Level 6 Musculoskeletal Procedures in Texas
What 201 hospitals in Texas charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$126,098
Hospital list price billed
Average allowed
$16,373
Medicare's payment + patient's share
Medicare paid
$14,742
Average per service
State rank
#17 of 49
1 = lowest average payment
Hospitals in Texas billed an average of $126,098 for level 6 musculoskeletal procedures, about 7.7 times the average medicare-allowed amount of $16,373. That payment is 6% below the U.S. average of $17,392.
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 $16,373Billed $126,098
About 13¢ was paid for every $1 hospitals in Texas billed for this service.
Texas hospitals: level 6 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 |
|---|---|---|---|---|
| Baylor University Medical CenterDallas | 169 | $73,106 | $16,111 | $14,479 |
| Trinity Mother Frances SystTyler | 161 | $177,789 | $15,867 | $14,233 |
| Methodist Hospital,TheHouston | 149 | $178,847 | $16,928 | $15,296 |
| Baylor Surgical Hospital at Fort WorthFort Worth | 142 | $52,801 | $16,046 | $14,410 |
| North Central Surgical Center LLPDallas | 135 | $50,670 | $16,623 | $14,990 |
| Texas Spine and Joint HospitalTyler | 125 | $74,378 | $15,441 | $13,809 |
| Grace Medical CenterLubbock | 116 | $92,932 | $16,137 | $14,505 |
| Baptist Medical CenterSan Antonio | 113 | $222,215 | $15,752 | $14,120 |
| Quail Creek Surgical HospitalAmarillo | 111 | $92,621 | $16,006 | $14,374 |
| Houston Methodist the Woodlands HospitalThe Woodlands | 110 | $215,542 | $17,243 | $15,611 |
| UT Southwestern University HospitalDallas | 105 | $77,573 | $16,735 | $15,103 |
| Baylor Medical Center at FriscoFrisco | 101 | $73,431 | $16,735 | $15,103 |
| Texas Orthopedic HospitalHouston | 95 | $263,902 | $17,078 | $15,446 |
| Seton Medical Center AustinAustin | 88 | $226,437 | $16,369 | $14,737 |
| Mary Shiels HospitalDallas | 84 | $58,461 | $16,376 | $14,744 |
| Shannon Medical CenterSan Angelo | 83 | $70,134 | $16,397 | $14,765 |
| Scott & White Hospital-Round RockRound Rock | 83 | $82,615 | $16,369 | $14,737 |
| Mem Hermann Mem City HospHouston | 81 | $72,565 | $17,243 | $15,611 |
| Legent Orthopedic + SpineSan Antonio | 79 | $156,632 | $16,137 | $14,502 |
| Scott & White Memorial HospitalTemple | 72 | $67,735 | $16,545 | $14,913 |
| CHRISTUS Santa Rosa HospitalSan Antonio | 72 | $145,475 | $16,137 | $14,505 |
| United Regional Hlth Care SystWichita Falls | 68 | $66,266 | $17,359 | $15,727 |
| Methodist HospitalSan Antonio | 67 | $165,835 | $16,137 | $14,505 |
| Texas Institute for Surgery at Presbyterian HospitDallas | 65 | $72,234 | $16,044 | $14,402 |
| Houston Methodist West HospitalHouston | 65 | $224,956 | $16,282 | $14,650 |
| Memorial Hermann Texas Medical CenterHouston | 64 | $98,583 | $16,755 | $15,123 |
| Texas Health Harris Methodist Hospital Southwest FFort Worth | 61 | $81,751 | $16,789 | $15,152 |
| Mem Hermann Southwest HospHouston | 60 | $78,143 | $16,983 | $15,351 |
| Covenant Medical CenterLubbock | 56 | $158,911 | $16,137 | $14,505 |
| Hill Country Memorial HospitalFredericksburg | 55 | $126,960 | $16,137 | $14,503 |
| Longview Regional Medical CenterLongview | 50 | $265,815 | $15,948 | $14,308 |
| Texas Health Harris Methodist Hospital SouthlakeSouthlake | 50 | $72,314 | $16,789 | $15,157 |
