14 | 17.13 | Worse than 84% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 861 cases | 80 | 86 | 82.87 | Worse than 84% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 861 cases | 66 | 74 | 74.33 | Worse than 92% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 861 cases | 10 | 7 | 7.087 | Worse than 84% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 861 cases | 24 | 19 | 18.58 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 861 cases | 69 | 77 | 77.43 | Worse than 93% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 861 cases | 10 | 6 | 6.146 | Worse than 92% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 861 cases | 21 | 17 | 16.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 861 cases | 79 | 85 | 85.2 | Worse than 89% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 861 cases | 7 | 3 | 3.728 | Worse than 92% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 861 cases | 14 | 11 | 11.07 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 861 cases | 16 | 8 | 8.69 | Worse than 94% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 861 cases | 26 | 20 | 20 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 861 cases | 58 | 72 | 71.31 | Worse than 93% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 861 cases | 82 | 88 | 87.94 | Worse than 93% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 861 cases | 2 | 3 | 3.269 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 861 cases | 67 | 74 | 73.43 | Worse than 89% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 861 cases | 16 | 9 | 10.45 | Worse than 94% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 861 cases | 17 | 16 | 16.13 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 861 cases | 70 | 75 | 74.03 | Worse than 80% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 861 cases | 10 | 5 | 6.592 | Worse than 91% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 861 cases | 20 | 20 | 19.38 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 861 cases | 72 | 77 | 75.78 | Worse than 76% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 861 cases | 10 | 4 | 5.34 | Worse than 95% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 861 cases | 18 | 19 | 18.88 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 861 cases | 81 | 86 | 84.54 | Worse than 83% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 861 cases | 6 | 3 | 3.437 | Worse than 92% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 861 cases | 13 | 11 | 12.02 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 861 cases | 60 | 59 | 63.8 | Better than 51% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 861 cases | 9 | 9 | 8.469 | Worse than 47% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 861 cases | 31 | 31 | 27.73 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 861 cases | 83 | 82 | 83.87 | Better than 56% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 861 cases | 4 | 3 | 3.774 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 861 cases | 10 | 5 | 6.124 | Worse than 87% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 861 cases | 58 | 71 | 70.88 | Worse than 89% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 861 cases | 81 | 87 | 87.15 | Worse than 89% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 861 cases | 32 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 861 cases | 2 | 4 | 3.602 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 861 cases | 39 | 47 | 46.49 | Worse than 89% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 861 cases | 39 | 30 | 32.79 | Worse than 89% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 861 cases | 22 | 22 | 20.73 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 861 cases | 2 | 3 | 3.151 | Worse than 81% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 861 cases | 15 | 12 | 13.65 | Worse than 73% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 861 cases | 85 | 88 | 86.35 | Worse than 73% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Houston Healthcare | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 6.667 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.71 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.08 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 3,403 cases | 97 | 79 | 71.13 | Better than 93% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 672 cases | 247 | 154 | 175 | Worse than 94% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 642 cases | 240 | 148 | 169 | Worse than 93% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 24 cases | 572 | 247 | 348 | Worse than 96% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 334 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 38,097 cases | 1 | 1 | 1.759 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 36 cases | 94 | 74 | 71.14 | Better than 94% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 82 cases | 66 | 97 | 90.05 | Worse than 96% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 63.