As part of an ongoing effort by federal agencies to empower employers and consumers to make more informed decisions about their health care spending, federal law required hospitals operating in the United States to provide clear, accessible pricing information about their services beginning January 1, 2021. Texas passed a similar law that went into effect in September of that year.

Working with data science firm January Advisors, Texas 2036 attempted to locate and download data for 644 hospitals in Texas. Analysts then reviewed and classified each of the data files.

Key Findings

As of October 2022, most hospitals in Texas were in compliance. Of note:

  • Texas 2036 was able to access data for 86% of hospitals (out of 648 statewide).
  • 60% of hospitals were “mostly compliant” with federal and state requirements, which is our evaluation’s highest rating. This is nearly double the rate from our Spring evaluation, when one-third of Texas hospitals were found to be “mostly compliant.” 
  • Some Texas hospitals posted files that missed key pieces of data, such as insurer-specific rates.
  • The availability and formatting of hospital codes and insurer-specific information make data harmonization and comparisons between hospitals difficult and, in many cases, impossible.

As of April 2022, key findings include:

  • Only 65% of hospitals had made pricing data available in a way that researchers were able to access it. 
  • 31% of hospitals were mostly compliant with the law, meaning that they listed standard charges, cash prices, minimum and maximum negotiated rates, and insurer-specific rates in their data. It is unclear whether the lists include all services offered at each hospital.
  • Most large hospital systems in Texas are missing key pieces of data, such as insurer-specific rates.
  • Comparisons between hospitals are often difficult or impossible due to issues with the availability and formatting of hospital codes and insurer-specific information.

With this new dashboard, you can explore hospital compliance in different regions in Texas. For hospitals that are mostly compliant with the law, you can view insurer-specific prices for common medical procedures.

This tool is not intended to help patients shop for care, and it does not include any evaluation of the quality of care provided. If you are interested in quality rankings, the following sites provide assessments.