Healthcare Insights
Top 25 hospitals in Texas ranked by net patient revenue
With a population count of nearly 30 million people as of the 2020 Decennial Census, Texas is the second most populated state in the U.S. According to Definitive Healthcare data, the state has more than 900 active hospitals.
Below, we used HospitalView to identify the top 25 hospitals in Texas ranked by net patient revenue (NPR).
| Rank | Hospital name | City | Net patient revenue | # of discharges | # of staffed beds | Explore dataset |
|---|---|---|---|---|---|---|
| 1 | University of Texas MD Anderson Cancer Center | Houston | 6,062,692,352 | 29,931 | 756 | Explore |
| 2 | Houston Methodist Hospital (FKA the Methodist Hospital) | Houston | 3,100,740,352 | 42,609 | 1,000 | Explore |
| 3 | Texas Children’s Hospital | Houston | 3,045,921,280 | 34,534 | 905 | Explore |
| 4 | Memorial Hermann - Texas Medical Center | Houston | 2,987,785,472 | 54,207 | 1,137 | Explore |
| 5 | Methodist Hospital | San Antonio | 2,665,395,712 | 106,012 | 811 | Explore |
| 6 | William P Clements Jr University Hospital (FKA UT Southwestern University Hospital - St Paul) | Dallas | 2,611,149,568 | 33,171 | 728 | Explore |
| 7 | Memorial Hermann Southwest Hospital | Houston | 2,304,446,720 | 84,586 | 547 | Explore |
| 8 | Children’s Medical Center Dallas | Dallas | 2,030,958,720 | 14,653 | 406 | Explore |
| 9 | Baylor Scott & White Medical Center - Temple | Temple | 2,025,178,368 | 34,259 | 616 | Explore |
| 10 | Cook Children’s Medical Center | Fort Worth | 1,868,356,992 | 10,380 | 453 | Explore |
| 11 | University Hospital (AKA University Health) | San Antonio | 1,458,758,144 | 39,411 | 764 | Explore |
| 12 | Baptist Medical Center | San Antonio | 1,438,687,104 | 59,705 | 1,585 | Explore |
| 13 | Baylor University Medical Center - Dallas | Dallas | 1,358,351,744 | 36,383 | 800 | Explore |
| 14 | Medical City Dallas | Dallas | 1,356,415,488 | 34,297 | 781 | Explore |
| 15 | John Sealy Hospital | Galveston | 1,335,809,920 | 38,843 | 837 | Explore |
| 16 | CHI St Lukes Health - Baylor St Lukes Medical Center | Houston | 1,271,463,040 | 23,355 | 648 | Explore |
| 17 | Texas Health Fort Worth (FKA Texas Health Harris Methodist Hospital Fort Worth) | Fort Worth | 1,232,554,496 | 42,270 | 729 | Explore |
| 18 | Parkland Health (FKA Parkland Health and Hospital System) | Dallas | 1,172,520,192 | 49,672 | 790 | Explore |
| 19 | St Davids Medical Center | Austin | 1,011,754,240 | 28,664 | 350 | Explore |
| 20 | Doctors Hospital at Renaissance Health (AKA DHR Health) | Edinburg | 992,401,408 | 24,134 | 235 | Explore |
| 21 | Dell Children’s Medical Center | Austin | 990,917,888 | 10,177 | 310 | Explore |
| 22 | CHRISTUS Mother Frances Hospital - Tyler | Tyler | 982,779,904 | 30,809 | 518 | Explore |
| 23 | HCA Houston Healthcare Kingwood (FKA Kingwood Medical Center) | Kingwood | 965,991,680 | 38,343 | 567 | Explore |
| 24 | Driscoll Children’s Hospital | Corpus Christi | 955,080,192 | 3,786 | 225 | Explore |
| 25 | Medical City Plano (FKA Medical Center of Plano) | Plano | 935,953,664 | 30,06 | 584 | Explore |
Fig. 1 Data is from Definitive Healthcare’s HospitalView product. Data accessed September 2025.
Which hospital has the highest net patient revenue?
The University of Texas MD Anderson Cancer Center has the highest net patient revenue in Texas with $6.06 billion.
In second place is Houston Methodist Hospital, with an NPR of $3.10 billion.
Rounding out the top three is the Texas Children’s Hospital with $3.04 billion.
Six of the 25 listed hospitals are located in Houston, including the top three. Houston hospitals account for $18.8 billion (40%) of the $46.2 billion generated by Texas’ top 25 highest-earning hospitals.
What is a net patient revenue?
Net patient revenue (NPR) is the aggregate money generated from patient services collected from payors, including private insurance, Medicaid and Medicare. The calculation for NPR is the total patient revenues minus patient discounts. If a healthcare organization has a negative NPR, its discounts are greater than its total revenue.
NPR does not factor in contractual adjustments, charitable donations, foundation earnings or bad debt.
Why do hospitals calculate their NPR?
A healthcare organization’s net patient revenue is a key indicator of that organization’s financial strength. By knowing the state of an organization’s financial performance, it can help develop meaningful business strategies and ensure that all their operations are adequately funded.
Fluctuating patient volumes and decreasing reimbursement rates have both resulted in a lack of financial growth for many hospitals across the country. To improve their revenue growth strategy, healthcare providers can use healthcare commercial intelligence like payor claims, diagnosis and procedure trends, and patient leakage metrics to reach a better understanding of their market.
Learn more
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