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 3,967 cases | 11 | 15 | 16.89 | Better than 77% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 208 cases | 60 | 65 | 58.96 | Worse than 62% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 34 cases | 71 | 73 | 70.15 | Worse than 54% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 15 cases | 47 | 88 | 83.53 | Worse than 98% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 208 cases | 75 | 82 | 77.15 | Worse than 73% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 86 cases | 85 | 94 | 90.02 | Worse than 86% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 166 cases | 91 | 98 | 96.72 | Worse than 91% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 69.4 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 140 cases | 91 | 94 | 92.46 | Worse than 72% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 83.63 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 319 cases | 81 | 97 | 95.53 | Worse than 92% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Houston Healthcare | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 11.2 | 5 | 5.623 | Worse than 91% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 5.6 | 6.6 | 6.411 | Better than 63% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Houston Healthcare | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.94 | 0.99 | 0.9648 | Better than 73% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Houston Healthcare | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 20 | 20 | 20.96 | Better than 48% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 5 | 5 | 5.347 | Worse than 48% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 30 | 10 | 26.92 | Better than 68% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 7.5 | 2.5 | 7.03 | Better than 68% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 26 | 34 | 36.51 | Worse than 66% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 6.5 | 8.75 | 9.439 | Worse than 66% of US hospitals | |
| VBP safety domain scoreFY 2026 | 45 | 40 | 38.57 | Better than 57% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 11.25 | 10 | 9.691 | Better than 56% of US hospitals | |
| VBP total performance scoreFY 2026 | 30.25 | 29.5 | 31.07 | Better than 53% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 46 | 56 | 25 | 12 | 4 | 20 |
| VBP clinical outcomes weighted domain score | 11.5 | 14 | 6.25 | 3 | 1 | 5 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 30 | 30 | 20 | 30 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 7.5 | 7.5 | 5 | 7.5 |
| VBP person and community engagement domain score | 17 | Not Available | Not Available | 6 | 11 | 26 |
| VBP person and community engagement weighted domain score | 4.25 | Not Available | Not Available | 1.5 | 2.75 | 6.5 |
| VBP safety domain score | 40 | Not Available | Not Available | 36 | 16 | 45 |
| VBP safety weighted domain score | 10 | Not Available | Not Available | 9 | 4 | 11.25 |
| VBP total performance score | 25.75 | Not Available | Not Available | 21 | 12.75 | 30.25 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Houston Healthcare | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 166 cases | 1.003 | 0.9995 | 1.003 | Worse than 53% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.027 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 195 cases | 1.016 | 0.9969 | 1.012 | Worse than 65% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 476 cases | 0.9514 | 0.9983 | 1.011 | Better than 80% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.027 | 0.9916 | 1.024 | Worse than 60% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 532 cases | 1.113 | 0.9955 | 1.009 | Worse than 94% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.163 | 1.155 | 1.234 | 1.217 | 1.121 | 1.003 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.031 | 0.9522 | 0.9221 | 0.9525 | 0.9845 | 1.016 |
| READM-30-HF-HRRP | 1.025 | 1.021 | 0.9844 | 0.9712 | 0.9157 | 0.9514 |
| READM-30-HIP-KNEE-HRRP | 1.361 | 1.211 | 1.098 | 0.9566 | 1.001 | 1.027 |
| READM-30-PN-HRRP | 1.081 | 1.066 | 1.087 | 1.115 | 1.135 | 1.113 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Houston Healthcare | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.557 | 0.489 | 0.6612 | Worse than 56% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.564 | 0.346 | 0.3286 | Worse than 78% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.441 | 0.559 | 0.6574 | Better than 62% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.237 | 0.6405 | 0.8117 | Worse than 86% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.124 | 0.9628 | 1.068 | Worse than 83% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.203 | 0.7945 | 1.054 | Better than 86% of US hospitals | |
| Total HAC scoreFY 2026 | 0.2209 | -0.0453 | 0.04361 | Worse than 66% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.5178 | -0.1334 | 0 | -0.3706 | 0.1152 | 0.2209 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2026)
Accreditation
Limited
Medical school affiliation
Private (not for profit)
Ownership type
276
Medicare-certified beds
470
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Houston Healthcare reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
16,132
Inpatient discharges
Medicare 20%, Medicaid 7%
65,408
Inpatient days
67% of available bed days used
1,989
Employees (full-time equivalent)
18
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837129). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Houston Healthcare reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 15,271 | 4,971 | 45,166 | 65,408 |
