Level 4 Musculoskeletal Procedures in Texas
What 245 hospitals in Texas charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$58,862
Hospital list price billed
Average allowed
$6,317
Medicare's payment + patient's share
Medicare paid
$5,015
Average per service
State rank
#17 of 49
1 = lowest average payment
Hospitals in Texas billed an average of $58,862 for level 4 musculoskeletal procedures, about 9.3 times the average medicare-allowed amount of $6,317. That payment is 6% below the U.S. average of $6,708.
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 $6,317Billed $58,862
About 11¢ was paid for every $1 hospitals in Texas billed for this service.
Texas hospitals: level 4 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 |
|---|---|---|---|---|
| Methodist Hospital,TheHouston | 507 | $66,993 | $6,533 | $5,191 |
| North Central Surgical Center LLPDallas | 464 | $31,789 | $6,344 | $5,035 |
| Texas Orthopedic HospitalHouston | 438 | $90,228 | $6,537 | $5,188 |
| Texas Spine and Joint HospitalTyler | 424 | $38,014 | $6,126 | $4,864 |
| Trinity Mother Frances SystTyler | 336 | $84,722 | $6,135 | $4,871 |
| Methodist Stone Oak HospitalSan Antonio | 333 | $45,461 | $6,151 | $4,887 |
| Quail Creek Surgical HospitalAmarillo | 257 | $35,503 | $6,131 | $4,865 |
| Baylor Orthopedic and Spine Hospital at ArlingtonArlington | 244 | $37,283 | $6,332 | $5,019 |
| Houston Physicians' HospitalWebster | 236 | $57,069 | $6,570 | $5,221 |
| Scott & White Hospital-Round RockRound Rock | 222 | $31,020 | $6,184 | $4,903 |
| Texas Institute for Surgery at Presbyterian HospitDallas | 214 | $29,632 | $6,343 | $5,028 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 213 | $56,845 | $6,162 | $4,899 |
| Houston Methodist West HospitalHouston | 206 | $85,985 | $6,544 | $5,208 |
| Methodist Sugar Land HospitalSugar Land | 204 | $72,776 | $6,634 | $5,284 |
| Hendrick Health SystemAbilene | 186 | $80,372 | $6,289 | $4,990 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 180 | $95,217 | $6,575 | $5,227 |
| Texas Health Harris Methodist Hospital SouthlakeSouthlake | 179 | $35,443 | $6,430 | $5,116 |
| Mem Hermann Southwest HospHouston | 178 | $46,252 | $6,517 | $5,167 |
| St Davids HospitalAustin | 178 | $90,857 | $6,240 | $4,960 |
| UT Southwestern University HospitalDallas | 168 | $29,649 | $6,377 | $5,067 |
| Scott & White Memorial HospitalTemple | 163 | $31,764 | $6,369 | $5,042 |
| CHRISTUS St Michael Health SystemTexarkana | 161 | $39,310 | $6,018 | $4,763 |
| Legent Orthopedic + SpineSan Antonio | 161 | $63,467 | $6,177 | $4,915 |
| Shannon Medical CenterSan Angelo | 160 | $30,343 | $6,483 | $5,131 |
| Baptist Medical CenterSan Antonio | 152 | $136,994 | $6,077 | $4,813 |
| Baylor Medical Center at Trophy ClubRoanoke | 149 | $40,131 | $6,266 | $4,977 |
| Memorial Hermann Texas Medical CenterHouston | 144 | $82,508 | $6,560 | $5,212 |
| East Texas Medical CenterTyler | 141 | $61,882 | $6,025 | $4,771 |
| United Regional Hlth Care SystWichita Falls | 140 | $28,576 | $6,489 | $5,131 |
| Mary Shiels HospitalDallas | 140 | $34,609 | $6,319 | $5,019 |
| Baylor Surgical Hospital at Fort WorthFort Worth | 137 | $33,514 | $6,263 | $4,970 |
| Good Shepherd Medical Center MarshallMarshall | 135 | $78,573 | $6,289 | $4,991 |
| Baylor Medical Center at FriscoFrisco | 132 | $39,001 | $6,399 | $5,090 |
| Physicians Centre,TheBryan | 131 | $21,634 | $5,911 | $4,679 |
| Methodist Willowbrook HospitalHouston | 129 | $74,947 | $6,552 | $5,200 |
| Hillcrest Baptist Med CenterWaco | 123 | $30,516 | $6,382 | $5,073 |
| Baylor University Medical CenterDallas | 121 | $30,066 | $6,242 | $4,957 |
| Baylor Scott & White Medical Center- College StatiCollege Station | 120 | $30,986 | $6,546 | $5,196 |
| Mem Hermann Mem City HospHouston | 117 | $42,796 | $6,464 | $5,150 |
| Tops Surgical Specialty HospitalHouston | 116 | $38,454 | $6,497 | $5,142 |
| Lubbock Heart Hospital LpLubbock | 112 | $23,432 | $6,075 | $4,812 |
| CHRISTUS HospitalBeaumont | 111 | $36,990 | $6,499 | $5,150 |
| Houston Methodist Clear Lake HospitalHouston | 107 | $76,070 | $6,250 | $4,940 |
| Denton Community HospitalDenton | 106 | $36,094 | $6,459 | $5,146 |
| Sid Peterson Memorial HospitalKerrville | 98 | $24,626 | $6,208 | $4,942 |
| Seton Medical Center AustinAustin | 98 | $71,447 | $6,297 | $5,017 |
| Denton Regional Medical CenterDenton | 96 | $164,125 | $6,405 | $5,090 |
| Texas Health Center for Diagnostics & Surgery PlanPlano | 95 | $34,109 | $6,384 | $5,072 |
| Baylor Scott and White Surgical Hospital at ShermaSherman | 94 | $44,255 | $6,191 | $4,921 |
| St Lukes Episcopal HospitalHouston | 93 | $62,164 | $6,466 | $5,113 |
| University of Texas Medical Branch GalGalveston | 92 | $41,599 | $6,389 | $5,067 |
| Longview Regional Medical CenterLongview | 92 | $112,247 | $6,309 | $5,011 |
| CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi | 90 | $57,357 | $6,467 | $5,153 |
| Texas Health Presbyterian Hospital RockwallRockwall | 89 | $30,090 | $6,438 | $5,129 |
| Methodist McKinney HospitalMcKinney | 89 | $31,908 | $6,287 | $4,985 |
| Methodist Hospital for SurgeryAddison | 89 | $40,213 | $6,323 | $5,014 |
| Providence Health CenterWaco | 87 | $45,235 | $6,441 | $5,124 |
| Grace Medical CenterLubbock | 87 | $45,981 | $6,024 | $4,784 |
| Kingwood Medical CenterKingwood | 87 | $138,945 | $6,573 | $5,225 |
| Houston Methodist Baytown HospitalBaytown | 85 | $77,472 | $6,571 | $5,223 |
| St Joseph Regional Health CenterBryan | 83 | $70,700 | $6,114 | $4,839 |
| South Texas Spine and Surgical HospitalSan Antonio | 81 | $34,809 | $6,024 | $4,763 |
| CHI St Lukes Health Memorial LufkinLufkin | 79 | $53,863 | $5,944 | $4,693 |
| Lake Pointe Medical CenterRowlett | 78 | $36,595 | $6,241 | $4,932 |
| Medical Center of PlanoPlano | 77 | $138,864 | $6,371 | $5,063 |
| Texas Health Harris Methodist Fort WorthFort Worth | 76 | $38,079 | $6,303 | $4,995 |
| Sugar Land Surgical Hospital LLPSugar Land | 74 | $30,830 | $6,565 | $5,214 |
| Lake Granbury Medical CenterGranbury | 73 | $116,931 | $6,388 | $5,075 |
| Texas Health Presbyterian Hospital Flower MoundFlower Mound | 73 | $36,611 | $6,459 | $5,146 |
| Univ of Tx M D Anderson CtrHouston | 72 | $30,318 | $6,634 | $5,285 |
| The Hospital at Westlake Medical CenterAustin | 71 | $61,750 | $6,064 | $4,809 |
| Hill Country Memorial HospitalFredericksburg | 70 | $49,869 | $6,190 | $4,922 |
| Detar Hospital NavarroVictoria | 67 | $72,557 | $6,181 | $4,907 |
| Memorial Hermann Katy HospitalKaty | 67 | $48,344 | $6,456 | $5,128 |
| Cedar Park Regional Medical CenterCedar Park | 67 | $99,697 | $5,884 | $4,643 |
