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Short Term Acute Care HospitalVoluntary Non-Profit - Private

The Methodist Hospital

Houston Methodist · Houston, TX

6565 FANNIN STREET, Houston, TX 77030(713) 790-2221

5 of 5

CMS star rating

1,141

Beds

42,731

Inpatient discharges a year

$3.3B

Net patient revenue a year

37

In-network payers

Photo 1: WhisperToMe, Public domain, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

The Methodist Hospital is a 1141-bed voluntary non-profit - private hospital in Houston, TX, affiliated with Houston Methodist. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 420 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • Helipad
CCN
450358
NPI
1548387418
Health system
Houston Methodist
Teaching
Teaching hospital
County
Harris County
Metro area
Houston-Pasadena-The Woodlands, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1966
Last CMS survey
2023

Prices for common services

The 24 services The Methodist Hospital 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

Vaginal delivery, hospital stay

MS-DRG 807

$4,922 - $9,068

from 4 insurers · median $8,094

UnitedHealthcare$7,640
Insurer A*$4,922
Insurer B*$8,548
Insurer C*$9,068

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

Cesarean delivery, hospital stay

MS-DRG 788

$7,708 - $13,724

from 4 insurers · median $11,565

UnitedHealthcare$11,957
Insurer A*$7,708
Insurer B*$11,172
Insurer C*$13,724

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,026 - $3,328

from 4 insurers · median $2,459

Aetna$1,026
Insurer A*$2,146
Insurer B*$2,772
Insurer C*$3,328
Medicare $344Nearby hospitals $899174% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$63,374 - $66,029

from 2 insurers · median $64,702

Blue Cross$66,029
Insurer A*$63,374
Medicare $30,865Nearby hospitals $45,86941% above nearby hospitals

75 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at The Methodist Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
422%
102
Insurer B*22
406%
150
Insurer C*22
309%
115
Insurer D*23
171%
200

How we chose these services: 6 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 3 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 The Methodist Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneComPsych

More about this hospital

  • Quality

    5 of 5 stars

    • 159 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • Teaching hospital
    • 44 services, including transplant care
    • 2,333 affiliated clinicians
    See doctors and services
  • Finances

    $3.3B net patient revenue

    • Operating margin on patient care 4.1%
    • $101.8M unreimbursed and uncompensated care
    • $231.3M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Marc L Boom, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for The Methodist Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
74-1180155Houston Methodist Hospital74Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 69 more1548387418 The Methodist Hospital1063775872 The Methodist Hospital1659659118 Baylor College Of Medicineand 2 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.

Location

6565 FANNIN STREET, Houston, TX 77030

(713) 790-2221

Get directions

Frequently asked questions

About The Methodist Hospital's rates and hospital price transparency.

How much does an MRI cost at The Methodist Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at The Methodist Hospital range from $792 to $2,772 across 4 insurers. Cigna's rate is $2,146. The median at nearby comparable hospitals is $1,117. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at The Methodist Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at The Methodist Hospital range from $1,026 to $3,328 across 4 insurers. Aetna's rate is $1,026. The median at nearby comparable hospitals is $899. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at The Methodist Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at The Methodist Hospital range from $2,049 to $5,167 across 4 insurers. Cigna's rate is $3,849. The median at nearby comparable hospitals is $2,743. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at The Methodist Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at The Methodist Hospital range from $4,922 to $9,068 across 4 insurers. UnitedHealthcare's rate is $7,640. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at The Methodist Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at The Methodist Hospital range from $376 to $398 across 4 insurers. Aetna's rate is $389. The median at nearby comparable hospitals is $265. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at The Methodist Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at The Methodist Hospital range from $32,477 to $65,100 across 4 insurers. Blue Cross Blue Shield's rate is $33,967. The median at nearby comparable hospitals is $24,873. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is The Methodist Hospital's CMS star rating?

The Methodist Hospital has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.

Is The Methodist Hospital a teaching hospital?

Yes. CMS counts 0.24 Medicare-funded residents per bed at The Methodist Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize The Methodist Hospital for readmissions?

No. The Methodist Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at The Methodist Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (808 discharges), heart failure and shock with mcc (513 discharges), respiratory infections and inflammations with mcc (215 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
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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.

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