| Discharges | 3,243 | 1,087 | 11,802 | 16,132 |
| Average length of stay | 4.7 days | 4.6 days | 3.8 days | 4.1 days |
| Average daily census | 41.8 | 13.6 | 123.7 | 179.2 |
17,338
Medicare Advantage days
3,037 discharges
5,740
Medicaid managed care days
2,433 discharges
6,208
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 231 | 56,549 | 12,035 | 67% |
| Intensive care unit | 36 | 4,411 | 3,236 | 34% |
| Nursery | 4,448 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837129, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Houston Healthcare treats Medicare patients for most often, in 2024. 2,506 Medicare discharges in 65 published DRGs; 9% surgical; 73% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 456 | $42,791 | $12,361 | $15,875 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 203 | $28,165 | $8,333 | $10,449 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 91 | $39,297 | $10,591 | $14,579 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 88 | $28,822 | $8,312 | $10,693 | 1.33 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 86 | $41,398 | $9,671 | $15,359 | 1.59 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 67 | $22,464 | $6,403 | $8,334 | 1.03 |
| Renal failure with CCMS-DRG 683, medical | 54 | $17,867 | $5,875 | $6,629 | 0.90 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 49 | $49,894 | $12,155 | $18,511 | 1.88 |
| Renal failure with MCCMS-DRG 682, medical | 49 | $28,127 | $9,914 | $10,435 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 48 | $32,786 | $10,484 | $12,164 | 1.65 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 43 | $30,304 | $8,297 | $11,243 | 1.23 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 43 | $19,062 | $4,976 | $7,072 | 0.74 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 42 | $24,349 | $6,216 | $9,033 | 0.98 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 42 | $18,770 | $5,265 | $6,964 | 0.81 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 42 | $74,896 | $30,289 | $27,786 | 5.00 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 41 | $26,015 | $8,638 | $9,651 | 1.32 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 40 | $23,827 | $7,721 | $8,840 | 1.17 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 39 | $26,549 | $7,938 | $9,850 | 1.20 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 39 | $38,144 | $11,654 | $14,151 | 1.79 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 38 | $28,516 | $6,551 | $10,580 | 1.02 |
See all 65 Medicare inpatient DRGs at Houston Healthcare
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Houston Healthcare billed Medicare for most in 2024: 1,747 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 469 | 437 | $12,683 | $1,819 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 174 | 174 | $23,126 | $1,987 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 113 | 113 | $25,895 | $3,729 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 105 | 102 | $42,303 | $9,272 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 82 | 74 | $8,289 | $1,102 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 79 | 71 | $7,751 | $1,226 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 74 | 70 | $12,447 | $2,078 | $2,405 |
| Level 2 Vascular ProceduresAPC 5182 | 64 | 60 | $9,729 | $1,073 | $1,204 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 59 | 59 | $27,561 | $4,859 | $5,339 |
| Level 3 Urology and Related ServicesAPC 5373 | 54 | 49 | $9,795 | $1,303 | $1,516 |
See all 27 Medicare outpatient services at Houston Healthcare
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Houston Healthcare in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 5,058 in 2020 to 5,900 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 31088 | 1,464 | 25% | 7,168 | $54.1M | 62% | 68% |
| 31093 | 949 | 16% | 4,963 | $37.6M | 66% | 74% |
| 31069 | 741 | 13% | 4,033 | $30.2M | 63% | 43% |
| 31005 | 440 | 7% | 2,006 | $14.7M | 68% | 66% |
| 31008 | 391 | 7% | 2,011 | $14.7M | 31% | 32% |
| 31047 | 369 | 6% | 1,923 | $14.6M | 69% | 62% |
| 31030 | 324 | 5% | 1,833 | $13.2M | 33% | 35% |
| 31028 | 196 | 3% | 1,001 | $7.1M | 60% | 71% |
| 31036 | 194 | 3% | 952 | $7.2M | 45% | 19% |
| 31063 | 95 | 2% | 489 | $3.8M | 48% | 32% |
| 31014 | 68 | 1% | 429 | $2.9M | 11% | 11% |
| 31091 | 67 | 1% | 301 | $2.6M | 60% | 33% |
| 31057 | 63 | 1% | 424 | $2.8M | 78% | 44% |
| 31076 | 62 | 1% | 325 | $2.3M | 45% | 35% |
| 31068 | 52 | 1% | 338 | $2.2M | 40% | 27% |
| 31216 | 50 | 1% | 233 | $1.6M | 5% | 4% |
| 31025 | 49 | 1% | 222 | $1.8M | 73% | 36% |
| 31095 | 40 | 1% | 240 | $1.6M | 68% | 70% |
| 31006 | 37 | 1% | 289 | $2.2M | 18% | 23% |
| 31078 | 28 | 0% | 155 | $1.3M | 13% | 17% |
| 31092 | 27 | 0% | 147 | $1.2M | 13% | 9% |
| 31098 | 27 | 0% | 152 | $1.2M | 100% | 100% |
| 31211 | 23 | 0% | 84 | $810,964 | 2% | |
| 31044 | 18 | 0% | 133 | $1.1M | 7% | 6% |
| 31023 | 17 | 0% | 68 | $701,118 | 2% | 3% |
Source: CMS Hospital Service Area file. Shares are of the 5,900 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Houston Healthcare reported at its latest Medicare certification survey (2026). Counts are people, not full-time equivalents.