| East Texas Medical CenterTyler | 48 | $124,300 | $15,835 | $14,201 |
| Good Shepherd Medical Center MarshallMarshall | 47 | $220,040 | $16,544 | $14,912 |
| Midland Memorial HospitalMidland | 46 | $58,513 | $15,295 | $13,658 |
| Texas Health Harris Methodist Fort WorthFort Worth | 46 | $67,499 | $16,418 | $14,781 |
| Methodist Sugar Land HospitalSugar Land | 45 | $164,533 | $17,243 | $15,611 |
| Lubbock Heart Hospital LpLubbock | 44 | $54,460 | $16,137 | $14,505 |
| CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi | 43 | $149,078 | $16,810 | $15,178 |
| Baylor Surgical Hospital at las ColinasIrving | 42 | $56,823 | $16,735 | $15,103 |
| Hendrick Health SystemAbilene | 41 | $196,384 | $17,454 | $15,822 |
| The Hospital at Westlake Medical CenterAustin | 40 | $131,089 | $16,052 | $14,420 |
| Sid Peterson Memorial HospitalKerrville | 39 | $73,306 | $16,137 | $14,500 |
| Texas Health Harris Methodist Hospital StephenvillStephenville | 39 | $71,330 | $17,559 | $15,927 |
| Texas Health Presbyterian Hospital DallasDallas | 39 | $88,308 | $16,735 | $15,103 |
| Texas Health Presbyterian Hospital PlanoPlano | 38 | $68,815 | $16,735 | $15,103 |
| Baylor Medical Center at Trophy ClubRoanoke | 38 | $54,844 | $15,293 | $13,661 |
| Tops Surgical Specialty HospitalHouston | 37 | $78,584 | $17,243 | $15,611 |
| Townsen Memorial HospitalHumble | 36 | $154,349 | $10,496 | $9,003 |
| St Davids HospitalAustin | 35 | $321,833 | $16,369 | $14,737 |
| Texas Health Presbyterian Hospital Flower MoundFlower Mound | 35 | $80,050 | $16,025 | $14,393 |
| Baylor Scott & White Medical Center- College StatiCollege Station | 35 | $54,428 | $17,243 | $15,611 |
| University of Texas Medical Branch GalGalveston | 33 | $89,139 | $16,617 | $14,998 |
| Methodist Stone Oak HospitalSan Antonio | 33 | $197,904 | $16,137 | $14,505 |
| Methodist McKinney HospitalMcKinney | 33 | $55,819 | $16,332 | $14,728 |
| St Joseph Regional Health CenterBryan | 32 | $112,760 | $16,198 | $14,547 |
| Baylor Regional Medical Center at GrapevineGrapevine | 32 | $73,777 | $15,368 | $13,736 |
| Citizens Medical CenterVictoria | 31 | $44,908 | $15,791 | $14,159 |
| Methodist Hospital for SurgeryAddison | 31 | $51,416 | $16,256 | $14,616 |
| Dallas Medical CenterDallas | 30 | $165,326 | $16,735 | $15,095 |
| Denton Community HospitalDenton | 30 | $104,293 | $16,343 | $14,742 |
| University Medical CenterLubbock | 29 | $112,963 | $16,137 | $14,505 |
| Methodist Willowbrook HospitalHouston | 29 | $215,805 | $16,704 | $15,072 |
| Baylor Orthopedic and Spine Hospital at ArlingtonArlington | 29 | $86,679 | $16,266 | $14,634 |
| Hillcrest Baptist Med CenterWaco | 28 | $67,464 | $16,742 | $15,110 |
| Physicians Centre,TheBryan | 28 | $49,620 | $15,677 | $14,045 |
| Providence Health CenterWaco | 27 | $118,525 | $16,742 | $15,101 |
| North Austin Medical CenterAustin | 27 | $288,401 | $15,823 | $14,191 |
| Paris Regional Medical CenterParis | 26 | $110,858 | $17,921 | $16,289 |
| St Lukes Lakeside HospitalConroe | 26 | $137,751 | $17,243 | $15,611 |
| CHRISTUS HospitalBeaumont | 25 | $122,910 | $16,618 | $14,986 |
| Lake Granbury Medical CenterGranbury | 25 | $177,221 | $16,182 | $14,550 |
| Baylor Scott & White Medical Center - Marble FallsMarble Falls | 25 | $58,589 | $17,280 | $15,648 |
