facebook tracking Level 3 Musculoskeletal Procedures cost in Texas: 247 hospitals compared (APC 5113)

Level 3 Musculoskeletal Procedures in Texas

What 247 hospitals in Texas charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.

APC 5113 Outpatient 2024 Medicare data
Average charge $29,887 Hospital list price billed
Average allowed $2,828 Medicare's payment + patient's share
Medicare paid $2,242 Average per service
State rank #18 of 49 1 = lowest average payment

Hospitals in Texas billed an average of $29,887 for level 3 musculoskeletal procedures, about 10.6 times the average medicare-allowed amount of $2,828. That payment is 6% below the U.S. average of $2,995.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $2,828Billed $29,887

About 9¢ was paid for every $1 hospitals in Texas billed for this service.

Texas hospitals: level 3 musculoskeletal procedures

Every Texas hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Texas Spine and Joint HospitalTyler 383 $22,114 $2,762 $2,190
North Central Surgical Center LLPDallas 284 $15,345 $2,859 $2,266
Texas Orthopedic HospitalHouston 267 $37,702 $2,970 $2,359
Baylor Orthopedic and Spine Hospital at ArlingtonArlington 210 $16,788 $2,828 $2,238
Methodist Sugar Land HospitalSugar Land 199 $37,516 $2,955 $2,349
Methodist Hospital,TheHouston 176 $41,743 $2,974 $2,364
Trinity Mother Frances SystTyler 174 $45,985 $2,754 $2,186
Scott & White Memorial HospitalTemple 172 $13,945 $2,765 $2,189
Hillcrest Baptist Med CenterWaco 169 $14,723 $2,772 $2,179
Texas Institute for Surgery at Presbyterian HospitDallas 144 $13,848 $2,881 $2,285
Houston Physicians' HospitalWebster 132 $31,813 $2,948 $2,336
Shannon Medical CenterSan Angelo 126 $21,298 $2,952 $2,340
CHRISTUS HospitalBeaumont 120 $18,722 $2,914 $2,304
Texas Health Harris Methodist Hospital SouthlakeSouthlake 118 $17,886 $2,863 $2,265
Quail Creek Surgical HospitalAmarillo 117 $16,576 $2,751 $2,177
Houston Methodist West HospitalHouston 116 $47,143 $2,955 $2,345
Tops Surgical Specialty HospitalHouston 111 $18,819 $2,964 $2,354
Scott & White Hospital-Round RockRound Rock 108 $13,861 $2,807 $2,228
Denton Regional Medical CenterDenton 107 $92,726 $2,922 $2,328
Mem Hermann Southwest HospHouston 104 $25,400 $2,776 $2,207
UT Southwestern University HospitalDallas 103 $17,588 $2,849 $2,255
Sugar Land Surgical Hospital LLPSugar Land 97 $21,053 $2,946 $2,340
Baylor Medical Center at Trophy ClubRoanoke 94 $18,935 $2,817 $2,234
East Texas Medical CenterTyler 93 $39,858 $2,682 $2,116
Houston Methodist the Woodlands HospitalThe Woodlands 92 $52,048 $3,001 $2,388
CHRISTUS Santa Rosa HospitalSan Antonio 91 $28,254 $2,769 $2,198
Longview Regional Medical CenterLongview 91 $53,645 $2,778 $2,189
United Regional Hlth Care SystWichita Falls 85 $13,041 $2,965 $2,351
Baylor Scott and White Surgical Hospital at ShermaSherman 85 $21,768 $2,765 $2,196
Good Shepherd Medical Center MarshallMarshall 84 $32,740 $2,811 $2,240
Memorial Hermann Surgical Hospital KingwoodKingwood 84 $19,556 $2,799 $2,225
Mem Hermann Mem City HospHouston 80 $26,164 $2,840 $2,252
Weatherford Regional Medical CenterWeatherford 79 $47,149 $2,922 $2,320
Baylor Medical Center at FriscoFrisco 79 $22,330 $2,854 $2,258
CHI St Lukes Health Memorial LufkinLufkin 77 $21,212 $2,728 $2,157
Brownwood Regional Medical CenterBrownwood 77 $22,335 $2,977 $2,365