14
Operating rooms
8
Endoscopy rooms
3
Cardiac catheterization rooms
15
Psychiatric unit beds
3
Off-site locations
3
Off-site urgent care centers
470
Registered nurses
72
Licensed practical nurses
3
Physicians
18
Resident physicians
14
Pharmacists
27
Respiratory therapists
11
Physical therapists
6
Occupational therapists
3
Speech pathologists and audiologists
22
Radiology technicians
2
Nuclear medicine technicians
2
Dietitians
8
Social workers
975
Other personnel
Source: CMS Provider of Services file.
605 clinicians who bill Medicare list Houston Healthcare as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Tara Adams, NP-C
Nurse Practitioner
NPI 1184994956
See commercial rates for Tara Adams, NP-CHarry Moore, M.D.
Medical Oncology Physician
NPI 1699096388
See commercial rates for Harry Moore, M.D.Linda Hendricks, M.D.
Specialist
NPI 1881639821
See commercial rates for Linda Hendricks, M.D.Marcus Weldon, MD
Hematology & Oncology Physician
NPI 1942689286
See commercial rates for Marcus Weldon, MDBradley Sumrall, MD
Medical Oncology Physician
NPI 1679689301
See commercial rates for Bradley Sumrall, MDDavid Wiley, M.D.
Orthopaedic Surgery Physician
NPI 1437376381
See commercial rates for David Wiley, M.D.William Wiley, M.D.
Orthopaedic Surgery Physician
NPI 1427014570
See commercial rates for William Wiley, M.D.Jeffrey Langford, M.D.
Allergy & Immunology Physician
NPI 1346360690
See commercial rates for Jeffrey Langford, M.D.Mary Bell Vaughn, M.D.
Internal Medicine Physician
NPI 1497710750
See commercial rates for Mary Bell Vaughn, M.D.Jeffrey Easom, D.O.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1730146739
See commercial rates for Jeffrey Easom, D.O.Frank Casey, M.D.
Urology Physician
NPI 1174645329
See commercial rates for Frank Casey, M.D.Bridget Wright, MD
Rheumatology Physician
NPI 1861506768
See commercial rates for Bridget Wright, MDMohammad Al Shroof, M.D.
Internal Medicine Physician
NPI 1578519286
See commercial rates for Mohammad Al Shroof, M.D.Nasser Qadri, MD
Diagnostic Radiology Physician
NPI 1275616849
See commercial rates for Nasser Qadri, MDNannette Crowley, M.D.
Rheumatology Physician
NPI 1902841307
See commercial rates for Nannette Crowley, M.D.William Freeman, M.D.
Specialist
NPI 1649267667
See commercial rates for William Freeman, M.D.Rahul Vangala, M.D.
Allergy & Immunology Physician
NPI 1366499246
See commercial rates for Rahul Vangala, M.D.William Knopf, MD
Cardiovascular Disease Physician
NPI 1922007541
See commercial rates for William Knopf, MDDaniel Reidl, P.A.
Physician Assistant
NPI 1427016690
See commercial rates for Daniel Reidl, P.A.Todd Kinnebrew, MD
Orthopaedic Surgery Physician
NPI 1932150729
See commercial rates for Todd Kinnebrew, MDJames Upshaw, M.D.
