Level 5 Musculoskeletal Procedures in Texas
What 237 hospitals in Texas charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$98,406
Hospital list price billed
Average allowed
$11,614
Medicare's payment + patient's share
Medicare paid
$9,984
Average per service
State rank
#17 of 49
1 = lowest average payment
Hospitals in Texas billed an average of $98,406 for level 5 musculoskeletal procedures, about 8.5 times the average medicare-allowed amount of $11,614. That payment is 6% below the U.S. average of $12,402.
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 $11,614Billed $98,406
About 12¢ was paid for every $1 hospitals in Texas billed for this service.
Texas hospitals: level 5 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 Orthopedic HospitalHouston | 1,066 | $169,311 | $12,098 | $10,465 |
| Texas Health Harris Methodist Hospital Southwest FFort Worth | 926 | $56,214 | $11,689 | $10,057 |
| Baptist Medical CenterSan Antonio | 796 | $154,236 | $11,235 | $9,603 |
| Legent Orthopedic + SpineSan Antonio | 730 | $91,404 | $11,312 | $9,680 |
| Quail Creek Surgical HospitalAmarillo | 719 | $53,644 | $11,270 | $9,637 |
| St Davids HospitalAustin | 717 | $191,676 | $11,473 | $9,840 |
| Methodist Hospital,TheHouston | 696 | $111,235 | $12,050 | $10,418 |
| Texas Spine and Joint HospitalTyler | 620 | $62,142 | $11,311 | $9,679 |
| Mem Hermann Southwest HospHouston | 612 | $65,364 | $11,950 | $10,316 |
| North Central Surgical Center LLPDallas | 575 | $43,223 | $11,616 | $9,979 |
| Grace Medical CenterLubbock | 562 | $63,085 | $11,381 | $9,750 |
| Methodist Sugar Land HospitalSugar Land | 432 | $117,232 | $11,942 | $10,310 |
| Trinity Mother Frances SystTyler | 425 | $135,463 | $11,257 | $9,623 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 425 | $104,013 | $11,245 | $9,612 |
| Memorial Hermann Texas Medical CenterHouston | 355 | $93,379 | $12,047 | $10,414 |
| North Austin Medical CenterAustin | 344 | $178,599 | $11,483 | $9,851 |
| Mary Shiels HospitalDallas | 328 | $48,903 | $11,595 | $9,959 |
| Baylor Surgical Hospital at Fort WorthFort Worth | 313 | $52,601 | $11,445 | $9,808 |
| Texas Health Presbyterian Hospital Flower MoundFlower Mound | 304 | $52,574 | $11,766 | $10,133 |
| Baylor Medical Center at FriscoFrisco | 303 | $54,695 | $11,727 | $10,094 |
| CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi | 298 | $100,196 | $11,646 | $10,017 |
| Hendrick Health SystemAbilene | 295 | $147,112 | $12,163 | $10,529 |
| Texas Health Presbyterian Hospital PlanoPlano | 295 | $65,541 | $11,759 | $10,127 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 292 | $129,989 | $11,898 | $10,266 |
| Methodist HospitalSan Antonio | 288 | $129,574 | $11,309 | $9,677 |
| Scott & White Memorial HospitalTemple | 285 | $51,020 | $11,813 | $10,181 |
| Mem Hermann Mem City HospHouston | 282 | $62,046 | $12,037 | $10,405 |
| Medical Center of PlanoPlano | 276 | $255,934 | $11,754 | $10,122 |
| Sid Peterson Memorial HospitalKerrville | 270 | $47,137 | $11,335 | $9,703 |
| Seton Medical Center AustinAustin | 257 | $178,010 | $11,547 | $9,918 |
| Houston Methodist West HospitalHouston | 255 | $116,344 | $12,145 | $10,513 |
| Baylor Medical Center at Trophy ClubRoanoke | 248 | $48,965 | $11,515 | $9,882 |
