State hospital quality · CMS Hospital Compare

Hospitals in Texas

Texas has 465 Medicare-certified hospitals averaging 3.2 of 5 CMS stars - above the 3.1-star national average, with 22 earning the full five stars.

465
Hospitals
3.2★
Avg rating
22
Five-star
390
With ER

The state picture

Across 465 Medicare-certified hospitals, Texas averages 3.2 of 5 CMS stars - above the 3.1-star national average, and 22 facilities earn the top five-star rating.

3.2 / 5
state average (above 3.1 national)
22
five-star hospitals
390
with an emergency department
465
Medicare-certified hospitals

CMS star ratings are composite quality scores; 197 of 465 Texas hospitals had enough reporting volume to receive one. Not medical advice.

CMS star-rating mix in Texas

How 197 rated Texas hospitals break down across the 1–5 star scale

hospitals

What this shows 22 Texas hospitals reach five stars; the state's 3.2-star average sits above the 3.1-star national mark.

Source CMS Hospital Compare As of 2026-05-15

What the Data Shows About Hospitals in Texas

Texas has 465 Medicare-certified hospitals tracked by the Centers for Medicare & Medicaid Services (CMS) Hospital Compare program. Of these, 390 facilities operate an emergency department, an important signal for communities that rely on nearby acute-care access. The statewide average CMS overall star rating is 3.2 out of 5, calculated across hospitals with enough reporting volume to generate a composite rating.

At the top of the quality distribution, 22 hospitals have earned the highest 5-star CMS overall rating in Texas. The single highest-rated facility in the state registry is Ascension Seton Hays in Kyle, currently listed at 5/5 stars. Star ratings are composite scores built from mortality, safety of care, readmission, patient experience (HCAHPS), and timely & effective care domains, so a single number conceals meaningful per-domain variation that matters for specific procedures.

Showing 50 of 465 hospitals on this page (page 1 of 10). Hospital quality varies materially within a state, urban academic centers, rural critical-access hospitals, and specialty facilities report against different baselines, so comparing individual facility profiles before choosing planned care is more useful than relying on the statewide average alone. All figures reflect the CMS Hospital Compare release from , and nothing on this page is medical advice, consult a qualified clinician before making care decisions.

465
Hospitals
3.2
Avg Rating
22
Five-Star
390
With ER

Top-Rated in Texas

Highest CMS star ratings among Medicare-certified hospitals in Texas.

  1. 🥇1 Ascension Seton Hays Kyle, TX · Acute Care Hospitals ★★★★★
  2. 🥈2 Baylor Scott & White Medical Center - Centennial Frisco, TX · Acute Care Hospitals ★★★★★
  3. 🥉3 Baylor Scott & White Medical Center Grapevine Grapevine, TX · Acute Care Hospitals ★★★★★
  4. 4 Baylor Scott & White Medical Center - Marble Falls Marble Falls, TX · Acute Care Hospitals ★★★★★
  5. 5 Baylor Scott & White Medical Center at Irving Irving, TX · Acute Care Hospitals ★★★★★
  6. 6 Baylor Scott & White Medical Center- Waxahachie Waxahachie, TX · Acute Care Hospitals ★★★★★

Compare Ascension Seton Hays vs Baylor Scott & White Medical Center - Centennial →

All Hospitals

Showing 1–50 of 465 hospitals

Hospital Rating
Ad Hospital East, LLC

Houston

N/A
Advanced Dallas Hospitals and Clinics

Dallas

N/A
Adventhealth Central Texas

Killeen

3
Adventhealth Rollins Brook

Lampasas

N/A
Allegiance Behavioral Health Center of Plainview

Plainview

N/A
Altus Baytown Hospital

Baytown

N/A
Altus Houston Hospital, Lp

Houston

N/A
Altus Lumberton Hospital

Lumberton

N/A
Anson General Hospital

Anson

N/A
Ascension Seton Hays

Kyle

5
Ascension Providence

Waco

2
Ascension Seton Southwest

Austin

N/A
Ascension Seton Edgar B Davis

Luling

N/A
Ascension Seton Highland Lakes

Burnet

N/A
Ascension Seton Medical Center Austin

Austin

4
Ascension Seton Northwest

Austin

4
Ascension Seton Smithville

Smithville

N/A
Ascension Seton Williamson

Round Rock

4
Aspire Hospital

Conroe

N/A
Austin Oaks Hospital

Austin

N/A
Austin State Hospital

Austin

N/A
Ballinger Memorial Hospital

Ballinger

N/A
Bandera Family Hospital

San Antonio

N/A
Baptist Beaumont Hospital

Beaumont

2
Baptist Medical Center

San Antonio

3
Baptist Neighborhood Hospital Thousand Oaks

San Antonio

N/A
Baylor Emergency Medical Center at Aubrey

Aubrey

N/A
Baylor Medical Center at Trophy Club

Trophy Club

N/A
Baylor Scott & White Medical Center - Centennial

Frisco

5
Baylor Scott & White Heart & Vascular Hospital - Dallas

Dallas

4
Baylor Scott & White Hospital Brenham

Brenham

N/A
Baylor Scott & White Medical Center Grapevine

Grapevine

5
Baylor Scott & White Medical Center - Buda

Buda

N/A
Baylor Scott & White Medical Center - Frisco

Frisco

2
Baylor Scott & White Medical Center - Marble Falls

Marble Falls

5
Baylor Scott & White Medical Center - Round Rock

Round Rock

4
Baylor Scott & White Medical Center - Temple

Temple

4
Baylor Scott & White Medical Center -Taylor

Taylor

N/A
Baylor Scott & White Medical Center at Irving

Irving

5
Baylor Scott & White Medical Center Hillcrest

Waco

4
Baylor Scott & White Medical Center Pflugerville

Pflugerville

4
Baylor Scott & White Medical Center Plano

Plano

4
Baylor Scott & White Medical Center- Austin

Austin

N/A
Baylor Scott & White Medical Center- College Stati

College Station

4
Baylor Scott & White Medical Center- Waxahachie

Waxahachie

5
Baylor Scott & White Texas Spine & Joint Hospital

Tyler

5
Baylor Scott & White the Heart Hospital Plano

Plano

5
Baylor Scott and White Medical Center McKinney

Mc Kinney

4
Baylor Scott and White All Saints Medical Center

Fort Worth

4
Baylor Scott and White Emergency Hospital

Burleson

N/A

Hospital Quality in Texas

Texas has 465 Medicare-certified hospitals tracked by the Centers for Medicare & Medicaid Services (CMS). Of these, 22 have earned the highest 5-star overall quality rating, reflecting strong performance across mortality, safety of care, readmission rates, patient experience, and timely and effective care measures.

The average CMS star rating across Texas hospitals is 3.2. 390 facilities have emergency departments, an important factor for communities that depend on nearby acute care. Hospital quality can vary significantly within a state, so comparing individual facility ratings before choosing care is recommended.

Frequently Asked Questions

What is the best hospital in Texas?
The highest-rated hospital in Texas is Ascension Seton Hays in Kyle with a CMS star rating of 5/5. There are 22 five-star hospitals in the state out of 465 Medicare-certified facilities.
How are hospitals rated?
CMS rates hospitals on a 1-to-5 star scale based on quality measures including mortality, safety, patient experience, readmission rates, and timely care. In Texas, the average star rating is 3.2 across rated hospitals.
How many hospitals are in Texas?
Texas has 465 Medicare-certified hospitals, of which 390 have emergency departments. 22 hospitals have earned the highest 5-star CMS rating.

Data from CMS Hospital Compare; patient-experience scores from the HCAHPS survey. Last refreshed: . Learn more