Internal Medicine Physician
NPI 1740252170
See commercial rates for James Upshaw, M.D.Keathern Malone, MD
Sports Medicine (Physical Medicine & Rehabilitation) Physician
NPI 1154374312
See commercial rates for Keathern Malone, MDCandice Tate, NP-C
Family Nurse Practitioner
NPI 1346623493
See commercial rates for Candice Tate, NP-CSwathi Singanamala, MD
Nephrology Physician
NPI 1023275617
See commercial rates for Swathi Singanamala, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Houston Healthcare reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.2B | 413.3% |
| Inpatient | $476.6M | 170.2% |
| Outpatient | $681M | 243.1% |
| Contractual allowances and discounts | -$877.5M | -313.3% |
| Net patient revenue | $280.1M | 100.0% |
| Operating expenses | -$345M | -123.2% |
| Operating income from patient care | -$65M | -23.2% |
| Other income | $24.8M | 8.9% |
| Other expenses | $2.6M | 0.9% |
| Net income | -$37.6M | -13.4% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $189.3M | 16.4% |
| Medicaid (including managed care) | $105M | 9.1% |
| Other payers and self-pay | $863.3M | 74.6% |
| Total charges | $1.2B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837129, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Houston Healthcare's latest cost report.
-23.2%
Operating margin
Operating income from patient care / net patient revenue
-12.3%
Total margin
Net income / net patient revenue plus other income
-5.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
54% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$36.34
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-11.0%
Return on assets
Net income for a year / total assets
-19.6%
Return on equity
Net income for a year / fund balance
0.03
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.46
Current ratio
Current assets / current liabilities
0.30
Quick ratio
Cash, temporary investments and net receivables / current liabilities
19 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
30 days
Days in patient receivables
Net patient receivables / daily net patient revenue
146 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.90
Asset turnover
Total revenue for a year / total assets
17.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837129, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Houston Healthcare owned and owed at the end of its reporting period (Dec 2025), across all fund types: $340.6M in total assets and a $191.6M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $16.9M | 5.0% |
| Patient receivables, net | $22.9M | 6.7% |
| Inventory | $5M | 1.5% |
| Total current assets | $191.7M | 56.3% |
| Property and equipment, net of depreciation | $135.8M | 39.9% |
| Investments and other assets | $13.1M | 3.9% |
| Total assets | $340.6M | 100.0% |
| Current liabilities | $131.7M | 38.7% |
| Long-term debt | $6.2M | 1.8% |
| Total liabilities | $149.1M | 43.8% |
| Fund balance (net assets) | $191.6M | 56.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837129, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Houston Healthcare provided without full payment, as reported on Worksheet S-10 of its cost report.
$7.3M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$81.3M
Bad debt
Patient bills written off as uncollectible, at charges
$12.8M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$30.2M
Total unreimbursed and uncompensated care
8.7% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 837129, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Houston Healthcare's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $212.1M | $248.1M | $226.4M | $275.4M | $291.4M | $280.1M |
| Operating expenses | $232.7M | $259.3M | $253.4M | $298.9M | $309.7M | $345M |
| Operating margin | -9.7% | -4.5% | -11.9% | -8.5% | -6.3% | -23.2% |
| Net income | $34.3M | $16.3M | -$44.1M | -$14.2M | -$2.4M | -$37.6M |
| Total assets | $388.8M | $321.5M | $268.4M | $281.6M | $317.3M | $340.6M |
| Discharges | 11,014 | 11,045 | 12,275 | 12,829 | 13,844 | 16,132 |