| Texas Health Harris Methodist Hospital SouthlakeSouthlake | 241 | $52,954 | $11,866 | $10,234 |
| Hill Country Memorial HospitalFredericksburg | 232 | $95,645 | $11,322 | $9,690 |
| Methodist Hospital for SurgeryAddison | 232 | $42,124 | $11,741 | $10,107 |
| Baylor Scott and White Surgical Hospital at ShermaSherman | 224 | $72,005 | $11,472 | $9,840 |
| Good Shepherd Medical Center MarshallMarshall | 216 | $123,306 | $11,507 | $9,874 |
| Hillcrest Baptist Med CenterWaco | 213 | $53,238 | $11,435 | $9,803 |
| Texas Health Presbyterian Hospital DallasDallas | 213 | $54,354 | $11,828 | $10,196 |
| Scott & White Hospital-Round RockRound Rock | 213 | $50,756 | $11,049 | $9,471 |
| Shannon Medical CenterSan Angelo | 208 | $46,902 | $12,010 | $10,378 |
| Baylor Scott & White Medical Center- College StatiCollege Station | 201 | $47,898 | $11,977 | $10,345 |
| Houston Physicians' HospitalWebster | 200 | $77,133 | $11,927 | $10,295 |
| Lubbock Heart Hospital LpLubbock | 194 | $48,793 | $11,305 | $9,673 |
| Midland Memorial HospitalMidland | 190 | $41,491 | $11,100 | $9,466 |
| UT Southwestern University HospitalDallas | 183 | $57,364 | $11,440 | $9,805 |
| Texas Institute for Surgery at Presbyterian HospitDallas | 179 | $52,530 | $11,828 | $10,192 |
| Methodist McKinney HospitalMcKinney | 175 | $43,811 | $11,388 | $9,772 |
| Kell West Regional HospitalWichita Falls | 168 | $27,776 | $11,236 | $9,603 |
| Texas Health Harris Methodist Hospital StephenvillStephenville | 162 | $57,621 | $12,706 | $11,073 |
| Resolute Health HospitalNew Braunfels | 160 | $103,633 | $11,369 | $9,736 |
| East Texas Medical CenterTyler | 159 | $92,853 | $11,222 | $9,588 |
| Denton Regional Medical CenterDenton | 157 | $351,894 | $11,866 | $10,234 |
| United Regional Hlth Care SystWichita Falls | 155 | $45,795 | $12,131 | $10,499 |
| Houston Methodist Clear Lake HospitalHouston | 153 | $120,399 | $12,118 | $10,486 |
| Methodist Willowbrook HospitalHouston | 152 | $125,068 | $12,048 | $10,414 |
| Longview Regional Medical CenterLongview | 148 | $169,290 | $11,628 | $9,992 |
| Baylor Scott and White Medical Center McKinneyMc Kinney | 146 | $53,362 | $11,549 | $9,915 |
| Kingwood Medical CenterKingwood | 143 | $217,496 | $12,187 | $10,555 |
| Baylor Regional Medical Center at PlanoPlano | 138 | $56,395 | $11,681 | $10,049 |
| Tops Surgical Specialty HospitalHouston | 132 | $73,165 | $12,107 | $10,474 |
| Providence Health CenterWaco | 123 | $82,715 | $11,667 | $10,035 |
| Seton Northwest HospitalAustin | 123 | $194,711 | $11,570 | $9,938 |
| Methodist Stone Oak HospitalSan Antonio | 122 | $128,986 | $11,406 | $9,772 |
| Houston Methodist Baytown HospitalBaytown | 118 | $118,066 | $11,829 | $10,197 |
| Texas Health Presbyterian Hospital RockwallRockwall | 118 | $59,406 | $11,658 | $10,024 |
| Baylor Orthopedic and Spine Hospital at ArlingtonArlington | 118 | $64,474 | $11,432 | $9,800 |
| Baylor Scott & White Medical Center - Marble FallsMarble Falls | 117 | $56,626 | $12,213 | $10,581 |
| Medical City Dallas HospitalDallas | 115 | $200,362 | $11,828 | $10,194 |
| Memorial Hermann Katy HospitalKaty | 115 | $64,972 | $12,003 | $10,371 |
| Seton Medical Center WilliamsonRound Rock | 114 | $193,551 | $11,833 | $10,201 |
| Cornerstone Regional HospitalEdinburg | 113 | $88,996 | $11,319 | $9,687 |