Lake Pointe Medical CenterRowlett 77 $20,642 $2,822 $2,230
Lubbock Heart Hospital LpLubbock 76 $13,436 $2,773 $2,199
Baptist Medical CenterSan Antonio 72 $66,097 $2,781 $2,201
CHRISTUS St Michael Health SystemTexarkana 72 $22,764 $2,809 $2,237
Sid Peterson Memorial HospitalKerrville 70 $10,928 $2,786 $2,215
Providence Health CenterWaco 69 $23,159 $2,914 $2,321
Memorial Hermann Texas Medical CenterHouston 69 $47,531 $2,797 $2,193
St Lukes Episcopal HospitalHouston 69 $30,452 $2,871 $2,285
Mary Shiels HospitalDallas 61 $17,335 $2,875 $2,279
Mem Hermann Baptist HospitalBeaumont 60 $26,038 $2,856 $2,256
Midland Memorial HospitalMidland 59 $18,124 $2,733 $2,158
Physicians Centre,TheBryan 59 $12,300 $2,752 $2,176
Doctors Hospital at RenaissanceEdinburg 58 $20,845 $2,809 $2,229
University of Texas Medical Branch GalGalveston 57 $22,748 $3,001 $2,391
Grace Medical CenterLubbock 56 $30,641 $2,738 $2,173
Methodist McKinney HospitalMcKinney 56 $20,405 $2,830 $2,237
Methodist HospitalSan Antonio 55 $32,560 $2,768 $2,197
Hill Country Memorial HospitalFredericksburg 54 $26,612 $2,809 $2,238
Kingwood Medical CenterKingwood 54 $76,004 $3,001 $2,391
University Medical Center of El PasoEl Paso 53 $16,525 $1,335 $1,060
University Health SystemSan Antonio 53 $23,642 $2,782 $2,206
Hendrick Health SystemAbilene 52 $39,672 $2,443 $1,937
Baylor Scott & White Medical Center- College StatiCollege Station 52 $15,786 $2,955 $2,345
Guadalupe Regional Medical CenterSeguin 51 $10,367 $2,480 $1,966
Adventhealth Central TexasKilleen 51 $29,890 $2,918 $2,316
Resolute Health HospitalNew Braunfels 50 $28,452 $2,770 $2,194
Houston Methodist Clear Lake HospitalHouston 49 $38,573 $2,463 $1,952
Baylor Surgical Hospital at Fort WorthFort Worth 49 $17,290 $2,772 $2,190
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi 48 $18,751 $2,847 $2,244
Detar Hospital NavarroVictoria 48 $42,986 $2,731 $2,154
University Medical CenterLubbock 48 $31,713 $2,762 $2,187
St Joseph Regional Health CenterBryan 46 $50,164 $2,773 $2,195
Hunt Regional Medical CenterGreenville 45 $10,600 $2,862 $2,259
Methodist Stone Oak HospitalSan Antonio 45 $33,950 $2,809 $2,236
Methodist Willowbrook HospitalHouston 44 $49,879 $2,947 $2,337
St Davids HospitalAustin 43 $42,130 $2,849 $2,268
Methodist Southlake Medical CenterSouthlake 43 $23,366 $2,922 $2,328
Texas Health Presbyterian Hospital RockwallRockwall 42 $19,302 $2,788 $2,210
St Lukes Lakeside HospitalConroe 40 $16,694 $3,001 $2,391
Tomball Regional HospitalTomball 39 $82,222 $3,001 $2,391
St David's South Austin Medical CenterAustin 39 $64,599 $2,849 $2,270
Texas Health Harris Methodist Hospital Southwest FFort Worth 39 $19,749 $2,847 $2,269
Seton Medical Center Harker HeightsHarker Heights 38 $9,707 $2,954 $2,354
Townsen Memorial HospitalHumble 38 $51,019 $2,006 $1,598
Methodist Richardson Medical CenterRichardson 37 $20,541 $2,796 $2,216
Woodland Heights Medical CenterLufkin 36 $67,301 $2,809 $2,238
Baylor Scott & White Medical Center - Marble FallsMarble Falls 36 $12,748 $2,880 $2,263
Healthsouth Surgical HospitalAustin 35 $14,455 $2,849 $2,270
Cedar Park Regional Medical CenterCedar Park 35 $43,847 $2,805 $2,226
Laredo Medical CenterLaredo 34 $66,070 $2,758 $2,181
Texas Regional Medical Center at SunnyvaleSunnyvale 33 $50,956 $2,843 $2,245