| Inpatient days | 65,616 | 68,415 | 62,244 | 62,865 | 65,592 | 65,408 |
| Medicare Advantage days | 11,682 | 14,147 | 14,587 | 16,020 | 17,969 | 17,338 |
| Beds | 237 | 237 | 219 | 254 | 267 | 267 |
| Employees (FTE) | 1,557 | 1,572 | 1,558 | 1,783 | 1,769 | 1,989 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837129, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Houston Healthcare reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $21.1M | $47.4M | $281.2M | 0.17 | 43,462 |
| Operating room | $8.6M | $30.8M | $158.3M | 0.19 | 59,564 |
| Radiology-diagnostic | $8.3M | $27.1M | $69.3M | 0.39 | 26,688 |
| Drugs charged to patients | $24.3M | $131.6M | 0.18 | ||
| Laboratory | $2M | $21M | $89.8M | 0.23 | 15,647 |
| Impl. dev. charged to patients | $11.4M | $15.3M | 0.75 | ||
| Delivery room & labor room | $4.4M | $10.3M | $18.7M | 0.55 | 26,582 |
| Cardiac catheterization | $2.7M | $9.7M | $57.1M | 0.17 | 14,971 |
| Respiratory therapy | $3.3M | $8M | $35.5M | 0.23 | 4,641 |
| Observation beds (non-distinct part | $8M | $10.6M | 0.75 | ||
| Medical supplies charged to patient | $7M | $23.3M | 0.30 | ||
| Physical therapy | $3.9M | $6.7M | $18.3M | 0.37 | 8,214 |
| Ct scan | $1.4M | $5.8M | $73.3M | 0.08 | 3,472 |
| Observation beds (distinct part) | $1.9M | $3.6M | $6.9M | 0.52 | |
| Electrocardiology | $1.4M | $3.2M | $20.3M | 0.16 | 7,515 |
| Renal dialysis | $1.9M | $3.8M | 0.51 | 3,422 | |
| Mri | $911,302 | $1.9M | $10.9M | 0.18 | 1,513 |
| Cardiac rehabilitation | $404,546 | $887,470 | $2.3M | 0.39 | 2,626 |
| Speech pathology | $413,578 | $674,545 | $2M | 0.34 | 86 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $30.6M | $80.6M | $95.8M | 0.84 | 144,015 |
| Intensive care unit | $7.5M | $17.2M | $23M | 0.75 | 29,427 |
| Nursery | $1.8M | $6.1M | $10.5M | 0.58 | 3,518 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $18.7M | $45.1M | 453,188 | $37.57 | 77,770 |
| Employee benefits department | $2.4M | $39.2M | 37,204 | $45.26 | 8,208 |
| Cap rel costs-bldg & fixt | $10.3M | 720,479 | |||
| Cap rel costs-mvble equip | $10M | ||||
| Operation of plant | $1.5M | $9.2M | 42,984 | $35.26 | 131,134 |
| Pharmacy | $5M | $6.4M | 102,656 | $48.56 | 13,184 |
| Housekeeping | $2.9M | $3.9M | 141,371 | $20.23 | 4,215 |
| Medical records & library | $714,404 | $3.4M | 27,079 | $26.38 | 6,666 |
| Cafeteria | $3.2M | 91,475 | $20.75 | ||
| Nursing administration | $2.7M | $2.9M | 49,379 | $54.63 | 3,303 |
| Central services & supply | $1.2M | $2M | 48,219 | $24.33 | 29,290 |
| Social service | $1.4M | 31,389 | $34.86 | 1,083 | |
| I&r services-salary & fringes apprv | $1.3M | $1.2M | 4,123 | ||
| Dietary | $2.6M | $1.1M | 31,379 | $21.01 | 16,993 |
| I&r services-other prgm costs apprv | $552,265 | ||||
| Laundry & linen service | $105,319 | $323,009 | 5,892 | $17.87 | 1,687 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837129, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Houston Healthcare for an inpatient stay.
1.57
Case mix index
Higher than 36% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.07 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
27.6%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
3,248
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.52 | 1.52 | 1.62 | 1.61 | 1.61 | 1.60 | 1.57 |
| Wage index | 0.863 | 0.857 | 0.852 | 0.852 | 0.809 | 0.795 | 0.819 |
| Readmissions adjustment | -2.36% | -1.99% | -1.41% | -0.67% | -0.93% | -0.89% | -0.78% |
| Value-based purchasing adjustment | +0.09% | -0.35% | -0.35% | +0.32% | -0.01% | -0.86% | +0.09% |
| Medicare inpatient stays | 4,404 | 4,404 | 3,409 | 2,988 | 3,132 | 3,064 | 3,248 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Houston Healthcare reports to Medicare as owners or with operational control. 1 individuals also hold ownership interests; they are not listed here.
Houston Hospitals Inc
5% or greater indirect ownership interest, 100%, since 2025
Houston Hospitals Inc
5% or greater direct ownership interest, 100%, since 2025
Sources: CMS Hospital All Owners.