| CHRISTUS St Michael Health SystemTexarkana | 24 | $147,698 | $16,137 | $14,505 |
| Memorial Hermann Surgical Hospital KingwoodKingwood | 24 | $72,640 | $17,243 | $15,609 |
| Baylor Scott and White Surgical Hospital at ShermaSherman | 24 | $75,763 | $15,623 | $13,991 |
| Seton Medical Center Harker HeightsHarker Heights | 24 | $52,349 | $16,971 | $15,339 |
| Resolute Health HospitalNew Braunfels | 24 | $137,400 | $15,566 | $13,934 |
| Methodist Richardson Medical CenterRichardson | 23 | $55,950 | $15,876 | $14,244 |
| Denton Regional Medical CenterDenton | 22 | $390,049 | $16,789 | $15,157 |
| Healthsouth Surgical HospitalAustin | 21 | $90,973 | $16,369 | $14,737 |
| Methodist Mansfield Medical CenterMansfield | 21 | $52,935 | $16,789 | $15,157 |
| Cedar Park Regional Medical CenterCedar Park | 21 | $172,518 | $16,369 | $14,737 |
| Conroe Regional Medical CenterConroe | 20 | $291,388 | $16,462 | $14,830 |
| Lake Pointe Medical CenterRowlett | 20 | $73,306 | $16,735 | $15,103 |
| Texas Health Hospital FriscoFrisco | 20 | $87,264 | $16,735 | $15,103 |
| Methodist Dallas Medical CenterDallas | 19 | $52,578 | $15,145 | $13,513 |
| Las Palmas Medical CenterEl Paso | 19 | $313,149 | $16,137 | $14,505 |
| Medical Center HospitalOdessa | 19 | $79,875 | $15,374 | $13,742 |
| Houston Methodist Baytown HospitalBaytown | 19 | $172,104 | $17,243 | $15,611 |
| Doctors Hospital at RenaissanceEdinburg | 19 | $126,546 | $15,374 | $13,730 |
| Tomball Regional HospitalTomball | 18 | $382,944 | $17,243 | $15,611 |
| Kingwood Medical CenterKingwood | 18 | $351,098 | $17,243 | $15,611 |
| Texas Health Center for Diagnostics & Surgery PlanPlano | 17 | $83,758 | $14,958 | $13,326 |
| Houston Physicians' HospitalWebster | 17 | $91,087 | $17,243 | $15,611 |
| CHI St Lukes Health Memorial LufkinLufkin | 16 | $124,445 | $16,137 | $14,505 |
| Medical Center of PlanoPlano | 16 | $490,937 | $16,735 | $15,103 |
| Seton Southwest HospitalAustin | 16 | $193,201 | $16,369 | $14,737 |
| Baylor Regional Medical Center at PlanoPlano | 16 | $83,729 | $16,735 | $15,103 |
| Guadalupe Regional Medical CenterSeguin | 15 | $42,805 | $16,137 | $14,505 |
| Kell West Regional HospitalWichita Falls | 15 | $31,691 | $15,896 | $14,264 |
| Texas Health Presbyterian Hospital RockwallRockwall | 15 | $68,149 | $16,735 | $15,103 |
| Seton Medical Center HaysKyle | 15 | $192,423 | $15,386 | $13,754 |
| Detar Hospital NavarroVictoria | 14 | $167,086 | $16,229 | $14,597 |
| Houston Methodist Clear Lake HospitalHouston | 14 | $180,098 | $17,243 | $15,611 |
| Seton Medical Center WilliamsonRound Rock | 14 | $194,835 | $16,742 | $15,110 |
| Baylor Scott and White Medical Center McKinneyMc Kinney | 14 | $90,550 | $16,735 | $15,103 |
| Medical City AllianceFort Worth | 14 | $378,122 | $16,789 | $15,140 |
| Texas Health Arlington Memorial HospitalArlington | 13 | $67,722 | $16,789 | $15,157 |
| Titus Regional Medical CenterMt Pleasant | 13 | $35,775 | $17,280 | $15,648 |
| HCA Houston Healthcare SoutheastPasadena | 13 | $315,454 | $17,243 | $15,611 |
| Medical Center of LewisvilleLewisville | 13 | $546,110 | $16,789 | $15,157 |
| Huguley Health SystemFort Worth | 13 | $149,622 | $16,789 | $15,157 |
| Seton Northwest HospitalAustin | 13 | $155,929 | $16,369 | $14,737 |
| CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs | 12 | $218,209 | $17,921 | $16,289 |
| Plaza Medical Center of Fort WorthFort Worth | 12 | $320,095 | $14,282 | $12,630 |
| Memorial Hermann Sugar Land HospitalSugar Land | 12 | $73,833 | $17,243 | $15,611 |
| Mem Hermann Baptist HospitalBeaumont | 11 | $102,395 | $16,838 | $15,206 |
| Baylor Medical Center at WaxahachieWaxahachie | 11 | $67,521 | $15,411 | $13,779 |
| CHI St Lukes Health Memorial LivingstonLivingston | 11 | $136,916 | $18,465 | $16,833 |
| Woodland Heights Medical CenterLufkin | 11 | $380,510 | $16,137 | $14,505 |
| Doctors Hospital of LaredoLaredo | 11 | $149,496 | $16,137 | $14,505 |
| Corpus Christi Medical Center,TheCorpus Christi | 11 | $210,010 | $16,810 | $15,178 |
| South Texas Spine and Surgical HospitalSan Antonio | 11 | $60,990 | $16,137 | $14,505 |
| Sugar Land Surgical Hospital LLPSugar Land | 11 | $44,942 | $15,996 | $14,447 |
| The Hospitals of Providence Transmountain CampusEl Paso | 11 | $195,180 | $14,818 | $13,186 |
| Methodist Southlake Medical CenterSouthlake | 11 | $57,703 | $15,466 | $13,834 |
| Providence Memorial HospitalEl Paso | – | – | – | – |
| Parkland Health and Hospital SystemDallas | – | – | – | – |
| University Medical Center of El PasoEl Paso | – | – | – | – |
| Valley Baptist Medical Center - BrownsvilleBrownsville | – | – | – | – |
| Laredo Medical CenterLaredo | – | – | – | – |
| Valley Baptist Medical CenterHarlingen | – | – | – | – |
| Jps Health NetworkFort Worth | – | – | – | – |
| Univ of Tx M D Anderson CtrHouston | – | – | – | – |
| Baylor Medical Center at IrvingIrving | – | – | – | – |
| North Hills HospitalNorth Richland Hills | – | – | – | – |
| University Medical Center at BrackenridgeAustin | – | – | – | – |
| Knapp Medical CenterWeslaco | – | – | – | – |
| Baylor All Saints Medical Center at FwFort Worth | – | – | – | – |
| Texas Health Harris Methodist Hospital CleburneCleburne | – | – | – | – |
| Adventhealth Central TexasKilleen | – | – | – | – |
| Mission Regional Medical CenterMission | – | – | – | – |
| St Lukes Episcopal HospitalHouston | – | – | – | – |
| East Texas Medical Center JacksonvilleJacksonville | – | – | – | – |
| Wadley Regional Medical CenterTexarkana | – | – | – | – |
| Weatherford Regional Medical CenterWeatherford | – | – | – | – |
| Northwest Texas Hlthcare SystAmarillo | – | – | – | – |
| University Health SystemSan Antonio | – | – | – | – |
| Bsa HospitalAmarillo | – | – | – | – |
| Memorial HospitalGonzales | – | – | – | – |
| Faith Community HospitalJacksboro | – | – | – | – |
| Bellville General HospitalBellville | – | – | – | – |
| Medical City DecaturDecatur | – | – | – | – |
| CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos | – | – | – | – |
| Texas Health Presbyterian Hospital KaufmanKaufman | – | – | – | – |
| Texoma Healthcare SystemDenison | – | – | – | – |
| Oakbend Medical CenterRichmond | – | – | – | – |
| Huntsville Memorial HospitalHuntsville | – | – | – | – |
| Hunt Regional Medical CenterGreenville | – | – | – | – |
| Childress Regional Medical CenterChildress | – | – | – | – |
| Medical Center of McKinneyMcKinney | – | – | – | – |
| Etmc HendersonHenderson | – | – | – | – |
| Palo Pinto General HospitalMineral Wells | – | – | – | – |