Texas Health Presbyterian Hospital Flower MoundFlower Mound 33 $18,209 $2,712 $2,117
Citizens Medical CenterVictoria 32 $14,169 $2,652 $2,071
Houston Methodist Baytown HospitalBaytown 32 $35,955 $2,927 $2,314
Las Palmas Medical CenterEl Paso 31 $67,479 $2,736 $2,166
Medical Center of PlanoPlano 30 $76,490 $2,836 $2,243
Denton Community HospitalDenton 30 $23,970 $2,922 $2,328
Legent Surgical Hospital PlanoPlano 30 $29,366 $2,913 $2,321
Titus Regional Medical CenterMt Pleasant 29 $8,064 $2,952 $2,335
Clear Lake Regional Medical CenterWebster 29 $66,168 $3,001 $2,391
Memorial Hermann Sugar Land HospitalSugar Land 29 $25,990 $3,001 $2,391
Jps Health NetworkFort Worth 28 $26,563 $2,759 $2,165
Lake Granbury Medical CenterGranbury 28 $78,506 $2,756 $2,159
Doctors Hospital of LaredoLaredo 27 $46,435 $2,726 $2,155
North Austin Medical CenterAustin 27 $63,517 $2,849 $2,270
Seton Southwest HospitalAustin 27 $33,648 $2,849 $2,270
Methodist Hospital for SurgeryAddison 27 $21,862 $2,827 $2,235
University Medical Center at BrackenridgeAustin 26 $36,172 $2,849 $2,270
CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs 26 $49,392 $3,024 $2,390
Palo Pinto General HospitalMineral Wells 26 $15,994 $2,809 $2,238
Memorial Hermann Katy HospitalKaty 26 $29,971 $2,796 $2,207
Valley Baptist Medical CenterHarlingen 25 $65,648 $2,809 $2,238
Baylor University Medical CenterDallas 24 $23,637 $2,672 $2,090
Texas Health Harris Methodist Fort WorthFort Worth 24 $24,662 $2,913 $2,321
The Medical Center of Southeast TexasPort Arthur 24 $27,074 $2,817 $2,232
Baylor Medical Center at CarrolltonCarrollton 24 $19,974 $2,902 $2,302
Cornerstone Regional HospitalEdinburg 24 $40,485 $2,747 $2,176
Methodist Mansfield Medical CenterMansfield 24 $19,286 $2,922 $2,328
Legent Orthopedic + SpineSan Antonio 24 $35,676 $2,805 $2,234
Baylor Regional Medical Center at GrapevineGrapevine 23 $25,516 $2,821 $2,227
Baylor Surgical Hospital at las ColinasIrving 23 $15,063 $2,685 $2,119
The Hospital at Westlake Medical CenterAustin 23 $40,723 $1,822 $1,452
Baylor Scott and White Medical Center McKinneyMc Kinney 23 $22,210 $2,610 $2,018
Medical Center HospitalOdessa 22 $13,620 $2,711 $2,131
Texas Health Center for Diagnostics & Surgery PlanPlano 22 $23,777 $2,913 $2,321
Seton Medical Center WilliamsonRound Rock 22 $32,617 $2,914 $2,322
West Houston Medical CenterHouston 21 $87,717 $3,001 $2,391
Sierra Medical CenterEl Paso 21 $61,188 $2,639 $2,065
Huguley Health SystemFort Worth 21 $37,701 $2,922 $2,328
Texas Health Presbyterian Hospital AllenAllen 20 $15,765 $2,681 $2,089
Seton Medical Center HaysKyle 20 $40,793 $2,849 $2,270
Baylor Medical Center at WaxahachieWaxahachie 19 $20,028 $2,922 $2,328
Odessa Regional HospitalOdessa 19 $22,791 $2,691 $2,120
Baytown Medical Center LpBaytown 19 $49,562 $2,943 $2,335
Valley Baptist Medical Center - BrownsvilleBrownsville 18 $68,082 $2,809 $2,227
Patients Medical Center, LtdPasadena 18 $17,828 $3,001 $2,391
Sierra Providence East Medical CenterEl Paso 18 $90,101 $2,809 $2,227
Baylor Scott & White Medical Center PflugervillePflugerville 18 $12,902 $2,849 $2,270
Oakbend Medical CenterRichmond 17 $42,946 $3,001 $2,391
Texas Health Harris Methodist Hospital StephenvillStephenville 17 $16,128 $3,130 $2,494
Foundation Surgical Hospital of San AntonioSan Antonio 17 $34,199 $2,809 $2,238
