Best Hyperbaric Oxygen Therapy in Texas: 2026 Guide

Texas hosts more hyperbaric facilities than any state besides Florida and California. Sorting the real ones from the marketing ones takes work. This guide focuses on what regulators and the medical literature actually say.

We pulled the UHMS accredited facility directory for Texas. We cross-referenced our own database of 57 mapped Texas HBOT entities. We checked the FDA 510(k) database for cleared chamber models.

A note on framing. The FDA has cleared HBOT for 13 specific indications. Anything else — long COVID, autism, anti-aging, traumatic brain injury — is off-label.

Off-label is not illegal. It is also not FDA-cleared. We flag the distinction throughout the guide.

What "best" actually means here

Most "best HBOT clinic" listicles rank by Google reviews. That tells you about waiting-room comfort, not clinical quality. We sort by three criteria that map to outcomes.

First: UHMS accreditation. The Undersea and Hyperbaric Medical Society audits facilities every three years against published safety standards. "With Distinction" is the top tier.

Second: chamber pressure and shell type. A hard-shell monoplace chamber at 2.0-2.4 ATA delivers roughly 10x the arterial oxygen pressure of a soft-shell at 1.3 ATA (Tibbles & Edelsberg 1996). The chambers are not interchangeable.

Third: medical oversight. Wound-care HBOT runs under a physician trained in undersea and hyperbaric medicine. Wellness HBOT often runs under a chiropractor, naturopath, or technician.

Texas UHMS-accredited facilities

These 11 facilities passed the most recent UHMS audit. Six earned "With Distinction." All are hospital-based wound-care programs.

Memorial Hermann in Houston runs one of the larger multiplace chambers in the state. It treats decompression illness and carbon monoxide poisoning out of the Texas Medical Center hub. See the carbon monoxide poisoning evidence atlas for the full study-by-study evidence breakdown.

The Baylor and Methodist clinics in Dallas form the densest cluster of accredited HBOT in Texas. Brooke Army Medical Center in San Antonio holds the longest continuous accreditation in the state.

The military program at Brooke handles military and DoD cases plus civilian referrals. Active-duty members get priority access.

For more on what UHMS accreditation actually verifies, read our explainer on UHMS-accredited facilities. The short version: it audits safety, not efficacy.

Wellness chains: Restore Hyper Wellness

Restore Hyper Wellness runs roughly 30 locations across Texas. All use soft-shell 1.3 ATA chambers.

Soft-shell chambers fall under the FDA's "general wellness" pathway, not the medical-device 510(k) pathway (FDA guidance 2019). That is a meaningful regulatory distinction.

The chambers are not FDA-cleared to treat any medical condition. They are sold for "general wellness" use. Restore makes this clear in its disclaimers, though marketing copy can blur the line.

Texas Restore locations cluster around Austin (5 locations), Dallas-Fort Worth (8), Houston (4), and San Antonio (2). Per-session pricing typically runs $50 to $100. Membership plans drop the per-session rate.

None of the Texas Restore clinics hold UHMS accreditation. That is consistent with the soft-shell wellness model.

If you are considering a soft-shell wellness session, our comparison of mild vs medical HBOT lays out where the evidence supports each.

Independent hard-shell clinics

A small number of Texas clinics run hard-shell 2.0+ ATA chambers outside the hospital wound-care system. These are typically physician-owned. They treat both FDA-approved indications and off-label uses.

Austin / Central Texas

• ATX Hyperbarics (Austin) — hard-shell monoplace; private-pay model
• Hyperbaric Oxygen Treatment Center (Austin) — hard-shell, (512) 831-5397
• St. David's North Austin Medical Center — hospital-affiliated hard-shell

Dallas-Fort Worth

• Hyperbaric Centers of Texas (Dallas / Coppell / Lewisville) — hard-shell monoplace
• Alive and Well (Dallas) — hard-shell with integrative-medicine framing
• Advanced Wound Care (McKinney) — hard-shell, (214) 544-6010

Houston

• Athré Facial Plastics (Houston) — hard-shell, post-surgical recovery focus
• Memorial Hermann (Houston) — full multiplace, UHMS-accredited

El Paso / West Texas

• Las Palmas Medical Center (El Paso) — UHMS-accredited hospital program
• Dr. Alex Jimenez DC integrated care (El Paso) — chiropractic-led; hard-shell

We cannot verify pricing for all of these because most do not publish it. A reasonable expectation for a hard-shell session in Texas is $250 to $500 out of pocket.

Insurance pays only for the 14 FDA-approved indications. Out of pocket means out of pocket.

How chambers are regulated

The FDA's 510(k) database lists 69 cleared hyperbaric chambers under product code CBF. This is the medical-device pathway. It covers most hard-shell monoplace and multiplace chambers used in hospital wound-care centers.

Manufacturers with multiple FDA-cleared chambers include Sechrist Industries (5 clearances since 1991). Perry Baromedical holds 6 across two corporate entities. Reimers Systems has 5.

Newer entrants include Fink Engineering (Australia-based, cleared 2024). OxyHeal Medical Systems had its most recent clearance in 2017.

Soft-shell chambers operating at 1.3 ATA are a separate category. Most are not FDA-cleared as medical devices.

They fall under the general wellness pathway introduced in 2019. The pathway requires only that the chamber be low-risk and not claim to treat any specific disease.

For the full list of 510(k)-cleared chambers and how to verify a clinic's specific model, see our FDA-cleared chambers complete list.

Insurance coverage in Texas

Medicare covers HBOT for 14 conditions (CMS LCD L33718). The most common in practice are diabetic foot ulcers (Wagner grade 3+ after 30 days of failed standard care). Late-effect radiation tissue damage and chronic refractory osteomyelitis are next. See the osteomyelitis evidence atlas for the full study-by-study evidence breakdown.

Texas Medicaid follows Medicare's coverage policy for most HBOT indications. Commercial insurers in Texas — Blue Cross Blue Shield Texas, Aetna, UnitedHealthcare, Cigna — generally follow Medicare. Prior authorization is standard.

Off-label uses are almost never covered. The VA has studied HBOT for TBI and PTSD in active research protocols. The VA has not adopted HBOT as standard treatment for those conditions.

If a Texas clinic claims they can bill insurance for an off-label indication, ask which CPT and diagnosis codes they use. Then call your insurer to verify. We have seen clinics use the diabetic-foot codes for unrelated conditions; that is fraud.

What to ask before booking

A few questions cut through marketing. Ask each one before paying for a session.

What is the chamber manufacturer and model? Look up the K-number on openFDA. If the clinic cannot answer, that is a red flag.

What pressure does the chamber run at? Hard-shell clinical chambers run 2.0 to 2.4 ATA. Soft-shell wellness chambers run 1.3 ATA.

Who is the supervising physician? For FDA-approved indications, look for UHMS certification or American Board of Preventive Medicine UHM certification. For wellness use, ask anyway.

Is the facility UHMS-accredited? Use the UHMS accredited facility directory to verify. Self-reported accreditation is sometimes wrong.

What is the cost per session and the total protocol length? The standard wound-care protocol is 30-40 sessions. Anti-aging protocols promoted by some clinics run 60+ sessions.

Multiply per-session cost by total sessions before signing anything. For the broader framing on session counts, read our 40-session protocol explainer.

Aviv Clinics: the elephant outside the room

Aviv Clinics does not operate in Texas as of 2026. Its only US flagship is in The Villages, Florida. We mention it because Texas patients regularly travel to Aviv on the recommendation of TX wellness clinics.

The Aviv protocol is a 60-session anti-aging program priced around $50,000. It is built on research from the Sagol Center in Israel (Hadanny et al. 2020).

That research is real. The way it has been marketed exceeds what the research actually shows.

We unpacked the gap in detail. Our Aviv evidence-vs-marketing analysis walks through what the underlying studies say and what they do not say.

The TL;DR: cognitive-aging research is preliminary. The trials have methodological issues. The marketing language ("turn back biological age") is not supported by the data.

Off-label uses: what the evidence shows

Texas clinics market HBOT for a long list of off-label conditions. The evidence base varies widely. We summarize the major ones below.

On traumatic brain injury: the HOPPS trial (Hyperbaric Oxygen for Persistent Post-concussive Symptoms, 2015) and Department of Defense BIMA trial (2018) found no benefit over sham. Smaller positive trials exist, but the largest controlled trials do not show benefit.

On long COVID: a 2022 Israeli RCT showed cognitive improvement in 73 post-COVID patients after 40 sessions at 2.0 ATA. The study has been criticized for sham-control issues, and more trials are in progress.

On autism: the Rossignol 2009 trial reported benefit at 1.3 ATA in 62 children. A later Granpeesheh 2010 trial found no benefit, and the American Academy of Pediatrics does not recommend HBOT for autism.

Our HBOT for ADHD evidence review covers neurodevelopmental claims in more depth.

On anti-aging and longevity: single-center research from the Sagol Center, with no multi-center confirmation. Marketing claims are well ahead of the evidence.

On non-diabetic wound healing: modest evidence for venous and pressure ulcers. Stronger evidence for radiation tissue injury, which is FDA-approved.

Major medical centers: institutional silence

A pattern worth noting. None of the major Texas academic medical centers publicly promote HBOT for off-label conditions. UT Southwestern, Baylor College of Medicine, MD Anderson, and UTHealth Houston all run hyperbaric programs.

All restrict them to FDA-approved indications. The contrast with marketing clinics is sharp. Academic centers do not advertise HBOT for TBI, long COVID, or autism.

We unpack why in our institutional silence on HBOT analysis. The short version: research-active centers have the same data wellness clinics do.

They have chosen not to translate that data into clinical practice for off-label indications. That choice tells you something.

Bottom line for Texas patients

If you have an FDA-approved indication, use a UHMS-accredited hospital program. The list above covers all 11 in Texas.

If you are considering HBOT for an off-label indication, slow down. Read the relevant trials. Talk to a physician outside the clinic recommending the protocol.

If a clinic in Texas runs a hard-shell 2.0+ ATA chamber and a UHMS-certified physician, you are getting clinical-grade HBOT regardless of indication. The pharmacology is the same. The question is whether the underlying evidence supports your use case.

If a clinic runs a soft-shell 1.3 ATA chamber, you are getting wellness HBOT. The physiological effect is meaningfully different. Treat claims accordingly.

Related Reading

• How to verify a clinic's chamber is medical grade
• FDA-cleared hyperbaric chambers complete list
• UHMS-accredited HBOT facilities: what certification means
• Mild HBOT vs medical HBOT: why 1.3 ATA is controversial
• Best HBOT clinics in Florida 2026

Frequently asked questions

How much does HBOT cost in Texas without insurance?

Hard-shell clinical sessions run $250 to $500. Soft-shell wellness sessions run $50 to $100. A standard 40-session protocol therefore ranges from $2,000 to $20,000 in Texas.

Does Medicare cover HBOT in Texas?

Yes, for 14 specific indications listed in CMS LCD L33718. Prior authorization is required. Off-label uses are not covered.

Are soft-shell chambers FDA-approved?

Most are not FDA-cleared as medical devices. They fall under the FDA's general-wellness policy, which permits sale for non-medical wellness use but bars disease-treatment claims.

Can I get HBOT for long COVID in Texas?

Some clinics offer it as off-label care. Insurance does not cover it. The strongest supporting trial is small and methodologically debated.

What is UHMS "With Distinction" accreditation?

A top-tier rating awarded by the Undersea and Hyperbaric Medical Society after on-site audit. It requires above-baseline staffing, training, and emergency protocols.

Medical disclaimer: This guide is informational and does not constitute medical advice. HBOT carries real risks including ear barotrauma, oxygen toxicity, and chamber fire. Discuss any HBOT plan with a physician trained in undersea and hyperbaric medicine before starting. The FDA has cleared HBOT for 13 specific indications; uses outside those indications are off-label and not supported by FDA evaluation.

-- The HBOT Finder Team