| Brownwood Regional Medical CenterBrownwood | – | – | – | – |
| Clear Lake Regional Medical CenterWebster | – | – | – | – |
| Houston Northwest Medical CenterHouston | – | – | – | – |
| Texas Health Harris Methodist Hurst-Euless-BedfordBedford | – | – | – | – |
| West Houston Medical CenterHouston | – | – | – | – |
| Medical City Dallas HospitalDallas | – | – | – | – |
| Nacogdoches Medical CenterNacogdoches | – | – | – | – |
| HCA Houston Healthcare Medical CenterHouston | – | – | – | – |
| Sierra Medical CenterEl Paso | – | – | – | – |
| Medical Center of ArlingtonArlington | – | – | – | – |
| White Rock Medical CenterDallas | – | – | – | – |
| Memorial Hermann NortheastHumble | – | – | – | – |
| Rio Grande Regional HospitalMcAllen | – | – | – | – |
| St David's South Austin Medical CenterAustin | – | – | – | – |
| Round Rock Medical CenterRound Rock | – | – | – | – |
| Methodist Charlton Medical CenterDallas | – | – | – | – |
| Baylor Medical Center at CarrolltonCarrollton | – | – | – | – |
| Las Colinas Medical CenterIrving | – | – | – | – |
| Cornerstone Regional HospitalEdinburg | – | – | – | – |
| Texas Health Presbyterian Hospital AllenAllen | – | – | – | – |
| Memorial Hermann Katy HospitalKaty | – | – | – | – |
| Harlingen Medical CenterHarlingen | – | – | – | – |
| Centennial Medical CenterFrisco | – | – | – | – |
| Mesa Hills Specialty HospitalEl Paso | – | – | – | – |
| Horizon Medical Center of DentonDenton | – | – | – | – |
| Sierra Providence East Medical CenterEl Paso | – | – | – | – |
| Foundation Surgical Hospital of San AntonioSan Antonio | – | – | – | – |
| Texas Regional Medical Center at SunnyvaleSunnyvale | – | – | – | – |
| St Luke's Hospital at the VintageHouston | – | – | – | – |
| Texas Health Harris Methodist Hospital AllianceFort Worth | – | – | – | – |
| Ad Hospital East, LLCHouston | – | – | – | – |
| Baytown Medical Center LpBaytown | – | – | – | – |
| Legent Orthopedic HospitalGrapevine | – | – | – | – |
| The Woodlands Specialty HospitalSpring | – | – | – | – |
| North Houston Surgical Hospital LLCSpring | – | – | – | – |
| Texas Health Hospital MansfieldMansfield | – | – | – | – |
| Legent Surgical Hospital PlanoPlano | – | – | – | – |
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
| Townsen Memorial HospitalHumble, TX | $10,496 |
|---|---|
| Plaza Medical Center of Fort WorthFort Worth, TX | $14,282 |
| The Hospitals of Providence Transmountain CampusEl Paso, TX | $14,818 |
| Texas Health Center for Diagnostics & Surgery PlanPlano, TX | $14,958 |
| Methodist Dallas Medical CenterDallas, TX | $15,145 |
Highest
| CHI St Lukes Health Memorial LivingstonLivingston, TX | $18,465 |
|---|---|
| Paris Regional Medical CenterParis, TX | $17,921 |
| CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs, TX | $17,921 |
| Texas Health Harris Methodist Hospital StephenvillStephenville, TX | $17,559 |
| Hendrick Health SystemAbilene, TX | $17,454 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Texas?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 201 hospitals in Texas was billed at $126,098 on average, while the average medicare-allowed amount was $16,373, of which Medicare paid $14,742. 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 7.7 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.