Hospitals to give birth in San Marcos, TX

3 hospitals within 20 miles of San Marcos meet the Birthing-Friendly criteria from the Centers for Medicare & Medicaid Services (CMS). Compare their CMS star ratings, what patients said in Medicare's survey, and how far each one is from central San Marcos, then take the tour questions below with you.

Birthing-Friendly hospitals near San Marcos, TX

  1. CHRISTUS Santa Rosa Hospital-San Marcos

    San Marcos · 2.2 mi away

    CMS rating
    4/5
    Patient survey
    3/5
    Would recommend
    71%
    1301 Wonder World Drive, San Marcos, TX 78666 (512) 753-3511
  2. Resolute Health Hospital

    New Braunfels · 13.6 mi away

    CMS rating
    4/5
    Patient survey
    3/5
    Would recommend
    74%
    555 Creekside Xing,, New Braunfels, TX 78130 (469) 839-6778
  3. Ascension Seton Hays

    Kyle · 10.2 mi away

    CMS rating
    3/5
    Patient survey
    3/5
    Would recommend
    66%
    6001 Kyle Pkwy, Kyle, TX 78640 (512) 324-5000

Ratings from CMS Care Compare, updated October 2026. Both ratings cover the whole hospital, not labor and delivery alone.

Questions to ask on a hospital tour

Ratings only go so far. These answers differ between labor and delivery units in San Marcos, so ask each hospital on your shortlist, on a tour or over the phone.

  1. How many support people can be with me in labor, and does a doula count toward that limit?
  2. What is your cesarean rate for first-time mothers with a low-risk, full-term, head-down baby (the NTSV rate)?
  3. What level is your NICU, and which babies do you transfer to another hospital?
  4. Are midwives on staff, and can they attend my birth if my OB is not on call?
  5. Is an anesthesiologist in the hospital around the clock for epidurals?
  6. Do you support laboring in water, wireless monitoring and moving around during labor?
  7. Does my baby stay in my room, and when can I see a lactation consultant?
  8. Do you offer a VBAC (vaginal birth after cesarean) if I have had a C-section before?

How this list is sorted

Every hospital here meets the CMS Birthing-Friendly designation: it reports taking part in a statewide or national perinatal quality improvement program and using that program's recommended safety practices. The designation is self-reported and most hospitals that deliver babies hold it, so treat it as a baseline, not a ranking.

We sort by the CMS overall hospital star rating, then by the patient survey star rating, then by distance. The overall rating combines mortality, safety, readmission, patient experience and timely care across the whole hospital. The survey rating comes from patients' answers to Medicare's HCAHPS survey about their stay.

CMS does not yet publish cesarean or severe complication rates for each hospital, so ask the hospitals on your shortlist for theirs.

FAQs

How many Birthing-Friendly hospitals are near San Marcos, TX?

Which hospital near San Marcos, TX has the highest CMS star rating?

Can I bring a doula to a hospital birth in San Marcos?

What does Birthing-Friendly mean?