| University Health SystemSan Antonio | 66 | $32,241 | $6,208 | $4,943 |
| Mem Hermann Baptist HospitalBeaumont | 66 | $40,624 | $6,209 | $4,932 |
| Memorial Hermann Surgical Hospital KingwoodKingwood | 66 | $34,168 | $6,554 | $5,204 |
| Baylor Scott & White Medical Center - Marble FallsMarble Falls | 66 | $28,043 | $6,491 | $5,136 |
| Legent Orthopedic HospitalGrapevine | 66 | $62,195 | $6,173 | $4,902 |
| Methodist HospitalSan Antonio | 64 | $78,025 | $6,053 | $4,791 |
| University Medical CenterLubbock | 64 | $54,184 | $5,996 | $4,731 |
| North Austin Medical CenterAustin | 62 | $109,391 | $6,216 | $4,936 |
| St Lukes Lakeside HospitalConroe | 59 | $40,190 | $6,521 | $5,191 |
| Townsen Memorial HospitalHumble | 59 | $87,957 | $4,930 | $3,849 |
| Texoma Healthcare SystemDenison | 58 | $84,307 | $6,173 | $4,861 |
| Baylor Surgical Hospital at las ColinasIrving | 58 | $23,778 | $6,350 | $5,041 |
| Texas Health Harris Methodist Hospital Southwest FFort Worth | 55 | $39,467 | $6,365 | $5,052 |
| Kell West Regional HospitalWichita Falls | 55 | $12,463 | $6,115 | $4,872 |
| Seton Medical Center WilliamsonRound Rock | 55 | $79,311 | $6,440 | $5,131 |
| Covenant Medical CenterLubbock | 54 | $81,777 | $6,208 | $4,942 |
| Baylor Regional Medical Center at PlanoPlano | 54 | $40,677 | $6,343 | $5,035 |
| Baylor Regional Medical Center at GrapevineGrapevine | 53 | $37,039 | $6,459 | $5,146 |
| Doctors Hospital at RenaissanceEdinburg | 50 | $39,260 | $6,207 | $4,945 |
| Titus Regional Medical CenterMt Pleasant | 49 | $17,834 | $6,450 | $5,099 |
| Midland Memorial HospitalMidland | 49 | $30,222 | $6,107 | $4,844 |
| St David's South Austin Medical CenterAustin | 49 | $101,372 | $6,297 | $5,017 |
| Seton Medical Center Harker HeightsHarker Heights | 48 | $20,701 | $6,421 | $5,091 |
| Methodist Southlake Medical CenterSouthlake | 48 | $33,906 | $6,137 | $4,824 |
| Texas Health Hospital FriscoFrisco | 48 | $36,216 | $6,117 | $4,809 |
| Texas Health Presbyterian Hospital AllenAllen | 47 | $37,222 | $6,151 | $4,857 |
| University Medical Center of El PasoEl Paso | 46 | $36,918 | $3,212 | $2,559 |
| Weatherford Regional Medical CenterWeatherford | 46 | $135,456 | $6,459 | $5,146 |
| Brownwood Regional Medical CenterBrownwood | 46 | $70,073 | $6,648 | $5,296 |
| Medical City Dallas HospitalDallas | 46 | $96,286 | $6,327 | $5,018 |
| Tomball Regional HospitalTomball | 46 | $230,724 | $6,634 | $5,285 |
| Hunt Regional Medical CenterGreenville | 45 | $24,784 | $6,327 | $5,014 |
| Methodist Richardson Medical CenterRichardson | 45 | $39,879 | $6,204 | $4,920 |
| Resolute Health HospitalNew Braunfels | 45 | $67,479 | $6,116 | $4,847 |
| Las Palmas Medical CenterEl Paso | 44 | $116,745 | $6,095 | $4,833 |
| CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs | 44 | $79,067 | $6,895 | $5,489 |
| Texas Health Presbyterian Hospital DallasDallas | 44 | $44,895 | $6,321 | $5,013 |
| Texas Health Presbyterian Hospital PlanoPlano | 44 | $40,364 | $6,438 | $5,130 |
| Texas Health Harris Methodist Hospital StephenvillStephenville | 43 | $31,238 | $6,917 | $5,509 |
| Healthsouth Surgical HospitalAustin | 42 | $40,074 | $6,177 | $4,893 |
| Baylor Scott and White Medical Center McKinneyMc Kinney | 41 | $37,849 | $6,313 | $5,001 |
| Foundation Surgical Hospital of San AntonioSan Antonio | 40 | $59,977 | $6,207 | $4,946 |
