State Breakdown

Texas

Effective September 1, 2023, Texas adopted legislation (Tex. Health & Safety Code § 161.702) that placed age limits on sex change treatments for minors.

The American Institute for Plastic Surgery and Surgery Center of Texas LP is disputing the data provided to DNH that was used to compile the database and the information will be updated if there is a resolution to that dispute.

Washington
435

Total Sex Change Patients

info icon Total unique children who underwent gender-affirming procedures or hormone/puberty blocker therapy.
213

Total Surgery Patients

info icon Total unique children who underwent gender-affirming surgical procedures.
230

Total Hormone and Puberty Blocker Patients

info icon Total unique children who were prescribed puberty blockers or received gender-affirming hormone therapy.
1422

Total Prescriptions Written

info icon Total number of scripts for puberty blockers or gender-affirming hormones.
$7,032,287

Total Submitted Charges

info icon Total amount submitted by providers or pharmacies to insurance for services, treatments, or prescriptions, before any reviews or adjustments. Includes medical procedures and prescription charges but may not reflect the final amount after negotiations.

Children's Hospitals in Texas

Children's Hospital Total Sex Change Patients Surgery Patients Hormone and Puberty Blocker Patients Prescriptions Written Submitted Charges
Dallas, TX Children's Medical Center Dallas 49 0 49 361 $23,634
Fort Worth, TX Cook Children's Healthcare System 3 0 3 15 $624
Lubbock, TX Covenant Children's Hospital 2 0 2 6 $8
Austin, TX Dell Children's Medical Center of Central Texas 16 0 16 73 $5,370
Corpus Christi, TX Driscoll Children's Hospital 1 1 0 0 $51,195
El Paso, TX El Paso Children's Hospital 5 1 4 15 $163
Houston, TX Texas Children's Hospital 30 2 28 227 $11,147


All Facilities in Texas

For procedure data, facility and state details are based on the healthcare organization’s (HCO) NPI record in NPPES.
For prescription data, facility details are inferred from the healthcare provider’s (HCP) NPI record in NPPES and other publicly available provider directories and may not reflect the actual location where the prescription was written.

SEX CHANGE PATIENTS: Total unique children who underwent “gender-affirming” surgical procedures or hormone/puberty blocker therapy.

TOTAL SURGERY PATIENTS: Total unique children who underwent “gender-affirming” surgical procedures.

TOTAL HORMONE AND PUBERTY BLOCKERS PATIENTS: Total unique children who were prescribed puberty blockers or received gender-affirming hormone therapy.

TOTAL PRESCRIPTIONS WRITTEN: Total number of prescriptions written by a provider for puberty blockers or gender-affirming hormones for children.

TOTAL SUBMITTED CHARGES: This is the initial amount a healthcare provider or pharmacy submits to the insurance company for a specific service, treatment, or prescription before the insurance company reviews and adjusts the payment. This value includes both the pharmacy-submitted cost of prescription drug claims and the line-item charges associated with medical procedures. Please note that this amount does not necessarily reflect the full cost of the procedure or prescription, as it is subject to adjustments and negotiations by the insurance company.

For more information on the specific procedure and diagnostic codes and other methodology used to make these determination, read our white paper here.

