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States Procedures Methodology Search
State Price Transparency Index 388 Mapped Hospitals 142 Shoppable Procedures +1% vs. U.S. Median (near the U.S. average)

Texas Hospital Rates

Compare cash discount rates, commercial insurance prices, and fair price benchmarks across all 388 Texas hospitals.

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
1.01×vs. U.S. Fair Price Average
Position vs. 1.00× Fair PriceRight at U.S. Average (0%) 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Across 388 Texas hospitals, typical commercial prices match the U.S. fair price average (1.01×) after accounting for local wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Texas Market & Best ValueSummarizes statewide hospital price coverage across Texas, the average commercial markup over federal Medicare rates, and the #1 best-value hospital in the state.388 Hospitals · 142 Procedures
Hospitals Priced388 in TXTotal hospitals in Texas with verified machine-readable price disclosures indexed in the Crystal.
Avg vs. Medicare1.8× MedicareAverage commercial insurance negotiated rate across Texas hospitals compared to what federal Medicare pays for the same procedure.
Best Value in TX0.30× FairLowest confounder-adjusted hospital in Texas: PAM Rehabilitation Hospital of Victoria (Victoria) at 0.30× fair market price.

Most affordable Texas hospital: PAM Rehabilitation Hospital of Victoria (Victoria) at 0.30× the fair price (70% below benchmark).

Statewide Hospital Pricing Fingerprint388 Texas Hospitals Analyzed

Texas Statewide Hospital Pricing Summary

Across 388 reporting hospitals and 142 shoppable procedures in Texas, typical commercial insurance rates sit at 1.01× the U.S. fair price average (1.8× federal Medicare rates). However, prices vary by 18.1× across the state — from 0.30× fair price at the most affordable hospitals up to 5.42× at high-markup facilities.

State Price Index: 1.01× U.S. Fair AverageAvg Commercial Rate: 1.8× Medicare
Advantage

Best Value in Texas (Lowest-Priced Hospitals & Patient Edge)

  • Best-value hospital in Texas: PAM Rehabilitation Hospital of Victoria (Victoria) prices care at 0.30× the fair price benchmark.
  • Additional low-cost leaders include PAM Specialty Hospital of San Antonio Medical Center (San Antonio, 0.60× fair) and PAM Specialty Hospital of Texarkana North (0.64× fair).
  • Bottom-quartile Texas hospitals (Q25) charge 1.00× the fair price or less — comparing quotes before scheduling elective care saves 25%–45%.
  • Nonprofit 501(c)(3) hospitals across Texas must provide free or discounted charity care under federal 26 U.S.C. § 501(r) income rules.
Watchout

Where Texas Patients Get Burned (High-Markup Traps)

  • Highest-markup Texas facilities reach 10.5× Medicare (PAM Rehabilitation Hospital of Allen in Allen, Baytown Medical Center LP).
  • Prices for the exact same procedure swing 18.1× between the lowest-priced (0.30×) and highest-priced (5.42×) hospitals in Texas.
  • Emergency room, lab, and outpatient surgery facility fees carry significantly higher markups than pre-scheduled imaging or freestanding centers.
Most Affordable TX Hospitals (Bottom 25%)Best Value Tier
0.30× – 1.00× Fair

Led by PAM Rehabilitation Hospital of Victoria (Victoria) at 0.30× fair price.

Typical Texas Hospital (State Median)1.8× Medicare
1.19× Fair Price

Middle-of-the-pack commercial rate across all 388 Texas hospitals.

Highest-Markup TX Hospitals (Top 25%)18.1× State Spread
1.52× – 5.42× Fair

Highest-priced quarter of Texas hospitals where shopping around saves the most.

Texas County Price & Affordability Heatmap 149 of 254 Counties with MRF Hospital Data

Texas County-Level Hospital Price & Affordability Heatmap

Hospital price index, Medicare markup, and household affordability burden across 254 counties in Texas

<0.94× Affordable 0.94–1.06× Near Avg 1.06–1.20× Elevated >1.20× High-Markup
Harris County28hosps
1.41× Fair
Income $73k
Dallas County24hosps
1.10× Fair
Income $74k
Tarrant County24hosps
1.23× Fair
Income $82k
Collin County17hosps
1.22× Fair
Income $118k
Travis County12hosps
1.10× Fair
Income $97k
Bexar County8hosps
1.04× Fair
Income $71k
Montgomery County8hosps
1.45× Fair
Income $97k
Denton County7hosps
1.08× Fair
Income $108k
Fort Bend County7hosps
1.37× Fair
Income $113k
Williamson County7hosps
1.75× Fair
Income $108k
Hidalgo County6hosps
1.08× Fair
Income $52k
Lubbock County5hosps
1.76× Fair
Income $63k
El Paso County3hosps
0.95× Fair
Income $59k
Cameron County3hosps
1.04× Fair
Income $51k
Hays County3hosps
1.04× Fair
Income $86k
Ellis County3hosps
1.08× Fair
Income $96k
Jefferson County3hosps
1.10× Fair
Income $60k
Wichita County3hosps
1.18× Fair
Income $62k
Smith County3hosps
1.23× Fair
Income $72k
Grayson County3hosps
1.80× Fair
Income $70k
Potter County3hosps
2.79× Fair
Income $50k
Cooke County2hosps
0.92× Fair
Income $72k
Pecos County2hosps
1.01× Fair
Income $68k
Webb County2hosps
1.02× Fair
Income $63k
Showing top 24 counties with hospital price filings of 254 total in Texas

All Hospitals in Texas (388)

Ranked by how their commercial prices compare to the fair BaseRate — best value first. Select any hospital to inspect its full procedure price list.

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Compare Prices by Procedure in Texas (142)

High-impact surgeries, scans, and hospital stays are listed first with the typical Texas price. Search any procedure below.

Browse Texas by Metro Area

Local hospital comparison pages for each Texas regional market.

Which Insurers Negotiate Prices in Texas

Across the 397 Texas hospitals that publish negotiated rates, here is how many hospitals each major insurance carrier has an in-network contract with.

Blue Cross Blue Shield 342 of 397 hospitals
Aetna 322 of 397 hospitals
UnitedHealthcare 317 of 397 hospitals
Cigna 307 of 397 hospitals
Humana 272 of 397 hospitals
Kaiser Permanente 8 of 397 hospitals

Also negotiating in Texas: Molina (155) · WellCare (119) · Amerigroup (116) · Oscar Health (83) · Ambetter (Centene) (71) · Devoted Health (70).

Prices are sourced from each hospital's federally-required public price file, most recently published October 2026. The BaseRate is a modeled fair-price estimate — not a bill or quote. How we build these numbers →