| Laredo Medical CenterLaredo | 39 | $136,862 | $6,115 | $4,846 |
| HCA Houston Healthcare SoutheastPasadena | 38 | $99,658 | $6,495 | $5,145 |
| Bsa HospitalAmarillo | 38 | $47,752 | $6,207 | $4,946 |
| HCA Houston Healthcare Medical CenterHouston | 38 | $91,789 | $6,634 | $5,285 |
| Clear Lake Regional Medical CenterWebster | 37 | $118,108 | $6,491 | $5,142 |
| Sierra Medical CenterEl Paso | 37 | $118,293 | $6,207 | $4,946 |
| Round Rock Medical CenterRound Rock | 37 | $96,226 | $6,161 | $4,881 |
| Guadalupe Regional Medical CenterSeguin | 36 | $20,183 | $6,207 | $4,946 |
| University Medical Center at BrackenridgeAustin | 36 | $71,543 | $6,297 | $5,017 |
| Plaza Medical Center of Fort WorthFort Worth | 36 | $145,079 | $6,316 | $5,003 |
| Citizens Medical CenterVictoria | 34 | $26,766 | $6,243 | $4,973 |
| CHI St Lukes Health Memorial LivingstonLivingston | 34 | $75,051 | $6,938 | $5,492 |
| Doctors Hospital of LaredoLaredo | 34 | $59,221 | $6,208 | $4,942 |
| Huguley Health SystemFort Worth | 34 | $83,302 | $6,307 | $4,994 |
| Baylor Medical Center at WaxahachieWaxahachie | 33 | $34,766 | $6,459 | $5,144 |
| Woodland Heights Medical CenterLufkin | 33 | $159,675 | $6,207 | $4,946 |
| Memorial Hermann Sugar Land HospitalSugar Land | 32 | $47,656 | $6,474 | $5,120 |
| Conroe Regional Medical CenterConroe | 31 | $114,607 | $6,634 | $5,280 |
| Methodist Mansfield Medical CenterMansfield | 27 | $31,132 | $6,268 | $4,955 |
| Patients Medical Center, LtdPasadena | 27 | $39,745 | $6,438 | $5,090 |
| Seton Medical Center HaysKyle | 27 | $82,925 | $6,111 | $4,831 |
| Oakbend Medical CenterRichmond | 26 | $63,739 | $6,634 | $5,285 |
| Baytown Medical Center LpBaytown | 26 | $95,677 | $6,505 | $5,183 |
| Baylor Scott & White Medical Center PflugervillePflugerville | 26 | $31,504 | $6,297 | $5,016 |
| Texas Regional Medical Center at SunnyvaleSunnyvale | 25 | $99,488 | $6,438 | $5,130 |
| Valley Baptist Medical Center - BrownsvilleBrownsville | 24 | $95,803 | $6,208 | $4,925 |
| Valley Baptist Medical CenterHarlingen | 23 | $127,150 | $6,001 | $4,731 |
| West Houston Medical CenterHouston | 23 | $130,407 | $6,634 | $5,285 |
| Jps Health NetworkFort Worth | 21 | $36,195 | $5,850 | $4,519 |
| Paris Regional Medical CenterParis | 21 | $63,749 | $6,895 | $5,494 |
| The Medical Center of Southeast TexasPort Arthur | 21 | $52,068 | $6,227 | $4,952 |
| Adventhealth Central TexasKilleen | 20 | $55,748 | $6,529 | $5,202 |
| White Rock Medical CenterDallas | 20 | $68,367 | $6,438 | $5,130 |
| Seton Southwest HospitalAustin | 20 | $85,050 | $6,297 | $5,017 |
| Methodist Dallas Medical CenterDallas | 19 | $43,726 | $6,438 | $5,130 |
| Medical Center HospitalOdessa | 19 | $27,372 | $6,002 | $4,740 |
| Texas Health Harris Methodist Hurst-Euless-BedfordBedford | 19 | $43,046 | $6,188 | $4,875 |
| St Luke's the Woodlands HospitalConroe | 19 | $49,798 | $6,634 | $5,285 |
| Sierra Providence East Medical CenterEl Paso | 19 | $103,072 | $6,208 | $4,936 |
| Texas Health Arlington Memorial HospitalArlington | 18 | $33,071 | $6,459 | $5,146 |
| Northwest Texas Hlthcare SystAmarillo | 18 | $96,652 | $6,207 | $4,946 |
| Centennial Medical CenterFrisco | 18 | $38,089 | $6,438 | $5,129 |
| Corpus Christi Medical Center,TheCorpus Christi | 17 | $138,939 | $6,467 | $5,142 |
| The Woodlands Specialty HospitalSpring | 17 | $242,345 | $6,505 | $5,182 |
| Memorial HospitalGonzales | 16 | $14,481 | $6,648 | $5,297 |
| Cornerstone Regional HospitalEdinburg | 16 | $59,137 | $5,974 | $4,713 |
| North Houston Surgical Hospital LLCSpring | 16 | $152,540 | $6,505 | $5,165 |
| Houston Northwest Medical CenterHouston | 15 | $152,572 | $6,634 | $5,284 |
| Las Colinas Medical CenterIrving | 15 | $177,001 | $6,438 | $5,125 |
| Seton Northwest HospitalAustin | 15 | $82,057 | $6,297 | $5,017 |
| St Luke's Hospital at the VintageHouston | 15 | $47,074 | $6,634 | $5,285 |
| Medical City AllianceFort Worth | 15 | $155,946 | $6,116 | $4,802 |
| Medical Center of McKinneyMcKinney | 14 | $167,580 | $6,438 | $5,130 |
| Covenant Hospital PlainviewPlainview | 14 | $58,201 | $6,648 | $5,297 |
| Baylor Scott & White Medical Center - BudaBuda | 14 | $27,159 | $5,938 | $4,659 |
| Baylor All Saints Medical Center at FwFort Worth | 13 | $38,898 | $6,459 | $5,146 |
| East Texas Medical Center AthensAthens | 13 | $57,559 | $6,057 | $4,735 |
| Medical Center of ArlingtonArlington | 13 | $206,594 | $6,459 | $5,146 |
| Rio Grande Regional HospitalMcAllen | 13 | $149,618 | $6,207 | $4,946 |
| Baylor Medical Center at CarrolltonCarrollton | 13 | $29,372 | $6,399 | $5,086 |
| Altus Houston Hospital, LpHouston | 13 | $107,784 | $6,505 | $5,183 |
| Baylor Scott & White Medical Center- AustinAustin | 13 | $32,143 | $6,297 | $5,017 |
| Legent Surgical Hospital PlanoPlano | 13 | $84,179 | $6,438 | $5,130 |
| CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos | 12 | $63,315 | $6,297 | $5,017 |
| Glen Rose Medical CenterGlen Rose | 12 | $43,790 | $6,459 | $5,146 |
| Nacogdoches Medical CenterNacogdoches | 12 | $115,365 | $6,208 | $4,930 |
| Parkland Health and Hospital SystemDallas | 11 | $38,999 | $6,438 | $5,130 |
| North Texas Medical CenterGainesville | 11 | $35,261 | $6,895 | $5,494 |
| South Texas Health SystemEdinburg | 11 | $237,371 | $6,208 | $4,929 |
| Columbus Community HospitalColumbus | 11 | $24,243 | $6,666 | $5,311 |
| Navarro Regional HospitalCorsicana | 11 | $63,166 | $6,438 | $5,112 |
| Providence Memorial HospitalEl Paso | – | – | – | – |
| CHRISTUS St Joseph HospitalHouston | – | – | – | – |
| Rolling Plains Memorial HospitalSweetwater | – | – | – | – |
| Brazosport Regional Health SystemLake Jackson | – | – | – | – |
| Baylor Medical Center at IrvingIrving | – | – | – | – |
| North Hills HospitalNorth Richland Hills | – | – | – | – |
| Fort Duncan Medical CenterEagle Pass | – | – | – | – |
| Connally Memorial Medical CenterFloresville | – | – | – | – |
| Knapp Medical CenterWeslaco | – | – | – | – |
| Ascension Seton SmithvilleSmithville | – | – | – | – |
| Permian Regional Medical Center Andrews County HoAndrews | – | – | – | – |
| Texas Health Harris Methodist Hospital CleburneCleburne | – | – | – | – |
| Val Verde Regional Medical CenterDel Rio | – | – | – | – |
| East Texas Medical Center JacksonvilleJacksonville | – | – | – | – |
| Wadley Regional Medical CenterTexarkana | – | – | – | – |
| Faith Community HospitalJacksboro | – | – | – | – |
| Medical City DecaturDecatur | – | – | – | – |
| Harris County Hospital DistrictHouston | – | – | – | – |
| Texas Health Presbyterian Hospital KaufmanKaufman | – | – | – | – |
| Huntsville Memorial HospitalHuntsville | – | – | – | – |
| Childress Regional Medical CenterChildress | – | – | – | – |
| Dallas Medical CenterDallas | – | – | – | – |
| Parkview Regional HospitalMexia | – | – | – | – |
| Texas Health Harris Methodist Hospital AzleAzle | – | – | – | – |
| Matagorda General HospitalBay City | – | – | – | – |
| Wilson N Jones Regional Medical CenterSherman | – | – | – | – |
| Etmc HendersonHenderson | – | – | – | – |
| Palo Pinto General HospitalMineral Wells | – | – | – | – |
| Wilbarger General HospitalVernon | – | – | – | – |
| Cuero Community HospitalCuero | – | – | – | – |
| Freestone Medical CenterFairfield | – | – | – | – |
| Odessa Regional HospitalOdessa | – | – | – | – |
| Valley Regional Medical CenterBrownsville | – | – | – | – |
| Medical Center of LewisvilleLewisville | – | – | – | – |
| Memorial Hermann NortheastHumble | – | – | – | – |
| Dallas Regional Medical CenterMesquite | – | – | – | – |
| El Campo Memorial HospitalEl Campo | – | – | – | – |
| Methodist Charlton Medical CenterDallas | – | – | – | – |
| Palestine Regional Medical CenterPalestine | – | – | – | – |
| CHRISTUS Spohn Hospital AliceAlice | – | – | – | – |
| Surgery Specialty Hospitals of America SE HoustonPasadena | – | – | – | – |
| Harlingen Medical CenterHarlingen | – | – | – | – |
| Usmd Hospital at Arlington L PArlington | – | – | – | – |
| Mesa Hills Specialty HospitalEl Paso | – | – | – | – |
| Horizon Medical Center of DentonDenton | – | – | – | – |
| Texas Scottish Rite Hospital for ChildrenDallas | – | – | – | – |
| St Luke's Sugar Land HospitalSugar Land | – | – | – | – |
| Texas Health Harris Methodist Hospital AllianceFort Worth | – | – | – | – |
| Crescent Medical Center LancasterLancaster | – | – | – | – |
| Ad Hospital East, LLCHouston | – | – | – | – |
| HCA Houston Healthcare PearlandPearland | – | – | – | – |
| The Hospitals of Providence Transmountain CampusEl Paso | – | – | – | – |
| Methodist Midlothian Medical CenterMidlothian | – | – | – | – |
| Texas Health Hospital MansfieldMansfield | – | – | – | – |
| Trinity Regional Hospital SachseSachse | – | – | – | – |
| East Houston Medical CenterHouston | – | – | – | – |
| Advanced Dallas Hospitals and ClinicsDallas | – | – | – | – |
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.
Lowest
| University Medical Center of El PasoEl Paso, TX | $3,212 |
|---|---|
| Townsen Memorial HospitalHumble, TX | $4,930 |
| Jps Health NetworkFort Worth, TX | $5,850 |
| Cedar Park Regional Medical CenterCedar Park, TX | $5,884 |
| Physicians Centre,TheBryan, TX | $5,911 |
Highest
| CHI St Lukes Health Memorial LivingstonLivingston, TX | $6,938 |
|---|---|
| Texas Health Harris Methodist Hospital StephenvillStephenville, TX | $6,917 |
| CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs, TX | $6,895 |
| North Texas Medical CenterGainesville, TX | $6,895 |
| Paris Regional Medical CenterParis, TX | $6,895 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Texas?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 245 hospitals in Texas was billed at $58,862 on average, while the average medicare-allowed amount was $6,317, of which Medicare paid $5,015. 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 9.3 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.