The officers and board members on Houston Healthcare's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 6 of 7 are shown.
Houston Hospitals Inc files the Form 990 for the tax ID insurers list for Houston Healthcare, so these people may lead the wider organization rather than Houston Healthcare alone.
| Name | Title |
|---|---|
| Kevin Splaine | Board Member, CEO |
| Mike Loftus | Secretary |
Board members: Appavuchetty Soundapaan MD, Heather Dexter, John David Hall MD, Lewanza Harris MD, Mohammad Al-Shroof MD, Rahil Kazi MD, Scott Westmoreland Dvm, Shawn Carpenter, Tommy Stalnaker.
Source: IRS Form 990 Part VII filed by Houston Hospitals Inc (EIN 71-1045290), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2026
340B ID DSH110069, registered as a disproportionate share hospital; 11 registered outpatient sites. Authorizing official: Dawn Lucile Stone, Vice President Of Financial Operations.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Houston Healthcare Hospital
FAA location ID 2GA3, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
About Houston Healthcare's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Houston Healthcare range from $537 to $1,589 across 3 insurers. Aetna's rate is $537. The median at nearby comparable hospitals is $1,041. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Houston Healthcare range from $599 to $1,704 across 3 insurers. UnitedHealthcare's rate is $955. The median at nearby comparable hospitals is $916. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Houston Healthcare range from $877 to $3,218 across 4 insurers. Blue Cross Blue Shield's rate is $3,071. The median at nearby comparable hospitals is $4,339. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Houston Healthcare range from $2,383 to $11,339 across 4 insurers. Cigna's rate is $8,379. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Houston Healthcare range from $200 to $250 across 4 insurers. Cigna's rate is $238. The median at nearby comparable hospitals is $252. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Houston Healthcare range from $6,819 to $32,442 across 4 insurers. Aetna's rate is $32,442. The median at nearby comparable hospitals is $30,732. What a patient pays depends on their plan's deductible, coinsurance and network status.
Houston Healthcare has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
Yes. CMS counts 0.07 Medicare-funded residents per bed at Houston Healthcare for fiscal year 2027, so it is a teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Houston Healthcare's base inpatient payments by an estimated 0.78% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (456 discharges), heart failure and shock with mcc (203 discharges), respiratory infections and inflammations with mcc (91 discharges).
Houston Healthcare's Medicare case mix index is 1.57 for fiscal year 2027, higher than 36% of hospitals paid under the inpatient prospective payment system.
Houston Healthcare reported 16,132 inpatient discharges and 65,408 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Houston Healthcare reported 1,989 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Houston Healthcare reported $280.1M in net patient revenue on $1.2B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -23.2%, and net income of -$37.6M.
Houston Healthcare reported $30.2M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $7.3M of charity care at cost.
Insurers' price transparency files list Houston Healthcare under employer identification number 71-1045290 (Perry Hospital). 58 health plans and networks list 71-1045290 for it.
Yes. HRSA's 340B database lists Houston Healthcare (340B ID DSH110069) as a participating disproportionate share hospital since 2026.
605 clinicians who bill Medicare list Houston Healthcare as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (74), family nurse practitioner (72), family medicine physician (66).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Houston Healthcare, effective 2026.
In its Medicare enrollment, Houston Healthcare reports Houston Hospitals Inc as 5% or greater indirect ownership interest (100%).
CMS lists 42 services at Houston Healthcare, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, Audiology, Cardiac Catheterization Lab.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Houston Healthcare came from ZIP codes 31088 (1,464), 31093 (949), 31069 (741).
Houston Healthcare has 267 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 276 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Houston Healthcare is located at 1601 Watson Boulevard, Warner Robins, GA 31093. Its main phone number is (478) 922-4281.
Houston Healthcare's CMS Certification Number (CCN), also called its Medicare provider number, is 110069.
The National Provider Identifier (NPI) on file for Houston Healthcare is 1962435792.
Houston Healthcare lists 36 in-network payers, including Aetna, Alliant Health Plans, Ambetter, Ameri Health, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
449 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers