House size provides a comparative measure of household wealth that enables archaeologists to track global trends in inequality across a range of sedentary societies. Such approaches hold particular promise for Maya archaeology given its long history of settlement pattern research and recent applications of LiDAR to map large areas surrounding ancient Maya cities. Estimating dwelling size, however, is not a trivial exercise. This article addresses potential confounds associated with geometric-based estimates (volume and area) and compares traditional house size-based measures of wealth with other estimates of house size and quality of life indicators. Settlement pattern data from the Upper Usumacinta Confluence Zone, recently collected by the Proyecto Arqueológico Altar de Sacrificios, combined with previously published excavation data provide a robust dataset to evaluate alternative measures of wealth beyond house size.