Legent Orthopedic HospitalGrapevine 17 $29,503 $2,590 $2,055
North Houston Surgical Hospital LLCSpring 17 $76,881 $2,944 $2,317
Parkland Health and Hospital SystemDallas 16 $27,158 $2,913 $2,321
Huntsville Memorial HospitalHuntsville 16 $20,286 $2,852 $2,230
East Texas Medical Center AthensAthens 16 $26,827 $2,549 $2,031
St Luke's Hospital at the VintageHouston 16 $28,628 $2,852 $2,242
Medical City DecaturDecatur 15 $37,804 $2,922 $2,328
South Texas Spine and Surgical HospitalSan Antonio 15 $13,767 $2,768 $2,197
St Luke's the Woodlands HospitalConroe 15 $26,883 $3,001 $2,391
Baylor Scott & White Medical Center - BudaBuda 15 $15,227 $2,849 $2,270
Baylor Scott & White Medical Center- AustinAustin 15 $15,808 $2,849 $2,270
Texas Health Hospital FriscoFrisco 15 $23,430 $2,758 $2,154
Texas Health Hospital MansfieldMansfield 15 $29,880 $2,922 $2,322
Connally Memorial Medical CenterFloresville 14 $12,318 $2,649 $2,078
Texoma Healthcare SystemDenison 14 $53,993 $2,913 $2,320
Columbus Community HospitalColumbus 14 $11,037 $2,844 $2,223
CHI St Lukes Health Memorial LivingstonLivingston 14 $25,929 $3,214 $2,561
Matagorda General HospitalBay City 14 $12,021 $3,008 $2,391
Kell West Regional HospitalWichita Falls 14 $6,858 $2,767 $2,204
Horizon Medical Center of DentonDenton 14 $39,886 $2,913 $2,307
North Texas Medical CenterGainesville 13 $13,200 $3,120 $2,486
Houston Northwest Medical CenterHouston 13 $118,152 $3,001 $2,391
Texas Health Harris Methodist Hurst-Euless-BedfordBedford 13 $22,676 $2,922 $2,323
Conroe Regional Medical CenterConroe 12 $65,776 $2,818 $2,192
CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos 12 $42,383 $2,849 $2,270
Texas Health Harris Methodist Hospital AzleAzle 12 $16,154 $2,922 $2,328
Texas Health Presbyterian Hospital DallasDallas 12 $19,586 $2,913 $2,321
Cuero Community HospitalCuero 12 $23,491 $2,809 $2,238
Rio Grande Regional HospitalMcAllen 12 $66,743 $2,809 $2,238
Crescent Medical Center LancasterLancaster 12 $26,871 $2,905 $2,313
HCA Houston Healthcare SoutheastPasadena 11 $50,229 $3,002 $2,357
Bsa HospitalAmarillo 11 $25,981 $2,809 $2,238
Freestone Medical CenterFairfield 11 $13,905 $2,605 $2,034
Round Rock Medical CenterRound Rock 11 $56,877 $2,849 $2,270
Texas Health Presbyterian Hospital PlanoPlano 11 $28,627 $2,913 $2,321
Las Colinas Medical CenterIrving 11 $85,677 $2,913 $2,321
St Luke's Sugar Land HospitalSugar Land 11 $25,183 $3,001 $2,391
Providence Memorial HospitalEl Paso – – – –
CHRISTUS St Joseph HospitalHouston – – – –
Covenant Medical CenterLubbock – – – –
Methodist Dallas Medical CenterDallas – – – –
Rolling Plains Memorial HospitalSweetwater – – – –
Seton Medical Center AustinAustin – – – –
Texas Health Arlington Memorial HospitalArlington – – – –
Brazosport Regional Health SystemLake Jackson – – – –
Univ of Tx M D Anderson CtrHouston – – – –
Baylor Medical Center at IrvingIrving – – – –
CHRISTUS Spohn HospitalBeeville – – – –
North Hills HospitalNorth Richland Hills – – – –
Fort Duncan Medical CenterEagle Pass – – – –
South Texas Health SystemEdinburg – – – –
Knapp Medical CenterWeslaco – – – –
Baylor All Saints Medical Center at FwFort Worth – – – –
Ascension Seton SmithvilleSmithville – – – –
Permian Regional Medical Center Andrews County HoAndrews – – – –
Val Verde Regional Medical CenterDel Rio – – – –
Methodist Hospital AtascosaJourdanton – – – –
Mission Regional Medical CenterMission – – – –
East Texas Medical Center JacksonvilleJacksonville – – – –
Paris Regional Medical CenterParis – – – –
Wadley Regional Medical CenterTexarkana – – – –
Northwest Texas Hlthcare SystAmarillo – – – –
Memorial HospitalGonzales – – – –
Faith Community HospitalJacksboro – – – –
Texas Health Presbyterian Hospital KaufmanKaufman – – – –
Childress Regional Medical CenterChildress – – – –
Dallas Medical CenterDallas – – – –
Parkview Regional HospitalMexia – – – –
Medical Center of McKinneyMcKinney – – – –
Navarro Regional HospitalCorsicana – – – –
Glen Rose Medical CenterGlen Rose – – – –
Wilson N Jones Regional Medical CenterSherman – – – –
Etmc HendersonHenderson – – – –
Nacogdoches Memorial HospitalNacogdoches – – – –
Covenant Hospital PlainviewPlainview – – – –
Wilbarger General HospitalVernon – – – –
Medical City Dallas HospitalDallas – – – –
Nacogdoches Medical CenterNacogdoches – – – –
HCA Houston Healthcare Medical CenterHouston – – – –
Valley Regional Medical CenterBrownsville – – – –
Medical Center of LewisvilleLewisville – – – –
Plaza Medical Center of Fort WorthFort Worth – – – –
Medical Center of ArlingtonArlington – – – –
White Rock Medical CenterDallas – – – –
Memorial Hermann NortheastHumble – – – –
Dallas Regional Medical CenterMesquite – – – –
El Campo Memorial HospitalEl Campo – – – –
Methodist Charlton Medical CenterDallas – – – –
Palestine Regional Medical CenterPalestine – – – –
Corpus Christi Medical Center,TheCorpus Christi – – – –
Surgery Specialty Hospitals of America SE HoustonPasadena – – – –
Harlingen Medical CenterHarlingen – – – –
Seton Northwest HospitalAustin – – – –
Usmd Hospital at Arlington L PArlington – – – –
Centennial Medical CenterFrisco – – – –
Baylor Regional Medical Center at PlanoPlano – – – –
Mesa Hills Specialty HospitalEl Paso – – – –
Cook Ft Worth Childrens Medical CenterFort Worth – – – –
The Heart Hospital Baylor PlanoPlano – – – –
Texas Health Harris Methodist Hospital AllianceFort Worth – – – –
Ad Hospital East, LLCHouston – – – –
Medical City AllianceFort Worth – – – –
HCA Houston Healthcare PearlandPearland – – – –
Cleveland Emergency HospitalHumble – – – –
The Hospitals of Providence Transmountain CampusEl Paso – – – –
Altus Houston Hospital, LpHouston – – – –
The Woodlands Specialty HospitalSpring – – – –
Methodist Midlothian Medical CenterMidlothian – – – –
Trinity Regional Hospital SachseSachse – – – –
Advanced Dallas Hospitals and ClinicsDallas – – – –
Level 3 Musculoskeletal Procedures: all states All Texas hospitals Texas hospital finances
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Lowest and highest allowed amounts in Texas

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 3 Musculoskeletal Procedures in other states

Idaho · $2,879 Indiana · $2,859 Iowa · $2,782 Michigan · $2,779 Nebraska · $2,813 North Carolina · $2,846 Utah · $2,882 Virginia · $2,856

Questions

How much does level 3 musculoskeletal procedures cost in Texas?

In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 247 hospitals in Texas was billed at $29,887 on average, while the average medicare-allowed amount was $2,828, of which Medicare paid $2,242. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Texas, average charges were 10.6 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.