How many shoppable procedure prices are published for HCA Houston Healthcare Tomball?

HCA Houston Healthcare Tomball in Tomball, TX currently has 122 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do HCA Houston Healthcare Tomball's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, HCA Houston Healthcare Tomball's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is HCA Houston Healthcare Tomball's CMS Care Compare overall star rating?

CMS Care Compare assigns HCA Houston Healthcare Tomball an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 194 Beds · urban Updated: 2026-03-01

HCA Houston Healthcare Tomball

605 Holderrieth, Tomball, TX 77375 · 122 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.43×vs. Fair Market Price

Typical commercial prices here are +43% above the fair benchmark (1.43×) even after accounting for local nurse/doctor wages and patient complexity.

65/100 · Caution

65/100Self-Pay Cash Beats Insurance 1% of the Time

File Completeness50

Price Logic93

Peer Alignment75

Clean Billing92

Real Cash Discount6

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.43× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

HCA Houston Healthcare Tomball prices routine shoppable procedures near 2.1× Medicare (p50 1.31×) while skewing captive emergency, lab, and upper-quartile codes to 2.5× Medicare (p75 2.22×, +69% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#221 of 307 in TX · 71st State Percentile#2,526 of 3,385 in U.S. · 74th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.00× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (61/100 safety score) with 61% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.0× markup over Medicare rates
Captive ER (1.3×) & laboratory (2.6×) services average 1.19× higher multiples than routine shoppable care (2.1×)
Upper-quartile procedures (Q75 2.22×) jump +69% above the median procedure ratio (Q50 1.31×)
Unnegotiated chargemaster list prices average 17.7× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.19× Divergence

2.5× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+69% Upper Tail

Q25 1.00× · Q50 1.31× · Q75 2.22×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.0× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.6× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.9× MedicareFair

