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 200 of 465 hospitals on this page (page 4 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 151–200 of 465 hospitals

Hospital Rating
Ennis Regional Medical Center

Ennis

N/A
Exceptional Community Hospital Lubbock

Lubbock

N/A
Faith Community Hospital

Jacksboro

N/A
Falls Community Hospital and Clinic

Marlin

N/A
Fisher County Hospital District

Rotan

N/A
Fort Duncan Medical Center

Eagle Pass

3
Foundation Surgical Hospital of San Antonio

San Antonio

3
Freestone Medical Center

Fairfield

N/A
Frio Regional Hospital

Pearsall

N/A
Georgetown Behavioral Health Institute

Georgetown

N/A
Glen Oaks Hospital

Greenville

N/A
Glen Rose Medical Center

Glen Rose

N/A
Golden Plains Community Hospital

Borger

N/A
Goodall Witcher Hospital

Clifton

N/A
Grace Surgical Hospital

Lubbock

3
Graham Regional Medical Center

Graham

N/A
Grimes St Joseph Health Center

Navasota

N/A
Guadalupe Regional Medical Center

Seguin

2
Hamilton General Hospital

Hamilton

N/A
Hamilton Hospital

Olney

N/A
Hansford County Hospital

Spearman

N/A
Hardeman County Memorial Hospital

Quanah

N/A
Harlingen Medical Center

Harlingen

4
Harris County Psychiatric Center

Houston

N/A
Harris Health

Houston

3
Haskell Memorial Hospital

Haskell

N/A
HCA Houston Healthcare Clear Lake

Webster

3
HCA Houston Healthcare Conroe

Conroe

2
HCA Houston Healthcare Kingwood

Kingwood

2
HCA Houston Healthcare Medical Center

Houston

4
HCA Houston Healthcare Northwest

Houston

3
HCA Houston Healthcare Pearland

Pearland

3
HCA Houston Healthcare Southeast

Pasadena

3
HCA Houston Healthcare Tomball

Tomball

2
HCA Houston Healthcare West

Houston

2
Healthbridge Childrens's Hospital of Houston

Houston

N/A
Heart of Texas Memorial Hospital

Brady

N/A
Hemphill County Hospital

Canadian

N/A
Hendrick Medical Center

Abilene

2
Hendrick Medical Center Brownwood

Brownwood

1
Hereford Regional Medical Center

Hereford

N/A
Hickory Trail Hospital

Desoto

N/A
Hill Country Memorial Hospital

Fredericksburg

4
Hill Regional Hospital

Hillsboro

4
Houston Behavioral Healthcare Hospital LLC

Houston

N/A
Houston Methodist Baytown Hospital

Baytown

5
Houston Methodist Clear Lake Hospital

Nassau Bay

5
Houston Methodist Cypress Hospital

Cypress

N/A
Houston Methodist Hospital

Houston

5
Houston Methodist Sugarland Hospital

Sugar Land

4

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