| 1 | BIG BEND REGIONAL MEDICAL CENTER | ALPINE | 98.00% | Not rated | |
| 2 | GRAHAM REGIONAL MEDICAL CENTER | GRAHAM | 95.00% | Not rated | |
| 3 | CHRISTUS GOOD SHEPHERD MEDICAL CENTER | LONGVIEW | 94.00% | ★★★★★ | |
| 4 | UT HEALTH EAST TEXAS PITTSBURG HOSPITAL | PITTSBURG | 94.00% | ★★★★★ | |
| 5 | BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING | IRVING | 93.00% | ★★★★★ | |
| 6 | TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE | AZLE | 92.00% | ★★★★★ | |
| 7 | METHODIST MIDLOTHIAN MEDICAL CENTER | MIDLOTHIAN | 92.00% | ★★★★★ | |
| 8 | TEXAS HEALTH HOSPITAL MANSFIELD | MANSFIELD | 90.00% | ★★★★★ | |
| 9 | CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | LIVINGSTON | 89.00% | ★★★★★ | |
| 10 | BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE | GRAPEVINE | 89.00% | ★★★★★ | |
| 11 | TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON | DENTON | 89.00% | ★★★★★ | |
| 12 | SEYMOUR HOSPITAL | SEYMOUR | 88.00% | Not rated | |
| 13 | HOUSTON METHODIST THE WOODLANDS HOSPITAL | THE WOODLANDS | 88.00% | ★★★★★ | |
| 14 | BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | TEMPLE | 87.00% | ★★★★★ | |
| 15 | RIO GRANDE REGIONAL HOSPITAL | MCALLEN | 87.00% | ★★★★★ | |
| 16 | METHODIST MANSFIELD MEDICAL CENTER | MANSFIELD | 87.00% | ★★★★★ | |
| 17 | THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER | TYLER | 86.00% | ★★★★★ | |
| 18 | METHODIST CHARLTON MEDICAL CENTER | DALLAS | 86.00% | ★★★★★ | |
| 19 | BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO | PLANO | 86.00% | ★★★★★ | |
| 20 | SETON MEDICAL CENTER HARKER HEIGHTS | HARKER HEIGHTS | 86.00% | ★★★★★ | |
| 21 | ROLLING PLAINS MEMORIAL HOSPITAL | SWEETWATER | 85.00% | Not rated | |
| 22 | METHODIST RICHARDSON MEDICAL CENTER | RICHARDSON | 85.00% | ★★★★★ | |
| 23 | ST DAVID'S SOUTH AUSTIN MEDICAL CENTER | AUSTIN | 85.00% | ★★★★★ | |
| 24 | BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | FRISCO | 85.00% | ★★★★★ | |
| 25 | CHRISTUS MOTHER FRANCES HOSPITAL- JACKSONVILLE | JACKSONVILLE | 85.00% | Not rated | |
| 26 | YOAKUM COMMUNITY HOSPITAL | YOAKUM | 85.00% | ★★★★★ | |
| 27 | BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY | MC KINNEY | 85.00% | ★★★★★ | |
| 28 | THE HOSPITALS OF PROVIDENCE HORIZON CITY CAMPUS | HORIZON CITY | 85.00% | Not rated | |
| 29 | METHODIST SOUTHLAKE MEDICAL CENTER | SOUTHLAKE | 85.00% | Not rated | |
| 30 | JPS HEALTH NETWORK | FORT WORTH | 84.00% | ★★★★★ | |
| 31 | CHRISTUS SPOHN HOSPITAL BEEVILLE | BEEVILLE | 84.00% | ★★★★★ | |
| 32 | HCA HOUSTON HEALTHCARE SOUTHEAST | PASADENA | 84.00% | ★★★★★ | |
| 33 | TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN | KAUFMAN | 84.00% | Not rated | |
| 34 | METHODIST DALLAS MEDICAL CENTER | DALLAS | 83.00% | ★★★★★ | |
| 35 | TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F | FORT WORTH | 83.00% | ★★★★★ | |
| 36 | UVALDE MEMORIAL HOSPITAL | UVALDE | 83.00% | ★★★★★ | |
| 37 | UNIVERSITY HEALTH SYSTEM | SAN ANTONIO | 82.00% | ★★★★★ | |
| 38 | TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILL | STEPHENVILLE | 82.00% | ★★★★★ | |
| 39 | UT HEALTH EAST TEXAS HENDERSON HOSPITAL | HENDERSON | 82.00% | ★★★★★ | |
| 40 | ASCENSION SETON SOUTHWEST | AUSTIN | 82.00% | Not rated | |
| 41 | CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI | CORPUS CHRISTI | 81.00% | ★★★★★ | |
| 42 | CHRISTUS MOTHER FRANCES HOSPITAL | TYLER | 81.00% | ★★★★★ | |
| 43 | CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS | SULPHUR SPRINGS | 81.00% | ★★★★★ | |
| 44 | UT HEALTH EAST TEXAS ATHENS HOSPITAL | ATHENS | 81.00% | ★★★★★ | |
| 45 | MEDICAL CITY LEWISVILLE | LEWISVILLE | 81.00% | ★★★★★ | |
| 46 | HCA HOUSTON HEALTHCARE TOMBALL | TOMBALL | 81.00% | ★★★★★ | |
| 47 | WOMANS HOSPITAL OF TEXAS,THE | HOUSTON | 81.00% | ★★★★★ | |
| 48 | BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE | ROWLETT | 81.00% | ★★★★★ | |
| 49 | HOUSTON METHODIST WEST HOSPITAL | HOUSTON | 81.00% | ★★★★★ | |
| 50 | BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | BUDA | 81.00% | Not rated | |