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Most expensive hospitals in Texas
Northeast Baptist Hospital in San Antonio has the highest list prices in Texas: on average 40.3x what Medicare pays for the same services. The median across 37 ranked Texas hospitals is 4.0x.
Data as of 2026-11-11 · How this is calculated
Highest prices compared to Medicare
Lowest prices compared to Medicare
| # | Hospital | City | Prices vs Medicare | Grade |
|---|---|---|---|---|
| 37 | Adventhealth Central Texas | Killeen | 0.8x | A |
| 36 | Ascension Providence | Waco | 1.4x | A |
| 35 | Adventhealth Rollins Brook | Lampasas | 1.6x | A |
| 34 | Baylor Scott & White Medical Center- College Stati | College Station | 1.7x | A |
| 33 | Baylor Scott & White Medical Center - Buda | Buda | 2.1x | B |
| 32 | Baylor Scott & White Medical Center - Marble Falls | Marble Falls | 2.6x | B |
| 31 | Baylor Scott & White Hospital Brenham | Brenham | 2.6x | B |
| 30 | Baylor Scott & White Medical Center Pflugerville | Pflugerville | 2.8x | B |
| 29 | Baylor Scott & White Medical Center -Taylor | Taylor | 2.8x | B |
| 28 | Baylor Scott & White Medical Center - Round Rock | Round Rock | 2.8x | B |
What this means for your bill
List prices are a starting point, not what insurers pay. But uninsured patients and people paying a deductible are often billed from them. A high multiple is a strong reason to ask for an itemized bill and question the charges.
Check my bill freeHow this is calculated
For each hospital we compare the gross charges in its federally required price transparency file with what Medicare pays hospitals for the same billing code (the outpatient OPPS rate), then average across procedures. Codes Medicare doesn’t pay that way, such as lab tests and inpatient surgery, are left out. Hospitals need at least 5 priced procedures to be ranked. Full method and grading scale.