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Hospital Profile Acute Care Hospital Physician 20 Beds · urban Updated: 2026-05-27

Memorial Hermann Houston Physicians Hospital

333 N Texas Avenue, Suite 1000, Webster, TX 77598 · 80 Priced Procedures · 88% Patient Recommendation

CMS Overall Rating No CMS Rating
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
1.00×vs. Fair Market Price
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.

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor 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).17/100 · Quarantined
17/100Self-Pay Cash Beats Insurance 0% of the Time
File Completeness30Provenance (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 Logic0Coherence (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 Alignment0Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing0Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount63Cash 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 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star Rating5/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score81/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait159 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

5-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

Memorial Hermann Houston Physicians Hospital concentrates commercial margin in outpatient surgical suites (5.2× Medicare) and specialty drug infusions (1.6× Medicare) relative to routine diagnostics (14.9×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

Regional Benchmark in TXU.S. National Reference Pool
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 0% of shoppable procedures (63/100 Cash Honesty)
  • 5-Star CMS clinical rating with 88% patient recommendation (81/100 safety score)
  • 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 5.2× markup over Medicare rates
  • Commercial insurance median sits at 1.00× Fair BaseRate (12.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
  • Unnegotiated chargemaster list prices average 16.3× Medicare (14¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
12.1× Medicare

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

Back-Door Captive & ER1.01× Divergence
12.2× Medicare

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

Quantile Tail Spread+28% Upper Tail
Q25 0.78× · Q50 1.00× · Q75 1.28×

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
12.1× MedicareWatchout
Outpatient Surgery & ORBack-Door Captive
5.2× MedicareWatchout
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
14.9× MedicareWatchout
Back-Door Captive ER VisitsBack-Door Captive
17.5× MedicareWatchout
Inpatient Lab & PathologyBack-Door Captive
20.1× MedicareWatchout
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.6× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
0% Cash Edge · 63/100Elevated
CMS Clinical Safety & Star ValueIntegrity & Outcomes
5 CMS · 81/100Good

Procedure Prices at Memorial Hermann Houston Physicians Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 80 published procedures.

Sort:
Procedure & Billing Code This Hospital vs. Fair
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
— —
Total hip replacement
CPT Code: 27130
$12,491 unverified
Total knee replacement
CPT Code: 27447
$12,491 unverified
Gallbladder removal (laparoscopic)
CPT Code: 47562
$8,617 unverified
Breast lump removal
CPT Code: 19120
$7,512 unverified
Inguinal hernia repair
CPT Code: 49505
$7,347 unverified
Bunion correction surgery
CPT Code: 28296
$7,190 unverified
Knee arthroscopy with meniscus repair
CPT Code: 29881
$7,190 unverified
Cataract surgery with lens implant
CPT Code: 66984
$6,659 unverified
Colonoscopy with biopsy
CPT Code: 45380
$6,052 unverified
Upper endoscopy with biopsy
CPT Code: 43239
$5,919 unverified
Colonoscopy (diagnostic)
CPT Code: 45378
$5,905 unverified
MRI, brain (with and without contrast)
CPT Code: 70553
$5,600 unverified
MRI, brain (no contrast)
CPT Code: 70551
$5,536 unverified
MRI, lower back (no contrast)
CPT Code: 72148
$5,536 unverified
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$3,504 7.8×
CT scan, lower back (lumbar spine)
CPT Code: 72131
$1,505 9.0×
Injection procedure for pain management
HCPCS Code: G0260
— unverified
Blood transfusion
CPT Code: 36430
$588 1.2×
Echocardiogram (heart ultrasound)
CPT Code: 93306
$604 1.0×
MRI, knee or other leg joint
CPT Code: 73721
— unverified
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
— unverified
CT scan, head (with contrast)
CPT Code: 70460
— unverified
CT scan, head (with and without contrast)
CPT Code: 70470
— unverified
CT scan, head (no contrast)
CPT Code: 70450
— unverified
Showing top 25 high-impact procedures of 80 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Memorial Hermann Houston Physicians Hospital (Zero PHI Required)

CMS CCN: 670008
CPT 470
Fair BaseRate™ $19,432
Medicare Rate $14,044
Self-Pay Cash Request Quote
Insurer Median $22,347
Pre-filled with Memorial Hermann Houston Physicians Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
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 Memorial Hermann Houston Physicians Hospital'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 Target: $19,432 Fair BaseRate

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

Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,432).

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)

Public IRS & CMS ownership records classify Memorial Hermann Houston Physicians Hospital 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 Overall5/5 Stars (5/5)
Safety Composite81/100
Would Recommend88%
Rated 9 or 10 (HCAHPS)86%
Median ER Wait159 min
Left ER Before Seen1%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame
Hip/Knee Complication Rate2.7%

Source: CMS Hospital Care Compare (193 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 Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Memorial Hermann Houston Physicians Hospital.

Price Index: 0.79× regional baseline
Quality: 84/100 CMS composite
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 17/100 · Quarantined CMS CCN 670008

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

Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage2026-05-27
Validated Rate Rows0 (CMS v3.0.0)
File Integrity DigestVerified · CCN 670008

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.