| Medical Center of McKinneyMcKinney | 112 | $295,710 | $11,737 | $10,105 |
| Lake Pointe Medical CenterRowlett | 112 | $50,993 | $11,737 | $10,105 |
| CHRISTUS HospitalBeaumont | 111 | $97,869 | $12,187 | $10,555 |
| Guadalupe Regional Medical CenterSeguin | 109 | $31,403 | $11,316 | $9,684 |
| Citizens Medical CenterVictoria | 108 | $32,641 | $11,308 | $9,676 |
| St David's South Austin Medical CenterAustin | 105 | $165,916 | $11,475 | $9,843 |
| St Lukes Lakeside HospitalConroe | 104 | $77,236 | $12,085 | $10,452 |
| The Hospitals of Providence Transmountain CampusEl Paso | 104 | $127,454 | $11,406 | $9,774 |
| Sugar Land Surgical Hospital LLPSugar Land | 103 | $43,124 | $11,780 | $10,145 |
| St Joseph Regional Health CenterBryan | 101 | $101,853 | $11,351 | $9,719 |
| CHI St Lukes Health Memorial LufkinLufkin | 94 | $105,807 | $11,302 | $9,670 |
| CHRISTUS St Michael Health SystemTexarkana | 93 | $91,772 | $11,196 | $9,563 |
| Baylor University Medical CenterDallas | 92 | $53,100 | $10,652 | $9,013 |
| Baylor Surgical Hospital at las ColinasIrving | 91 | $64,927 | $11,716 | $10,084 |
| University Medical CenterLubbock | 90 | $75,218 | $11,406 | $9,774 |
| Texas Health Center for Diagnostics & Surgery PlanPlano | 90 | $61,220 | $11,715 | $10,083 |
| Baylor Regional Medical Center at GrapevineGrapevine | 88 | $59,240 | $11,520 | $9,885 |
| Denton Community HospitalDenton | 87 | $58,767 | $11,396 | $9,763 |
| Baylor Medical Center at WaxahachieWaxahachie | 86 | $53,552 | $11,747 | $10,115 |
| Mem Hermann Baptist HospitalBeaumont | 84 | $74,465 | $11,723 | $10,089 |
| Memorial Hermann Sugar Land HospitalSugar Land | 83 | $66,663 | $11,808 | $10,173 |
| Centennial Medical CenterFrisco | 83 | $50,775 | $11,706 | $10,074 |
| University of Texas Medical Branch GalGalveston | 81 | $74,987 | $11,770 | $10,162 |
| Methodist Mansfield Medical CenterMansfield | 78 | $54,151 | $11,866 | $10,234 |
| Seton Medical Center HaysKyle | 78 | $194,537 | $11,442 | $9,810 |
| Detar Hospital NavarroVictoria | 76 | $107,099 | $10,902 | $9,279 |
| Adventhealth Central TexasKilleen | 76 | $89,648 | $11,995 | $10,363 |
| Seton Southwest HospitalAustin | 76 | $198,666 | $11,439 | $9,807 |
| Memorial Hermann Surgical Hospital KingwoodKingwood | 76 | $45,433 | $12,187 | $10,552 |
| Townsen Memorial HospitalHumble | 76 | $84,223 | $8,107 | $6,820 |
| Texoma Healthcare SystemDenison | 73 | $123,945 | $11,828 | $10,196 |
| Tomball Regional HospitalTomball | 72 | $224,528 | $12,187 | $10,555 |
| Huguley Health SystemFort Worth | 72 | $128,877 | $11,866 | $10,231 |
| Lake Granbury Medical CenterGranbury | 71 | $186,261 | $11,722 | $10,087 |
| Clear Lake Regional Medical CenterWebster | 70 | $144,567 | $12,187 | $10,555 |
| Medical Center HospitalOdessa | 69 | $53,820 | $11,012 | $9,375 |
| Methodist Richardson Medical CenterRichardson | 69 | $52,936 | $11,603 | $9,971 |
| Brownwood Regional Medical CenterBrownwood | 68 | $118,742 | $12,214 | $10,574 |
| St Lukes Episcopal HospitalHouston | 67 | $89,416 | $12,187 | $10,555 |
| Sierra Medical CenterEl Paso | 67 | $174,371 | $10,676 | $9,044 |
| Seton Medical Center Harker HeightsHarker Heights | 67 | $41,849 | $11,840 | $10,208 |
| Titus Regional Medical CenterMt Pleasant | 66 | $35,681 | $12,053 | $10,421 |
| Columbus Community HospitalColumbus | 65 | $58,863 | $12,109 | $10,492 |
| Legent Orthopedic HospitalGrapevine | 63 | $99,546 | $10,774 | $9,215 |
| CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos | 59 | $131,856 | $11,401 | $9,769 |
| Nacogdoches Medical CenterNacogdoches | 59 | $155,752 | $10,909 | $9,274 |
| Texas Health Harris Methodist Hospital CleburneCleburne | 58 | $58,918 | $11,513 | $9,881 |
| Weatherford Regional Medical CenterWeatherford | 58 | $171,738 | $11,866 | $10,224 |
| Texas Health Hospital FriscoFrisco | 56 | $63,539 | $11,286 | $9,650 |
| Texas Health Arlington Memorial HospitalArlington | 55 | $74,359 | $11,680 | $10,048 |
| Physicians Centre,TheBryan | 55 | $34,726 | $11,270 | $9,637 |
| University Medical Center of El PasoEl Paso | 54 | $57,581 | $5,893 | $4,822 |
| Texas Health Harris Methodist Fort WorthFort Worth | 54 | $58,217 | $11,640 | $10,007 |
| CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs | 53 | $142,733 | $12,458 | $10,823 |
| Covenant Hospital PlainviewPlainview | 52 | $108,521 | $12,015 | $10,378 |
| South Texas Spine and Surgical HospitalSan Antonio | 51 | $57,465 | $11,023 | $9,390 |
| Texas Health Harris Methodist Hospital AllianceFort Worth | 50 | $55,985 | $11,661 | $10,029 |
| Methodist Southlake Medical CenterSouthlake | 50 | $50,210 | $11,866 | $10,234 |
| Laredo Medical CenterLaredo | 48 | $222,392 | $11,061 | $9,421 |
| Healthsouth Surgical HospitalAustin | 48 | $67,771 | $11,570 | $9,938 |
| Round Rock Medical CenterRound Rock | 47 | $248,803 | $11,147 | $9,515 |
| Conroe Regional Medical CenterConroe | 46 | $175,878 | $11,269 | $9,637 |
| Covenant Medical CenterLubbock | 45 | $124,060 | $10,976 | $9,344 |
| Methodist Dallas Medical CenterDallas | 45 | $54,594 | $11,736 | $10,104 |
| Baylor Scott & White Medical Center PflugervillePflugerville | 45 | $57,168 | $11,570 | $9,938 |
| Paris Regional Medical CenterParis | 44 | $83,662 | $12,164 | $10,532 |
| Baylor Scott & White Medical Center- AustinAustin | 44 | $57,293 | $11,344 | $9,712 |
| University Health SystemSan Antonio | 43 | $40,527 | $11,406 | $9,774 |
| Las Palmas Medical CenterEl Paso | 42 | $244,825 | $11,173 | $9,541 |
| Doctors Hospital at RenaissanceEdinburg | 42 | $61,520 | $11,008 | $9,370 |
| Texas Health Hospital MansfieldMansfield | 39 | $102,304 | $11,866 | $10,234 |
| Univ of Tx M D Anderson CtrHouston | 38 | $51,137 | $11,029 | $9,509 |
| Bsa HospitalAmarillo | 35 | $64,100 | $11,406 | $9,774 |
| CHI St Lukes Health Memorial LivingstonLivingston | 35 | $125,362 | $12,723 | $11,091 |
| Woodland Heights Medical CenterLufkin | 35 | $374,755 | $11,406 | $9,774 |
| Doctors Hospital of LaredoLaredo | 35 | $110,882 | $11,134 | $9,488 |
| Foundation Surgical Hospital of San AntonioSan Antonio | 35 | $92,167 | $10,935 | $9,296 |
| Baylor Medical Center at CarrolltonCarrollton | 33 | $49,056 | $11,509 | $9,872 |
| Hunt Regional Medical CenterGreenville | 32 | $47,193 | $11,510 | $9,878 |
| HCA Houston Healthcare SoutheastPasadena | 31 | $192,701 | $12,187 | $10,555 |
| Texas Regional Medical Center at SunnyvaleSunnyvale | 30 | $142,829 | $11,489 | $9,852 |
| Jps Health NetworkFort Worth | 29 | $52,473 | $11,866 | $10,234 |
| Texas Health Presbyterian Hospital AllenAllen | 29 | $69,746 | $11,828 | $10,196 |
| Childress Regional Medical CenterChildress | 28 | $58,894 | $12,213 | $10,581 |
| Harlingen Medical CenterHarlingen | 28 | $101,777 | $11,406 | $9,774 |
| Memorial HospitalGonzales | 26 | $31,451 | $12,213 | $10,581 |
| Cedar Park Regional Medical CenterCedar Park | 26 | $161,506 | $10,805 | $9,164 |
| Plaza Medical Center of Fort WorthFort Worth | 25 | $243,870 | $11,457 | $9,817 |
| The Hospital at Westlake Medical CenterAustin | 25 | $128,748 | $11,346 | $9,714 |
| Methodist Midlothian Medical CenterMidlothian | 25 | $52,568 | $11,457 | $9,822 |
| Valley Baptist Medical Center - BrownsvilleBrownsville | 24 | $143,448 | $10,999 | $9,341 |
| University Medical Center at BrackenridgeAustin | 24 | $142,843 | $11,570 | $9,938 |
| Wadley Regional Medical CenterTexarkana | 24 | $60,541 | $10,591 | $8,959 |
| Huntsville Memorial HospitalHuntsville | 22 | $57,362 | $11,707 | $10,075 |
| Parkland Health and Hospital SystemDallas | 21 | $59,274 | $11,828 | $10,196 |
| Baytown Medical Center LpBaytown | 21 | $165,064 | $11,951 | $10,319 |
| Baylor All Saints Medical Center at FwFort Worth | 20 | $56,552 | $11,354 | $9,716 |
| Brazosport Regional Health SystemLake Jackson | 19 | $65,717 | $12,187 | $10,555 |
| Providence Memorial HospitalEl Paso | 18 | $195,610 | $10,863 | $9,231 |
| Las Colinas Medical CenterIrving | 16 | $271,438 | $11,828 | $10,196 |
| Legent Surgical Hospital PlanoPlano | 16 | $114,630 | $11,828 | $10,196 |
| Connally Memorial Medical CenterFloresville | 15 | $54,866 | $11,406 | $9,774 |
| Valley Baptist Medical CenterHarlingen | 14 | $185,091 | $11,406 | $9,774 |
| Palo Pinto General HospitalMineral Wells | 14 | $67,309 | $11,406 | $9,774 |
| Texas Health Harris Methodist Hurst-Euless-BedfordBedford | 14 | $60,028 | $11,866 | $10,234 |
| Memorial Hermann NortheastHumble | 14 | $66,823 | $12,187 | $10,555 |
| St Luke's Sugar Land HospitalSugar Land | 14 | $81,349 | $12,187 | $10,539 |
| Knapp Medical CenterWeslaco | 13 | $165,087 | $11,406 | $9,774 |
| Patients Medical Center, LtdPasadena | 13 | $69,825 | $12,187 | $10,537 |
| Crescent Medical Center LancasterLancaster | 13 | $115,702 | $11,829 | $10,185 |
| Medical City AllianceFort Worth | 13 | $216,910 | $11,079 | $9,447 |
| Texas Health Presbyterian Hospital KaufmanKaufman | 12 | $53,114 | $10,990 | $9,347 |
| The Medical Center of Southeast TexasPort Arthur | 12 | $80,995 | $11,441 | $9,809 |
| HCA Houston Healthcare Medical CenterHouston | 12 | $247,779 | $12,187 | $10,555 |
| Houston Northwest Medical CenterHouston | 11 | $268,548 | $12,187 | $10,555 |
| East Houston Medical CenterHouston | 11 | $88,704 | $12,187 | $10,555 |
| CHRISTUS St Joseph HospitalHouston | – | – | – | – |
| Baylor Medical Center at IrvingIrving | – | – | – | – |
| North Hills HospitalNorth Richland Hills | – | – | – | – |
| North Texas Medical CenterGainesville | – | – | – | – |
| Fort Duncan Medical CenterEagle Pass | – | – | – | – |
| South Texas Health SystemEdinburg | – | – | – | – |
| Val Verde Regional Medical CenterDel Rio | – | – | – | – |
| Methodist Hospital AtascosaJourdanton | – | – | – | – |
| East Texas Medical Center JacksonvilleJacksonville | – | – | – | – |
| Northwest Texas Hlthcare SystAmarillo | – | – | – | – |
| Faith Community HospitalJacksboro | – | – | – | – |
| Bellville General HospitalBellville | – | – | – | – |
| Medical City DecaturDecatur | – | – | – | – |
| Harris County Hospital DistrictHouston | – | – | – | – |
| Oakbend Medical CenterRichmond | – | – | – | – |
| Dallas Medical CenterDallas | – | – | – | – |
| East Texas Medical Center AthensAthens | – | – | – | – |
| Parkview Regional HospitalMexia | – | – | – | – |
| Texas Health Harris Methodist Hospital AzleAzle | – | – | – | – |
| Navarro Regional HospitalCorsicana | – | – | – | – |
| Glen Rose Medical CenterGlen Rose | – | – | – | – |
| Matagorda General HospitalBay City | – | – | – | – |
| Etmc HendersonHenderson | – | – | – | – |
| Nacogdoches Memorial HospitalNacogdoches | – | – | – | – |
| Wilbarger General HospitalVernon | – | – | – | – |
| West Houston Medical CenterHouston | – | – | – | – |
| Odessa Regional HospitalOdessa | – | – | – | – |
| Valley Regional Medical CenterBrownsville | – | – | – | – |
| Medical Center of LewisvilleLewisville | – | – | – | – |
| Medical Center of ArlingtonArlington | – | – | – | – |
| White Rock Medical CenterDallas | – | – | – | – |
| Dallas Regional Medical CenterMesquite | – | – | – | – |
| Rio Grande Regional HospitalMcAllen | – | – | – | – |
| Methodist Charlton Medical CenterDallas | – | – | – | – |
| Palestine Regional Medical CenterPalestine | – | – | – | – |
| Corpus Christi Medical Center,TheCorpus Christi | – | – | – | – |
| St Luke's the Woodlands HospitalConroe | – | – | – | – |
| Mesa Hills Specialty HospitalEl Paso | – | – | – | – |
| Horizon Medical Center of DentonDenton | – | – | – | – |
| Sierra Providence East Medical CenterEl Paso | – | – | – | – |
| St Luke's Hospital at the VintageHouston | – | – | – | – |
| Ad Hospital East, LLCHouston | – | – | – | – |
| HCA Houston Healthcare PearlandPearland | – | – | – | – |
| Baylor Scott & White Medical Center - BudaBuda | – | – | – | – |
| Altus Houston Hospital, LpHouston | – | – | – | – |
| The Woodlands Specialty HospitalSpring | – | – | – | – |
| North Houston Surgical Hospital LLCSpring | – | – | – | – |
| Trinity Regional Hospital SachseSachse | – | – | – | – |
| Westover Hills Baptist HospitalSan Antonio | – | – | – | – |
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 | $5,893 |
|---|---|
| Townsen Memorial HospitalHumble, TX | $8,107 |
| Wadley Regional Medical CenterTexarkana, TX | $10,591 |
| Baylor University Medical CenterDallas, TX | $10,652 |
| Sierra Medical CenterEl Paso, TX | $10,676 |
Highest
| CHI St Lukes Health Memorial LivingstonLivingston, TX | $12,723 |
|---|---|
| Texas Health Harris Methodist Hospital StephenvillStephenville, TX | $12,706 |
| CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs, TX | $12,458 |
| Brownwood Regional Medical CenterBrownwood, TX | $12,214 |
| Memorial HospitalGonzales, TX | $12,213 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Texas?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 237 hospitals in Texas was billed at $98,406 on average, while the average medicare-allowed amount was $11,614, of which Medicare paid $9,984. 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 8.5 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.