Facility Total Sex Change Patients Surgery Patients Hormone and Puberty Blocker Patients Prescriptions Written Submitted Charges
American Institute for Plastic Surgery and Surgery Center of Texas LP 66 66 0 0 $4,548,590
William P. Clements Jr. University Hospital 40 40 0 0 $799,889
Arise Austin Medical Center 13 13 0 0 $680,028
Memorial Houston Surgery Center LLC 15 15 0 0 $336,669
Houston Methodist Hospital 16 15 1 4 $120,935
St. David's North Austin Medical Center 6 6 0 0 $57,768
The Hospital at Westlake Medical Center 17 16 1 3 $56,572
Renown Regional Medical Center 1 0 1 1 $54,235
HCA Houston Healthcare Medical Center 1 1 0 0 $52,569
University of Texas Medical Branch 3 3 0 0 $42,707
Dallas County Hospital District 1 1 0 0 $33,415
Independent Facility 61 0 61 342 $27,841
Bailey Square Ambulatory Surgical Center Ltd 1 1 0 0 $22,396
St. David's Medical Center 5 5 0 0 $22,279
University of Texas Southwestern Medical Center at Dallas 1 1 0 0 $15,750
Medical City Plano 3 1 2 3 $14,714
Northwest Hills Surgical Hospital 1 1 0 0 $9,490
Parkland Health 4 4 0 0 $6,544
Baylor Scott & White Medical Center Temple 6 2 4 26 $5,707
Baylor Scott & White All Saints Medical Center Fort Worth 1 1 0 0 $5,249
Texas Health Fort Worth 3 0 3 31 $3,674
Baptist Medical Center 1 0 1 17 $3,320
CHRISTUS Mother Frances Hospital Tyler 2 0 2 34 $2,393
Physicians Surgical Center of Ft. Worth LLP 1 1 0 0 $2,333
Covenant Medical Center 5 0 5 16 $2,275
Methodist Richardson Medical Center 1 1 1 2 $1,649
Texas Health Plano 4 0 4 21 $1,164
Medical City Alliance 1 0 1 7 $990
Texas Health Arlington Memorial 1 0 1 5 $968
CHRISTUS Health Santa Rosa Hospital San Marcos 1 0 1 1 $687
Baylor Scott & White Medical Center Round Rock 2 0 2 19 $671
Big Bend Regional Medical Center 2 0 2 3 $601
BSA Hospital 4 0 4 26 $574
Medical City Dallas 2 0 2 9 $558
Texoma Medical Center 2 0 2 4 $553
Doctors Hospital at Renaissance Health 1 0 1 4 $426
Shannon Medical Center 1 0 1 27 $380
Methodist Hospital 4 0 4 11 $355
Ascension Seton Medical Center Austin 2 1 1 1 $342
Medical City Las Colinas 1 0 1 8 $335
Memorial Hermann Texas Medical Center 8 6 2 4 $242
West Oaks Hospital 1 0 1 2 $236
Our Children's House Dallas 2 0 2 10 $221
Medical City Lewisville 1 0 1 4 $221
Navarro Regional Hospital 1 0 1 5 $209
Ascension Providence 1 0 1 1 $158
Houston Methodist The Woodlands Hospital 2 0 2 2 $149
El Paso LTAC Hospital 1 0 1 1 $143
Baptist Hospitals of Southeast Texas Beaumont 2 0 2 2 $134
Memorial Hermann Southwest Hospital 1 0 1 3 $132
Texas Health Southwest Fort Worth 2 0 2 6 $126
UT Health North Campus Tyler 1 0 1 6 $105
CHI St. Joseph Regional Health Care Center 4 0 4 9 $96
CHRISTUS Mother Frances Hospital Sulphur Springs 1 0 1 3 $81
Hendrick Medical Center 1 0 1 2 $72
Permian Regional Medical Center 1 0 1 1 $58
Texas Health Frisco 1 0 1 1 $28
CHI St. Luke’s Health Memorial Lufkin 1 0 1 2 $27
Rolling Plains Memorial Hospital 1 0 1 2 $26
Hunt Regional Medical Center 2 0 2 4 $25
Ascension Seton Edgar B. Davis 1 0 1 1 $20
Park City Hospital 1 0 1 1 $12
Palo Pinto General Hospital 1 0 1 2 $12
Graham Regional Medical Center 1 0 1 2 $12
Rio Vista Behavioral Health 1 0 1 1 $2
The Woman's Hospital of Texas 1 0 1 4 $0
St. Joseph Medical Center 1 1 0 0 $0
Clinical Pathology Laboratories Inc 2 2 0 0 $0
Michael L. Eisemann MD PA FACS 1 1 0 0 $0
Ben Taub Hospital 1 1 0 0 $0
Memorial Hermann Heart & Vascular Institute Texas Medical Center 6 6 0 0 $0
Sandeep G. Mistry MD PA 1 1 0 0 $0
El Paso Day Surgery LLC 1 1 0 0 $0
THOP Memorial Campus 1 1 0 0 $0
American Surgical Holdings Inc 1 1 0 0 $0
Proficio Surgical Assistants LLC 1 1 0 0 $0
Memorial Hermann Katy Hospital 1 1 0 0 $0
Austin Anesthesiology Group PLLC 1 1 0 0 $0
IMS Experts LLC 1 1 0 0 $0
TOPS Surgical Specialty Hospital 2 2 0 0 $0
Baylor Scott & White Medical Center College Station 3 2 1 1 $0
Crescent Regional Hospital 1 1 0 0 $0
North Austin Surgery Center LP 1 1 0 0 $0
UT Physicians 1 1 0 0 $0
Memorial Hermann Memorial City Medical Center 1 1 0 0 $0
The Children's Hospital of San Antonio 1 0 1 3 $0
Elisabeth Potter MD PLLC 1 1 0 0 $0
University of Texas MD Anderson Cancer Center 3 3 0 0 $0
Memorial Hermann Southeast Hospital 1 1 0 0 $0
Las Palmas Medical Center 1 0 1 4 $0
CHRISTUS Southeast Texas St. Elizabeth 1 1 0 0 $0
Houston Methodist West Hospital 1 0 1 11 $0