Healthcare spending, insurance rates, and estimated procedure costs in Texas (TX). Per-capita spending is 10% below the national average.
Estimates based on Texas's cost index of 0.97x applied to national average procedure prices. Insured costs assume typical in-network copay/coinsurance at roughly 35% of the full price. Actual costs depend on provider, facility type, and insurance plan.
| Procedure | Estimated Cost | With Insurance | National Avg |
|---|---|---|---|
| Doctor Office Visit | $243 | $85 | $250 |
| Emergency Room Visit | $2,134 | $747 | $2,200 |
| MRI Scan | $1,285 | $450 | $1,325 |
| CT Scan | $800 | $280 | $825 |
| Childbirth (Vaginal) | $13,095 | $4,583 | $13,500 |
| Childbirth (C-Section) | $21,825 | $7,639 | $22,500 |
| Knee Replacement | $33,950 | $11,883 | $35,000 |
| Hip Replacement | $36,860 | $12,901 | $38,000 |
| Appendectomy | $15,520 | $5,432 | $16,000 |
| Colonoscopy | $2,668 | $934 | $2,750 |
| Dental Cleaning | $121 | $42 | $125 |
| Root Canal | $1,067 | $373 | $1,100 |
Texas residents spend an average of $8,456 per person per year on healthcare, which is 10% lower than the national average of $9,421. The state's cost index of 0.97 means that a procedure costing $1,000 nationally would cost approximately $970 in Texas.
Texas has not expanded Medicaid under the ACA, contributing to an uninsured rate of 18.4%. A coverage gap may exist for adults who earn too much for traditional Medicaid but too little for marketplace subsidies.
For the best price on a planned procedure, compare quotes from at least three facilities. Hospital outpatient departments typically charge 2-3x more than ambulatory surgery centers for the same procedure. Under the CMS Hospital Price Transparency rule, all Texas hospitals must publish their negotiated rates — use those files to comparison shop.
Data sources: CMS Hospital Price Transparency, Kaiser Family Foundation, Census Bureau ACS, Healthcare.gov marketplace data. Figures are estimates and may differ from actual billed amounts.
The average per-capita healthcare spending in Texas is $8,456 per year. The cost index is 0.97x the national average, meaning medical procedures cost approximately 3% less than the US average.
Texas has an uninsured rate of 18.4%, compared to the national average of approximately 8%. Texas has not expanded Medicaid under the ACA, contributing to a higher uninsured rate.
Top-rated hospitals in Texas include Houston Methodist Hospital, MD Anderson Cancer Center, UT Southwestern Medical Center, Baylor Scott & White. Rankings are based on CMS Hospital Compare quality ratings, patient outcomes, and specialty accreditations.
The average monthly marketplace health insurance premium in Texas is approximately $489. Actual costs vary based on plan tier (Bronze/Silver/Gold/Platinum), age, household size, and income-based subsidies available through Healthcare.gov.
No, Texas has not expanded Medicaid under the ACA. This means a coverage gap may exist for adults who earn too much for traditional Medicaid but too little for marketplace subsidies.
Data verified · Source: CMS, KFF, Census Bureau & Healthcare.gov data
Our healthcare economists track procedure costs, insurance coverage, and medical pricing across 40+ countries and major US insurance networks. Data sourced from CMS, FAIR Health, and international health ministry databases.
Explore More Data Tools
For adjacent public-data tools, methodology notes, and network updates, visit DataPeek Facts.