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

1% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 61/100Elevated

Procedure Prices at HCA Houston Healthcare Tomball

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 122 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,319	$19,432	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,427	$19,087	unverified
C-section delivery (full package) CPT Code: `59510`	—	$13,992	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$12,906	$2,680	4.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$8,987	$6,109	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,271	$8,223	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,605	$3,372	unverified
Total hip replacement CPT Code: `27130`	—	$4,561	$13,413	unverified
Inguinal hernia repair CPT Code: `49505`	—	$4,390	$3,629	1.2×
Bunion correction surgery CPT Code: `28296`	—	$4,220	$3,446	1.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,115	$2,540	1.6×
Breast lump removal CPT Code: `19120`	$18,068	$3,646	$3,875	0.9×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$3,531	$30,775	0.1×
Trauma team activation HCPCS Code: `G0390`	$18,250	$3,066	$1,453	2.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$16,722	$3,010	$1,021	2.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,332	$981	2.4×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,332	$987	2.4×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,332	$1,256	1.9×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,191	$855	2.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$8,258	$2,143	$583	unverified
Blood transfusion CPT Code: `36430`	$3,069	$1,600	$498	3.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$3,698	$960	$123	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$33,494	$828	$448	1.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$33,674	$828	$511	1.6×
New patient office visit (30-44 min) CPT Code: `99203`	$2,592	$673	$110	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$2,592	$673	$87	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$4,525	$588	$167	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$6,446	$612	$272	unverified
MRI, knee or other leg joint CPT Code: `73721`	$19,226	$518	$369	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$18,252	$518	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$19,070	$518	$338	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$28,542	$518	$303	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$1,920	$498	$64	unverified
Rabies immune globulin HCPCS Code: `90375`	$6,254	$454	$322	1.4×
CT scan, head (with contrast) CPT Code: `70460`	$15,522	$402	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$17,438	$402	$258	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$2,605	$252	$151	1.7×
CT scan, head (no contrast) CPT Code: `70450`	$10,093	$245	$160	1.5×
CT scan, pelvis CPT Code: `72192`	$12,361	$245	$163	1.5×
CT scan, sinuses CPT Code: `70486`	$12,105	$245	$166	1.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$14,018	$245	$168	1.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$15,522	$245	$169	1.4×
X-ray, hip CPT Code: `73502`	$2,131	$143	$93	1.5×
X-ray, ankle CPT Code: `73610`	$2,240	$134	$93	1.4×
X-ray, lower back CPT Code: `72110`	$4,004	$153	$112	1.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$4,075	$157	$132	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$6,235	$157	$134	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,791	$165	$148	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$157	$17,936	unverified
X-ray, foot CPT Code: `73630`	$2,307	$123	$92	1.3×
X-ray, shoulder CPT Code: `73030`	$2,320	$120	$92	1.3×
X-ray, hand CPT Code: `73130`	$1,998	$120	$93	1.3×
Ultrasound, pelvis CPT Code: `76856`	$5,445	$144	$130	1.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$108	$33	3.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$2,102	$114	$93	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$3,213	$131	$126	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$1,008	$105	$86	1.2×
X-ray, chest (two views) CPT Code: `71046`	$2,018	$92	$93	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$902	$117	$123	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$258	$81	$86	0.9×
Typhoid vaccine HCPCS Code: `90675`	$2,013	$520	$347	1.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$380	$203	1.9×
Drug screening test HCPCS Code: `G0480`	$2,681	$239	$116	2.1×
Pneumococcal vaccine HCPCS Code: `90732`	$582	$220	$140	1.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$703	$193	$111	1.7×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$109	$27	4.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$1,099	$79	$20	4.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$1,084	$96	$56	1.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$301	$84	$49	1.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$2,903	$43	$11	3.9×
Blood test, vitamin D CPT Code: `82306`	$1,527	$66	$31	2.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$1,624	$54	$35	1.5×
Colorectal cancer screening HCPCS Code: `G0010`	$264	$74	$49	1.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$402	$52	$35	1.5×
Orthotic fitting and training CPT Code: `97760`	$495	$64	$51	1.3×
X-ray, chest (single view) CPT Code: `71045`	$1,678	$68	$92	0.7×
X-ray, pelvis CPT Code: `72170`	$1,939	$77	$110	0.7×
Psychological testing evaluation CPT Code: `96136`	—	$74	$128	0.6×
Psychological testing by technician CPT Code: `96138`	—	$74	$395	0.2×
Blood test, calcium CPT Code: `82310`	$546	$21	$5	4.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$796	$25	$6	4.2×
Blood test, magnesium CPT Code: `83735`	$798	$28	$7	4.0×
Blood test, sodium CPT Code: `84295`	$539	$20	$5	4.0×
Blood test, amylase CPT Code: `82150`	$889	$27	$7	3.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$687	$18	$5	3.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$1,099	$41	$19	2.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$611	$7	$3	2.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$521	$11	$5	2.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$1,335	$30	$14	2.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$1,142	$30	$14	2.1×
Hepatitis C antibody test CPT Code: `86803`	$1,322	$32	$15	2.1×
Blood test, vitamin B12 CPT Code: `82607`	$1,664	$34	$16	2.1×
Blood test, basic metabolic panel CPT Code: `80048`	$1,839	$19	$9	2.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$1,480	$37	$18	2.1×
Blood test, liver function panel CPT Code: `80076`	$1,879	$18	$9	2.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$371	$22	$14	1.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$39	$25	1.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$68	$38	$25	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	$114	$55	$37	1.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$122	$55	$39	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$346	$45	$38	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$198	$55	$48	1.1×
Prosthetic fitting and training CPT Code: `97761`	$250	$51	$45	1.1×
Behavioral health living support HCPCS Code: `H2019`	—	$35	$34	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$319	$39	$40	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$243	$34	$38	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$448	$34	$38	0.9×
Blood antibody screen CPT Code: `86850`	$513	$40	$46	0.9×
Group therapy session CPT Code: `90853`	$246	$65	$100	0.7×
Culture, bacterial CPT Code: `87070`	$852	$45	$9	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$160	$49	$201	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$536	$9	$4	2.3×
Blood test, potassium CPT Code: `84132`	$494	$11	$5	2.2×
Blood test, hemoglobin CPT Code: `85018`	$343	$5	$3	1.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$10	$8	1.3×
Speech therapy (group session) CPT Code: `92508`	—	$25	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$214	$30	$33	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$326	$29	$34	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$230	$9	$4	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$488	$22	$10	unverified
Blood test, lipase CPT Code: `83690`	$745	$15	$7	unverified
Culture, blood CPT Code: `87040`	$1,286	$23	$11	unverified

Showing top 25 high-impact procedures of 122 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at HCA Houston Healthcare Tomball (Zero PHI Required)

CMS CCN: 450670

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $17,319

1. Amount on Your Bill or Quote ($) Pre-filled with HCA Houston Healthcare Tomball’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask HCA Houston Healthcare Tomball's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$22,134 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($41,566) is $22,134 above the denoised Fair BaseRate ($19,432) and 3.0× the $14,044 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 821349955

Public IRS & CMS ownership records classify HCA Houston Healthcare Tomball as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite61/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait117 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at HCA Houston Healthcare Tomball. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-09·administrative_or_closure
Met Requirements
Recorded
2023-10-12·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (588 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for HCA Houston Healthcare Tomball.

Price Index: 1.02× regional baseline

Quality: 48/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Molina

-47.1%

Humana

+72.5%

Median Household Income$73,104U.S. Census ACS

Local Uninsured Share21.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 65/100 · Caution CMS CCN 450670 EIN 821349955

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (82-1349955_HCA-HOUSTON-HEALTHCARE-TOMBALL_standardcharges.json) Verify on CMS Medicare.gov (CCN 450670) ↗ Verify IRS Form 990 (EIN 821349955) ↗ CMS HCRIS Cost Reports ↗

Published MRF File82-1349955_HCA-HOUSTON-HEALTHCARE-TOMBALL_standardcharges.json

Publication / Vintage2026-03-01 · 579.42 MB

Validated Rate Rows11,477 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450670

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy