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Hospitals in Texas with the largest Medicare value-based purchasing bonuses

179 Texas hospitals ranked by value-based purchasing adjustment in the 2026 Medicare (CMS) data. Filter by type, ownership and size, choose the measures you care about, and sort by any column.

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179 hospitals ranked in Texas by value-based purchasing adjustment; 288 more match but have no reported value.

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#HospitalValue-based purchasing adjustmenthigher is betterOverall star ratinghigher is betterPatient survey star ratinghigher is betterHeart attack death ratelower is betterHeart failure death ratelower is betterHospital-wide readmission ratelower is better · 2025 dataSerious complicationslower is betterTime in emergency departmentlower is betterMedicare spending per patientlower is betterTotal beds
National average+0.13%3.311.9%11.1%15.0%1.00162 min1.00
T150Medical City Fort WorthFort Worth, TX · Acute care−0.61%2311.6%7.9%16.9%0.93114 min1.09320Compare
152Huntsville Memorial HospitalHuntsville, TX · Acute care−0.66%23—9.9%15.4%1.05194 min1.13144Compare
153Odessa Regional Medical CenterOdessa, TX · Acute care−0.67%3211.5%9.6%14.3%0.98153 min0.99230Compare
154BSA HospitalAmarillo, TX · Acute care−0.70%2313.2%11.4%14.8%1.19215 min1.06445Compare
155Covenant Medical CenterLubbock, TX · Acute care−0.71%3313.3%9.7%13.5%0.74164 min1.13470Compare
156Methodist Hospital Stone OakSan Antonio, TX · Acute care−0.74%4311.9%10.9%15.4%0.69166 min1.04292Compare
157Dallas Regional Medical CenterMesquite, TX · Acute care−0.76%3313.0%10.7%14.8%1.13166 min1.06172Compare
T158Memorial Hermann Northeast HospitalHumble, TX · Acute care−0.77%3313.1%10.3%15.0%1.12235 min0.99257Compare
T158Sierra Medical CenterEl Paso, TX · Acute care−0.77%2211.9%11.0%14.7%1.11160 min1.06283Compare
160HCA Houston Healthcare SoutheastPasadena, TX · Acute care−0.78%3213.4%12.0%15.6%0.87122 min1.11481Compare
161VHS Harlingen Hospital Company LLCHarlingen, TX · Acute care−0.78%2212.0%7.9%14.6%1.08145 min1.04578Compare
162Hendrick Medical CenterAbilene, TX · Acute care−0.80%3312.7%13.0%15.1%0.92128 min1.10615Compare
163Columbus Community HospitalColumbus, TX · Acute care−0.83%23—11.2%14.9%0.97180 min1.4240Compare
164Medical Center HospitalOdessa, TX · Acute care−0.84%3311.6%10.9%15.0%1.28150 min1.11402Compare
165Christus Santa Rosa Medical CenterSan Antonio, TX · Acute care−0.85%3313.0%9.0%14.4%1.34170 min1.10601Compare
166Medical City LewisvilleLewisville, TX · Acute care−0.89%3312.4%12.1%15.4%0.90122 min1.10202Compare
167Harris HealthHouston, TX · Acute care−0.90%33—9.7%15.1%1.08367 min0.98975Compare
168De Tar Hospital NavarroVictoria, TX · Acute care−0.92%2214.1%11.6%14.5%0.83128 min1.16278Compare
169Medical City Dallas HospitalDallas, TX · Acute care−0.98%3213.9%10.7%15.5%0.69140 min1.04963Compare
170Medical City ArlingtonArlington, TX · Acute care−1.02%2211.3%8.6%16.2%0.91131 min1.04420Compare
171University Medical Center Of El PasoEl Paso, TX · Acute care−1.06%3312.2%13.7%15.4%1.31240 min1.12354Compare
T172Hunt Regional Medical CenterGreenville, TX · Acute care−1.09%2312.1%11.4%16.2%1.33176 min1.05192Compare
T172Navarro Regional HospitalCorsicana, TX · Acute care−1.09%23—13.4%16.6%0.91175 min1.02162Compare
174Paris Regional Medical CenterParis, TX · Acute care−1.12%1213.4%11.6%15.4%0.79124 min1.06368Compare
175Wilson N Jones Regional Medical CenterSherman, TX · Acute care−1.23%2311.7%10.5%14.6%1.06156 min1.15241Compare
176CHI St Joseph Health Regional HospitalBryan, TX · Acute care−1.41%2314.4%10.5%14.9%0.90158 min1.07316Compare
177Midland Memorial HospitalMidland, TX · Acute care−1.44%1314.5%15.1%14.9%1.12193 min1.15540Compare
178The Hospitals Of Providence - East CampusEl Paso, TX · Acute care−1.49%2213.8%13.7%15.1%0.91158 min1.02238Compare
179Hendrick Medical Center BrownwoodBrownwood, TX · Acute care−1.49%1214.2%12.0%15.4%0.91180 min1.10216Compare

About these rankings

Rankings use the 2026 release of CMS Care Compare data. Hospitals share a rank (“T”) when their values are equal, and only hospitals with a reported value for the sorted measure are ranked. Shading compares each value with every hospital in the country, so it doesn’t change with your filters. Small differences are often not statistically meaningful; use the methodology and glossary for context.

Value-based purchasing adjustment
Change to Medicare payments under Hospital Value-Based Purchasing: a bonus (positive) or penalty (negative, up to 2%) based on the Total Performance Score..
Overall star rating
CMS overall hospital quality star rating (1-5).
Patient survey star rating
HCAHPS summary star rating (1-5).
Heart attack death rate
30-day death rate for heart attack patients.
Heart failure death rate
30-day death rate for heart failure patients.
Hospital-wide readmission rate
Rate of unplanned readmission within 30 days, all conditions. From 2025 CMS reports the Hybrid Hospital-Wide Readmission measure (claims plus EHR data), which replaced the claims-only measure; values are close but not strictly comparable across the change. CMS suppressed it for 2026.. Latest available: 2025 release.
Serious complications
Patient safety and adverse events composite (PSI 90; 1.0 = national value).
Time in emergency department
Median time patients spent in the emergency department before leaving.
Medicare spending per patient
Medicare spending per beneficiary episode relative to the national median (1.0 = national median).
Total beds
Total beds reported to CMS (Provider of Services file).